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The SSRC Library allows visitors to access materials related to self-sufficiency programs, practice and research. Visitors can view common search terms, conduct a keyword search or create a custom search using any combination of the filters at the left side of this page. To conduct a keyword search, type a term or combination of terms into the search box below, select whether you want to search the exact phrase or the words in any order, and click on the blue button to the right of the search box to view relevant results.

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The SSRC Library collection is constantly growing and new research is added regularly. We welcome our users to submit a library item to help us grow our collection in response to your needs.


  • Individual Author: Laurencin, Cato T.; McClinton, Aneesah
    Reference Type: Journal Article
    Year: 2020

    The Coronavirus disease 2019 (COVID-19) pandemic has significantly impacted and devastated the world. As the infectionspreads, the projected mortality and economic devastation are unprecedented. In particular, racial and ethnic minorities may be ata particular disadvantage as many already assume the status of a marginalized group. Black Americans have a long-standinghistory of disadvantage and are in a vulnerable position to experience the impact of this crisis and the myth of Black immunity toCOVID-19 is detrimental to promoting and maintaining preventative measures. We are the first to present the earliest availabledata in the peer-reviewed literature on the racial and ethnic distribution of COVID-19-confirmed cases and fatalities in the state ofConnecticut. We also seek to explode the myth of Black immunity to the virus. Finally, we call for a National Commission onCOVID-19 Racial and Ethnic Health Disparities to further explore and respond to the unique challenges that the crisis presentsfor Black and Brown communities. (Author abstract)

    The Coronavirus disease 2019 (COVID-19) pandemic has significantly impacted and devastated the world. As the infectionspreads, the projected mortality and economic devastation are unprecedented. In particular, racial and ethnic minorities may be ata particular disadvantage as many already assume the status of a marginalized group. Black Americans have a long-standinghistory of disadvantage and are in a vulnerable position to experience the impact of this crisis and the myth of Black immunity toCOVID-19 is detrimental to promoting and maintaining preventative measures. We are the first to present the earliest availabledata in the peer-reviewed literature on the racial and ethnic distribution of COVID-19-confirmed cases and fatalities in the state ofConnecticut. We also seek to explode the myth of Black immunity to the virus. Finally, we call for a National Commission onCOVID-19 Racial and Ethnic Health Disparities to further explore and respond to the unique challenges that the crisis presentsfor Black and Brown communities. (Author abstract)

  • Individual Author: Smith, Anthony C.; Thomas, Emma; Snoswell, Centaine L.; Haydon, Helen; Mehrota, Ateev; Clemensen, Jane; Caffery, Liam J.
    Reference Type: Journal Article
    Year: 2020

    The current coronavirus (COVID-19) pandemic is again reminding us of the importance of using telehealth to deliver care, especially as means of reducing the risk of cross-contamination caused by close contact. For telehealth to be effective as part of an emergency response it first needs to become a routinely used part of our health system. Hence, it is time to step back and ask why telehealth is not mainstreamed. In this article, we highlight key requirements for this to occur. Strategies to ensure that telehealth is used regularly in acute, post-acute and emergency situations, alongside conventional service delivery methods, include flexible funding arrangements, training and accrediting our health workforce. Telehealth uptake also requires a significant change in management effort and the redesign of existing models of care. Implementing telehealth proactively rather than reactively is more likely to generate greater benefits in the long-term, and help with the everyday (and emergency) challenges in healthcare. (Author abstract)

    The current coronavirus (COVID-19) pandemic is again reminding us of the importance of using telehealth to deliver care, especially as means of reducing the risk of cross-contamination caused by close contact. For telehealth to be effective as part of an emergency response it first needs to become a routinely used part of our health system. Hence, it is time to step back and ask why telehealth is not mainstreamed. In this article, we highlight key requirements for this to occur. Strategies to ensure that telehealth is used regularly in acute, post-acute and emergency situations, alongside conventional service delivery methods, include flexible funding arrangements, training and accrediting our health workforce. Telehealth uptake also requires a significant change in management effort and the redesign of existing models of care. Implementing telehealth proactively rather than reactively is more likely to generate greater benefits in the long-term, and help with the everyday (and emergency) challenges in healthcare. (Author abstract)

  • Individual Author: Ivers, Louise C.; Walton, David A.
    Reference Type: Journal Article
    Year: 2020

    As the world struggles with the rapidly evolving pandemic of novel coronavirus disease (COVID-19), evidence and experience suggest that low-income and marginalized communities in our global society will bear the biggest impact. Weknow this because, with our colleagues in Boston, Haiti, Uganda, and Sierra Leone, we have worked in under-resourced, overstretched, and overwhelmed health systems for our whole careers. We know we will see the devastating impact of this pandemic on those who are already marginalized; COVID-19 will amplify existing inequities, and we must act swiftly to leave no one behind. (Author introduction)

    As the world struggles with the rapidly evolving pandemic of novel coronavirus disease (COVID-19), evidence and experience suggest that low-income and marginalized communities in our global society will bear the biggest impact. Weknow this because, with our colleagues in Boston, Haiti, Uganda, and Sierra Leone, we have worked in under-resourced, overstretched, and overwhelmed health systems for our whole careers. We know we will see the devastating impact of this pandemic on those who are already marginalized; COVID-19 will amplify existing inequities, and we must act swiftly to leave no one behind. (Author introduction)

  • Individual Author: Zogg, Cheryl K.; Scott, John W.; Metcalfe, David; Gluck, Abbe R.; Curfman, Gregory D.; Davis, Kimberly A.; Dimick, Justin B.; Haider, Adil H.
    Reference Type: Journal Article
    Year: 2019

    Importance Trauma is a leading cause of death and disability for patients of all ages, many of whom are also among the most likely to be uninsured. Passage of the Patient Protection and Affordable Care Act was intended to improve access to care through improvements in insurance. However, despite nationally reported changes in the payer mix of patients, the extent of the law’s impact on insurance coverage among trauma patients is unknown, as is its success in improving trauma outcomes and promoting increased access to rehabilitation.

