Nancy Milio

University of North Carolina at Chapel Hill, School of Public Health, Emeritus

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Wayne Weston

Western University Canada

Angela Vicenzi

Pamela Kulbok

University of Virginia

Sheila Leander

Milwaukee School of Engineering

Pamela Kulbok

University of Virginia

University of Kerala

All India Institute of Medical Sciences

John Riddle

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Papers by Nancy Milio

9226 Kercheval; The Storefront That Did Not Burn

The American Journal of Nursing, 1970

payment mechanisms on quality, productivity, and the recruitment of medical personnel. Chapter 11... more

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Health, Nutrition, and Public Policy

Food and Nutrition Bulletin, 2010

The relationship between health and the economy is complex and hardly a matter of unidirectional ... more The relationship between health and the economy is complex and hardly a matter of unidirectional cause and consequence. With health increasingly being understood as a stimulus for the economy, nutrition directly assumes the status of an economic identifier. This paper discusses the growing complexity of the global health field and tries to develop a new way of understanding the role of health and nutrition in the broader global agenda. The objective is to develop sensitive policies that can generate progress around the world. Such policies must be based on scientifically derived evidence. Initially, and with a nutritional perspective, the economic effects resulting from a healthy population are assessed. Next, the relationship between healthcare systems and economic performance is analyzed. We then describe the health transition in low-and middle-income countries. Finally, we discuss two national social policies (Oportunidades and Seguro Popular) developed in Mexico to confront its health and nutritional challenges as the keystone for economic development. The main conclusion of this paper is that globalization can turn policy knowledge into international public goods that can be used to address local problems. Such application, in turn, feeds back into the global pool of experience, thus generating a process of shared learning.

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European food and nutrition policies in action. Introduction

WHO regional publications. European series, 1998

Some progress has clearly been made in several aspects of Finland&#39;s food and nutrition po... more Some progress has clearly been made in several aspects of Finland&#39;s food and nutrition policy: access to nutrition information and education, improvements in mass catering, increased availability of healthier food products, and pricing and quality requirements favourable to a healthy diet. Finnish eating patterns have improved in relation to some recommended foods and macronutrients. The structural changes in farm and food production are largely the result of new political and economic realities both in Finland and internationally, resulting in the Government focusing on fiscal efficiency, decentralization and a more competitive, consumer-oriented market. This new environment is creating pressures to reduce surplus animal fat production and to expand markets in new foods for Finns and other Europeans who, for reasons of demography, health or working or living arrangements, demand new and sometimes healthier foods. Within this context, some health leaders have been able to make and work for proposals that are consistent both with political and economic imperatives and with health needs. Although the populations health status is improving and in some respects is exemplary, diet-related death and illness rates and risk factors (such as serum cholesterol and obesity) are high and their decline, along with some healthy changes in eating patterns, has slowed since the mid-1980s (ironically, since the adoption of the nutrition policy). The more slowly improvements occur, the higher will be the social and economic costs. Major problems in policy implementation exist. Although much has been done in research and demonstration and in the development of national guidelines (in public catering and labeling, for example) there is an apparent lag in translating such soft technology into action and monitoring its implementation in order to develop corrective measures at the operational level. This problem may increase with decentralized budget control and a less regulated market, where listening to the consumer (whether an individual, retailer or caterer) may not necessarily result in healthier products are more accurate consumer information, especially as foreign products and media continue to attract Finnish young people. The lack of a leading strategic body that can authoritatively assess and anticipate problems in implementation, deal with them and coordinate and monitor the necessary action in fundamental to these issues. Rapid progress in economic and farm policy development and food enterprises can provide conditions supportive of health and nutrition goals if such interests are systematically taken into account and allowed to moderate potential negative changes. If it is to be effective, such accounting will require initiative, clarity of strategic purpose and organization by health and nutrition leaders.

The Law, the Market, and the Health of the Body Politic

The Hastings Center Report, 2002

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Political ideology and tobacco control

by Nancy Milio and Adam Goldstein

Tobacco Control, 2000

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Making It Relevant

Family Planning Perspectives, 1970

Public Health in the Market: Facing Managed Care, Lean Government, and Health Disparities

Journal of Public Health Policy, 2001

... Public health in the market: facing managed care, lean government, and health disparities/Nan... more

Analysis of Interest Group Influence on Federal School Meals Regulations 1992 to 1996

by Nancy Milio and Janice Dodds

Journal of Nutrition Education and Behavior, 2004

Regulatory changes proposed by the US Department of Agriculture in 1994 promised to bring progres... more Regulatory changes proposed by the US Department of Agriculture in 1994 promised to bring progressive changes to school meals. However, lobbying by interest groups resulted in substantial changes to the final rule.This analysis retrospectively examines the federal school meals policymaking process during 1992 to 1996. Key questions address why the policy changed and what the role of interest groups was in affecting the shape, pace, and direction of the policy. The study provides suggestions for using the experiences of 1992 to 1996 to guide future advocacy efforts and for adapting the approach for application to other food and nutrition policies.

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Organizational and Environmental Factors Affecting the Utilization of Telemedicine in Rural Home Healthcare

Home Health Care Services Quarterly, 2004

In the last five years, home health agencies have become increasingly interested in telemedicine ... more In the last five years, home health agencies have become increasingly interested in telemedicine as a potential means to meet the future healthcare needs of their aged and chronically ill clientele. This case study examines the organizational and environmental conditions that affected the implementation of a telemedicine program in one rural home healthcare organization. Several factors restricted the utilization of telemedicine, including Medicare&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s Prospective Payment System and corresponding documentation (Outcome Assessment and Information Set), the organization controlling grant funding for the program, and several environmental factors. Findings suggest that in rural communities, older homecare patients may have less opportunity to benefit from telemedicine. The study demonstrates the importance of environmental and organizational factors when implementing a telemedicine program. Recommendations are offered for home healthcare organizations considering development of telemedicine programs.

Circles of Care: Work and Identity in Women's Lives

Contemporary Sociology, 1991

... Contents Acknowledgments ix Part I: Theoretical Issues 1 Preface 2 Chapter 1: Circles of Care... more

Nursing in the Decade Ahead

The American Journal of Nursing, 1970

In October 1900, the first issue of the Journal was published. Its aim, said the editor, was &quo... more In October 1900, the first issue of the Journal was published. Its aim, said the editor, was "to present month by month the most useful facts, the most progressive thought, and the latest news that the profession has to offer in the most attractive form that can be secured." This month, in ...

9226 Kercheval; The Storefront That Did Not Burn

The American Journal of Nursing, 1970

payment mechanisms on quality, productivity, and the recruitment of medical personnel. Chapter 11... more

Download

Health, Nutrition, and Public Policy

Food and Nutrition Bulletin, 2010

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European food and nutrition policies in action. Introduction

WHO regional publications. European series, 1998