Health Equity: 02/22/10

Monday, February 22, 2010

[EQ] Conference: Connecting Ideas and Knowledge Sharing on Equity and Health - February 24th, 2010

Connecting Ideas and Knowledge Sharing on Equity and Health

PAHO/WHO Symposium – 9:00 am – 5:00 pm February 24th, 2010
10^th Anniversary of Equity and Health listserv

This symposium on health determinants and inequalities will be focused on the analysis of thematic trends and conceptual frameworks developed in the last 10 years and their policy implications. It also will address global methodological issues of measuring health inequalities and evaluating policy and program impact.

The agenda by topic is below. The entire meeting will be web cast in order to reach a wide international audience of health equity researchers and advocates.

The format will be a short presentation on the subject of each panel 10-15 min max – Three/four discussants 5 to 10 min max. - Q&A 15 min max. .from

Participants in person:

PAHO Pan American Health Organization Regional Office of the World Health Organization
525 Twenty-third Street, N.W.
Washington, D.C. 20037, United States of America
Room A

Virtual participants via web:
https://sas.elluminate.com/m.jnlp?sid=1110&password=M.A4FA308B5F1FA6CD60DB62C0137303

Language: Simultaneous translation English/Spanish

Note: Please connect a few minutes before 9:00am. Please make sure you have a headset or speaker and microphone.

This event is being organized by WHO, PAHO/WHO, and Kellogg Fellows

Equity and Health Connecting Ideas and Knowledge Sharing February 24th, 2010 PAHO/WHO Pan American Health Organization 525 23^rd St. NW Washington DC 20037 *Room A*
Time				Welcome remarks Dr Mirta Roses, Director PAHO/WHO
9:00 - 9:15 am
				Panel			Speakers	Discussants
9:15-10:15am				Following up the Commission on Social Determinants of Health: How Do We Move to Action?			Dr Rüdiger Krech Director, Department of Ethics, Equity, Trade and Human Rights, World Health Organization, WHO Geneva, Switzerland Sir Michael Marmot, Director, International Institute for Society and Health, University College, London Galvao, Dr. Luiz Augusto PAHO/WHO Sustainable Environmental Health SDE Area Manager Dr Jose Romero Teruel, Professor Georgetown University *Chair:* Dr. Kumanan Rasanathan, Department of Ethics, Equity, Trade and Human Rights, World Health Organization, WHO, Geneva, Switzerland			Sir George Alleyne Former PAHO/Director Emeritus Dr. Jeanette Vega, Undersecretary for Public Health, Ministry of Health, Chile Dr. Bernardo Kliksberg, UNDP advisor; UNDP-Spain Fund Director Dr Alex Scott-Samuel, EQUAL (Equity in Health Research and Development Unit) Division of Public Health University of Liverpool
10:15 –10:30 am				Thematic Networks and Dissemination of Information			Ana Lucia Ruggiero, EQ List Moderator KMC - PAHO/WHO Barbara Krimgold, Director, Kellogg Fellows and Scholars Programs, CFAH Kira Fortune, VHL- Social Determinants of Health SDE PAHO Sandra Raiher, CEDES Argentina
10:30- 10:45am coffee break

10:45 - 12:30pm			Understanding the determinants of health & implementing population health programs			Dr Paula Braveman, MD, MPH Professor of Family and Community Medicine; Director, Center on Social Disparities in Health - University of California, San Francisco Chair: Dr. Alexandra (Lexi) B. Nolen, PhD, MPH Director, Center to Eliminate Health Disparities; Associate Director of the PAHO/WHO Center for Training in International Health; University of Texas Medical Branch			Kenneth Olden, Dean, CUNY Institute for Health Equity, Lehman College, and Professor, Hunter College, NYC Dr.Ulises Pannisset, Coordinator Research Translation to Policy Unit and EVIPNet, RPC/IER, WHO Erin Ueffing Administrator, Campbell and Cochrane Equity Methods Group, Centre for Global Health, Institute of Population Health -University of Ottawa Dr. Olivia Carter-Pokras, Associate Professor, Department of Epidemiology and Biostatistics University of Maryland College Park School of Public Health Dr. Clem Bezold, Chairman, Institute for Alternative Futures Dr Oscar Mujica, Epidemiologist, Health Surveillance, Disease Prevention and Control PAHO/WHO
Lunch
1:30 - 2:00 pm	An Equity of Opportunity Framework for Child Development				Dr. Dolores Acevedo-Garcia Associate Professor, Northeastern University, Bouve College of Health Sciences and Director, Institute on Urban Health Research				Dr. Manuel Peña PAHO/WHO Nutrition Center Dr. Emma Sanchez – Kellogg Health Scholar, Center on Social Disparities in Health, University of California, San Francisco Dr. Karen Ertel – Kellogg Health Scholar, Harvard School of Public Health
2:00 - 3:00 pm	Global Health & Ethics				Dr. Lawrence O. Gostin Linda D. and Timothy J. O’Neill Professor of Global Health Law; Faculty Director, O’Neill Institute for National and Global Health Law; Professor of Public Health, the Johns Hopkins University Georgetown Law Dr. Gregg Bloche Professor of Law; Co-Director, Georgetown-Johns Hopkins Joint Program in Law and Public Health B.A., Columbia; J.D., M.D., Yale				Dr. Jennifer Prah Ruger, Associate Professor at Yale University Schools of Medicine, Public Health, Law, and Graduate School of Arts and Sciences Dr. Fernando Lolas, Bioethics Program Director PAHO/WHO Dr Javier Vasquez PAHO/WHO Human Rights Law Advisor

