Skip Navigation
 
Publications

Our publications keep professionals working across the public, private, and academic sectors informed on the most important developments and issues in health security and biosecurity.

newspaper on a keyboard

Publications

Find an article or report or see all by area, author, or year:

Title:
Enhancing the Diagnosis, Treatment, Surveillance, and Control of Infectious Diseases in the ACA Era
Authors:
Jennifer Nuzzo, Matthew Watson, and Matthew Shearer
Publication:

Health Security. November 2016

Publisher:
Mary Ann Liebert, Inc
DOI:
10.1089/hs.2016.0053
Availability:
Online
Date posted:
November 17, 2016
See also:
Introduction:

As US public health faces increasing threats from outbreaks, impending changes to the healthcare landscape in the United States may alter the way that health departments are able to detect and control some of the most common infectious diseases. The Patient Protection and Affordable Care Act (ACA) has made significant changes in the way health care is provided in the United States. While many of the clinical, economic, and policy implications of the ACA are well described, there has been limited analysis of changes, if any, in the surveillance and control of infectious diseases of public health importance—such as tuberculosis, sexually transmitted infections, and HIV—that are anticipated or occurring as the ACA is implemented across the United States. To address these questions, we reviewed the literature for evidence of changing trends and conducted 66 semi-structured, not-for-attribution interviews with 82 participants from healthcare systems; academia; federal, state, and local public health agencies; and professional and nongovernmental organizations across the United States. This analysis identifies several ways in which ACA implementation has not fully addressed the public health needs associated with diagnosis, treatment, surveillance, and control of infectious diseases of public health importance.