Governance for Whom and for What: Principles to Guide Health Policy in Miami-Dade County

Governance for Whom and for What: Principles to Guide Health Policy in Miami-Dade County

Governance for Whom and for What: Principles to Guide Health Policy in Miami-Dade County

Governance for Whom and for What: Principles to Guide Health Policy in Miami-Dade County

Excerpt

In response to continuing concerns over access to health care for the uninsured, the W. K. Kellogg Foundation in 1998 launched an initiative called “Community Voices.” The goal of the initiative is to assist local organizations in strengthening community support services, giving the underserved a voice in the debate over health care access, and identifying ways to meet the needs of those who now receive inadequate health care. One of the Community Voices grants went to Miami, Florida, where it is administered by Camillus House, a Catholic social service agency and health care provider for the homeless. Camillus House asked RAND to participate in the Community Voices–Miami project, to evaluate the five-year effort and to provide technical assistance.

This report is the second of the technical assistance reports produced by RAND for Community Voices. The first report, Hospital Care for the Uninsured in MiamiDade County: Hospital Finance and Patient Travel Patterns (Jackson et al., 2002), analyzed publicly available hospital financial and discharge data to determine whether there was any correlation between the centralized nature of funding for and provision of indigent care in Miami-Dade County and the hospital-careseeking patterns of Miami-Dade County residents. That analysis showed that the uninsured living in the more-remote areas of the county bypassed more hospitals than did their insured neighbors, creating disparities in geographic access to care.

This study addresses the issue of governance of public funds for health care in Miami-Dade County. The county-run Public Health Trust is currently responsible for operating the county's health care facilities, as well as for developing countywide planning to ensure access to health care for all residents. Over time, this dual mission has introduced challenges to good governance.

The study was conducted by researchers in the RAND Health Program and was funded by the Community Voices–Miami project. Additional support for production of this report was provided by RAND Health. The report should be useful to those in the health care community in Miami-Dade County, as well as to others interested in the issue of governance for public health policy and delivery.

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.