    Objective To use rigorous quasi-experimental regression techniques to assess the extent of changes in insurance coverage, outcomes, and discharge to rehabilitation among adult trauma patients before and after Medicaid expansion and implementation of the remainder of the Patient Protection and Affordable Care Act.

    Design, Setting, and Participants Quasi-experimental, difference-in-difference analysis assessed adult trauma in patients aged 19 to 64 years in 5 Medicaid expansion (Colorado,...

    Importance Trauma is a leading cause of death and disability for patients of all ages, many of whom are also among the most likely to be uninsured. Passage of the Patient Protection and Affordable Care Act was intended to improve access to care through improvements in insurance. However, despite nationally reported changes in the payer mix of patients, the extent of the law’s impact on insurance coverage among trauma patients is unknown, as is its success in improving trauma outcomes and promoting increased access to rehabilitation.

    Objective To use rigorous quasi-experimental regression techniques to assess the extent of changes in insurance coverage, outcomes, and discharge to rehabilitation among adult trauma patients before and after Medicaid expansion and implementation of the remainder of the Patient Protection and Affordable Care Act.

    Design, Setting, and Participants Quasi-experimental, difference-in-difference analysis assessed adult trauma in patients aged 19 to 64 years in 5 Medicaid expansion (Colorado, Illinois, Minnesota, New Jersey, and New Mexico) and 4 nonexpansion (Florida, Nebraska, North Carolina, and Texas) states.

    Interventions/Exposure Policy implementation in January 2014.

    Main Outcomes and Measures Changes in insurance coverage, outcomes (mortality, morbidity, failure to rescue, and length of stay), and discharge to rehabilitation.

    Results A total of 283 878 patients from Medicaid expansion states and 285 851 patients from nonexpansion states were included (mean age [SD], 41.9 [14.1] years; 206 698 [36.3%] women). Adults with injuries in expansion states experienced a 13.7 percentage point increase in discharge to rehabilitation (95% CI, 7.0-7.8; baseline: 14.7%) that persisted across inpatient rehabilitation facilities (4.5 percentage points), home health agencies (2.9 percentage points), and skilled nursing facilities (1.0 percentage points). There was also a 2.6 percentage point drop in failure to rescue and a 0.84-day increase in length of stay. Rehabilitation changes were most pronounced among patients eligible for rehabilitation coverage under the 2-midnight (8.4 percentage points) and 60% (10.2 percentage points) Medicaid payment rules. Medicaid expansion increased rehabilitation access for patients with the most severe injuries and conditions requiring postdischarge care (eg, pelvic fracture). It mitigated race/ethnicity-, age-, and sex-based disparities in which patients use rehabilitation.

    Conclusions and relevance This multistate assessment demonstrated significant changes in insurance coverage and discharge to rehabilitation among adult trauma patients that were greater in Medicaid expansion than nonexpansion states. By targeting subgroups of the trauma population most likely to be uninsured, rehabilitation gains associated with Medicaid have the potential to improve survival and functional outcomes for more than 60 000 additional adult trauma patients nationally in expansion states. (Author abstract)

  • Individual Author: Greenfield, Jennifer C.; Reichman, Nancy; Cole, Paula M.; Galgiani, Hannah
    Reference Type: Report
    Year: 2019

    Colorado is poised this year to consider passing a comprehensive paid family and medical leave measure. Despite several unsuccessful attempts in recent years, changes in the state legislature and in voter sentiment point to building momentum in support of the policy. Passing it would make Colorado the seventh state in the U.S., plus the District of Columbia, to pass a statewide initiative. Drawing from data about similar programs in other states, this report examines what a comprehensive paid family and medical leave initiative might look like in Colorado. Specifically, we estimate that approximately 5% of eligible workers per year are likely to access leave benefits under the new program, with an average weekly benefit of about $671. To fund the program, workers and private-sector employers will each need to contribute about .34% of wages each year. At this premium rate, the program will be able to fully fund a wage replacement scheme that matches or comes close to matching wages of the lowest earners, with a maximum weekly benefit cap of either $1000 or $1200/week. Overall, the...

    Colorado is poised this year to consider passing a comprehensive paid family and medical leave measure. Despite several unsuccessful attempts in recent years, changes in the state legislature and in voter sentiment point to building momentum in support of the policy. Passing it would make Colorado the seventh state in the U.S., plus the District of Columbia, to pass a statewide initiative. Drawing from data about similar programs in other states, this report examines what a comprehensive paid family and medical leave initiative might look like in Colorado. Specifically, we estimate that approximately 5% of eligible workers per year are likely to access leave benefits under the new program, with an average weekly benefit of about $671. To fund the program, workers and private-sector employers will each need to contribute about .34% of wages each year. At this premium rate, the program will be able to fully fund a wage replacement scheme that matches or comes close to matching wages of the lowest earners, with a maximum weekly benefit cap of either $1000 or $1200/week. Overall, the program seems feasible and is likely to bring a number of important benefits to workers and employers across the state, in exchange for a modest investment in the form of premium contributions. (Author abstract)

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