Access & Equity

How health care resources are distributed across the population and how access and health outcomes vary across different groups. LDI Senior Fellows focus on how to achieve greater access for vulnerable populations and how to reduce disparities in health outcomes.

HIV Testing Among Adults with Mental Illness in the United States

Dec. 2, 2014

Baligh Yehia, Wanjun Cui, William Thompson, Matthew Zack, Lela McKnight-Eily, Elizabeth DiNenno, Charles E. Rose, and Michael B. Blank

In AIDS Patient Care and STDs, Baligh Yehia and colleagues explore the difference in rates of HIV testing for the mentally ill and the rest of the U.S. population. HIV infection and mental illness are frequently co-occurring health conditions, and nearly half of the people living with HIV have a psychiatric disorder. The researchers analyzed National Health Interview Survey (NHIS) data, and found that the mentally ill population is tested at a significantly higher rate than the rest of the U.S. population. However, the rates of HIV testing are still low, with less than half of the...

Food Insecurity, Neighborhood Food Access, and Food Assistance in Philadelphia

Dec. 1, 2014

Victoria L. Mayer, Amy Hillier, Marcus A. Bachhuber, Judith A. Long

In the Journal of Urban Health, a group of LDI Senior Fellows and Fellows study the relationship between food insecurity, neighborhood food access, and receipt of food assistance. They analyze 2008, 2010, and 2012 household health survey data from Southeastern Pennsylvania. They were particularly interested in respondents’ answers to questions about the difficulty of finding fruit and vegetables in their neighborhood, the overall quality of neighborhood grocery stores, and whether or not they were receiving food assistance. The researchers find an association between better...

Storified! Health Care Reform in 2015

Oct. 11, 2014

We've gathered a collection of live tweets from our joint PennLDI-Wharton Public Policy Institute event held October 9.  Three panels of researchers and policymakers shared results and insights about how the research could help improve implementation of health care reform. 

Sit back, read more, and enjoy the story!

How Did Rural Residents Fare on the Health Insurance Marketplaces?

Data Brief
Aug. 29, 2014

How are rural areas faring with the Affordable Care Act? Has the law fostered competition among plans or have one or two insurers dominated? This Data Brief examines 2014 premiums and finds that residents of rural counties, as a whole, did not face higher premiums than residents of urban counties. However, states with largely rural populations do face fewer choices and higher premiums. These are the states to watch as new issuers enter the marketplaces and 2015 premiums are filed.

The Hispanic Problem (and more) in Health Services Research

Jul. 2, 2014

What is your race? That might not seem like a difficult question to answer. It’s easy enough to just check a box, right? You would think that something that has been associated with your genes wouldn’t change throughout your life. But it does, sometimes drastically, as you become more aware of what it means to check one of those boxes. It can also change as the politics surrounding Race (with a capital R) change.

An Alternative to the ACA’s Employer Mandate

Jun. 23, 2014

Cross-posted with the Field Clinic blog

The Obama administration has given employers a reprieve from the mandate that they offer their workers insurance at low employee premiums or pay a penalty. As things now stand, enforcement is postponed until 2016. But should the mandate ever come back?