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Public Health

Access up-to-date ASPE research on key public health topics including emerging and re-emerging infectious diseases, such as influenza and COVID-19; health equity; antibiotic resistance; rural health; opioids, opioid use disorder and overdose prevention; maternal health; public health and health care workforce and infrastructure; immunization and vaccines; Indian health; HIV/AIDS; tobacco; and emergency preparedness, response, and recovery. Also find data on prevention, social determinants of health, and more.

HHS Initiative to Improve Maternal Health

The Department’s Action Plan lays out a vision for improving maternal health that applies a “life course” approach organized around four goals and it sets three ambitious targets to achieve this vision. Each of the four goals includes multiple objectives and action items to drive progress. The Action Plan also describes the current state of maternal health outcomes in the U.S., challenges in reducing maternal mortality and morbidity, recent efforts to improve maternal health within and beyond the federal government, and it discusses various forums in which HHS leadership sought input from key stakeholders.


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An Analysis of the Impact of Spend-down on Medicaid Expenditures

  U.S. Department of Health and Human Services

Infant Attachment: What We Know Now

In February 1991, ASPE sponsored a two-day research seminar on infant attachment. This final report has three major sections. The first part is a brief summary of an extensive literature review on infant attachment. The second section summarizes the proceedings of the seminar, which was based on the topics outlined in the literature review.

Catastrophic Acute and Long-Term Care Costs: Risks Faced by Disabled Elderly Persons

The repeal of many provisions of the 1988 Medicare Catastrophic Coverage Act was due to subjective impressions about the usefulness to many elderly persons of the services covered by the law and to the omission of long-term care services.

The Future of SIPP for Analyzing Disability and Health

This paper was requested as part of the National Academy of Sciences, Committee on National Statistics Panel to Evaluate the Survey of Income and Program Participation (SIPP). SIPP is sponsored by the Bureau of the Census and has been an ongoing longitudinal survey of the civilian non-institutionalized population since 1983.

Estimating the Prevalence of Long-Term Disability for an Aging Society

This study was designed to provide comprehensive information about future long-term care needs in the U.S. Using data from the U.S. Decennial Census of Population and Housing, National Long-Term Care Survey and National Nursing Home Survey, the study developed detailed projections of the need for long-term care among the elderly in the years 2000, 2020 and 2040.

Prevalence and Correlates of Unmet Need Among the Elderly with ADL Disabilities

This report examines how many disabled elderly are at risk because they do not receive the assistance they need in basic self-maintenance activities. The source of data was the 1982 and 1984 National Long-Term Care Surveys.

Physical and Cognitive Impairment: Do They Require Different Kinds of Help?

Physical impairments are commonly believed to require relatively more active hands-on assistance with the activities of daily living (ADLs) while cognitive impairments use relatively more supervisory or standby assistance.

Programmatic Definitions of Disability: Policy Implications

This paper looks at programmatic definitions of disability for federal disability programs by: (1) reviewing and examining major programmatic definitions of disability, and (2) describing complex eligibility processes by using the Social Security Disability Insurance program as an example.

Publicly-Financed Home Care for the Disabled Elderly: Who Would Be Eligible?

The purpose of this paper is to demonstrate the variability in estimates of disability in the U.S. elderly population as a function of differing definitions of physical disability and cognitive impairment.

Effects of Multiple Admissions on Nursing Home Use: Implications for "Front-end" Policies

U.S. Department of Health and Human Services