3:30 - 4:00 pm		Knowledge Networks			Ramesh Krishnamurthy US CDC Al Shorbaji, Najeeb Mohamed, KMC WHO				Theresa Bernardo, PAHO/WHO, KMC Agnes Soares BIREME PAHO/WHO Marcelo D’Agostino PAHO/WHO, KMC Stacey Aronson US National Library of Medicine NLM Rosina Salerno, PAHO/WHO
4:00 - 4:30 pm		Immigration and Health in the Americas: Linked Destinies			Dr. Dolores Acevedo –Garcia PhD, MPA-URP Associate Professor, Bouve College of Health Sciences Associate Director, Institute on Urban Health Research Northeastern University				Dr. Edna Viruell-Fuentas - Assistant Professor, Latino/Latina Studies, University of Illinois at Urbana-Champaign Dr. Emma Sanchez – Kellogg Health Scholar, Center on Social Disparities in Health, University of California, San Francisco Dr. Shedra Amy Snipes - NCI Cancer Prevention Fellow, University of Texas Health Science Center Dr. Rifat Latifi, MD,FACS Professor of Surgery The University of Arizona, Department of Surgery Vice Chairman, International Relations
4:30 - 5:30 pm		Health Financing			Ms. Amada Glassman, Principal Health Specialist, Inter-American Development Bank IADB/BID Dr. David Gwatkin, World Bank advisor Dr. Philip Musgrove, Health Affairs Dr. Abdo Yazbeck, Health Sector Manager, Europe and Central Asia Region The World Bank Chair: Dr. Ruben Suarez Senior Advisor, Public Policies, Regulation, & Health Financing, PAHO/WHO
5:30 pm		Closing remarks Dr Jon Andrus, Deputy Director PAHO/WHO Dr Socorro Gross, Assistant Director PAHO/EHO

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[EQ] The Impact of Competition on Management Practices in Public Hospitals

The Impact of Competition on Management Practices in Public Hospitals

Nicholas Bloom Stanford University, NBER and Centre for Economic Performance

Carol Propper Imperial College, CMPO University of Bristol and CEPR

Stephan Seiler London School of Economics, Centre for Economic Performance

John Van Reenen London School of Economics, Centre for Economic Performance, NBER and CEPR

Stanford Department of Economics This draft: October 17th 2009

Available online PDF [35p] at : http://www.stanford.edu/~nbloom/hospitals.pdf

“……….We exploit a unique dataset and natural experiment to identify the impact of competition on public hospital management practices. We use a new double-blind management scoring tool to interview 161 physicians and managers in English National Health Service (NHS) hospitals, covering 61% of acute hospitals.

We find this management measure is strongly correlated with hospital performance as measured by clinical outcomes (e.g. survival rates from heart attacks) and general operational and financial outcomes. We then instrument the number of competing local public hospitals with the share of marginal local political constituencies.

In the UK the Government almost never closes public hospitals in political marginals because they risk losing seats in a general election. But they do regularly close hospitals in both their own and the oppositions non-marginal constituencies. Over the period we study the Labor government closed a large number of hospitals, leading to wide variations in hospital concentration levels, which are strongly correlated with whether the constituency was politically marginal. Exploiting this identification we find that product market competition, as proxied by the proximity of other hospitals, is significantly associated with better management…..”

“………..In this paper we have described a new methodology for quantifying the quality of management practices in the healthcare sector. We have implemented this survey tool on almost two thirds of acute hospitals in England. We found that our measure of management quality was robustly associated with better hospital outcomes across mortality rates and other indicators of hospital performance. This is consistent with Bloom and Van Reenen’s (2007) work in the manufacturing sector………..

    IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.