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James A. Macinko

James Macinko
Professor, Department of Community Health Sciences and Department of Health Policy and Management


DepartmentsType of Faculty
Community Health SciencesFull Time
Health Policy and ManagementFull Time
Split Appointment
Contact Information

Room 31-235B CHS

Areas of Interest: 

Global health; public health policy; heath services research; primary care; health inequalities; Brazil.

James Macinko is Professor of Health Policy and Management and Community Health Sciences. He is a health services researcher specializing in global health and health policy analysis. Main areas of research include assessing the impact of health reforms and policy changes, developing tools to evaluate health system performance, and exploring the role of health policies and services in the production and potential reduction of health inequities. His field experience has included evaluation of primary health care programs and policies in Brazil and in other Latin America and Caribbean countries; assessment of microenterprise development programs in Sub-Saharan Africa; and working with the Latino communities of Washington DC, Philadelphia and New York City to identify and eliminate barriers to primary health care.

Prior to joining the faculty at UCLA in 2015, Dr. Macinko was Associate Professor of Public Health and Health Policy at New York University and former director of the NYU MPH program. He was a Robert Wood Johnson Foundation Health and Society Scholar at the University of Pennsylvania from 2006 to 2008 and a Fulbright Scholar in Brazil in 2002.

Macinko’s publications have appeared in The Lancet, the American Journal of Public Health, Health Affairs, the Milbank Quarterly, Health Services Research, Journal of Epidemiology and Community Health, the American Journal of Epidemiology, and others.  His work has received support from many institutions, including the NIH (National Institute of Alcohol Abuse and Alcoholism, National Institute of Child Health and Development, Office of Behavioral and Social Science Research), the Robert Wood Johnson Foundation, the InterAmerican Development Bank, the Pan American Health Organization, the World Bank, and the government of Brazil’s Ministry of Health. 

PhD, Health and Social Policy, Johns Hopkins University Bloomberg School of Public Health
MA, International Affairs, George Washington University
This faculty member is available to serve as: 
Doctoral Advisor
Masters Advisor
PhD Committee Member
MS Thesis Committee Member
MS Report Committee Member

Please check with the faculty member or their office about availability to serve during current academic period.

Selected Publications: 

Macinko, J. Harris, M. Brazil’s Family Health Strategy: Delivering community based primary care in a universal health system. New England Journal of Medicine (2015) 372;23: 2177-81.

Bandi, P Silver. D, Mijonovich, T. Macinko, J.  Temporal Trends in Motor Vehicle Fatalities in the United States, 1968 to 2010 - A Joinpoint Regression Analysis. Injury Epidemiology (2015) 2:4

Macinko, J. Jimenez, G. Cruz, M. Primary care performance in Dominica. Pan American Journal of Public Health 2015;37(2):104–12.

Abaid N, Macinko J, Silver D, Porfiri M. The Effect of Geography and Citizen Behavior on Motor Vehicle Deaths in the United States. PLoS One. 2015 Apr 7;10(4):e0123339.

Silver D, Bae JY, Jimenez G, Macinko J. Compliance with minimum price and legal age for cigarette purchase laws: evidence from NYC in advance of raising purchase age to 21. Tob Control. 2015 Feb 11.

Macinko, J. Silver, D. Bae, JY. Age, period, and cohort effects on motor vehicle mortality in the United States, 1980-2010: the role of sex, alcohol involvement, and position in vehicle. J Safety Res. 2015 Feb;52:47-57.

Uyei J, Coetzee D, Macinko J, Weinberg SL, Guttmacher S. The influence of integrated tuberculosis and human immunodeficiency virus service delivery on patient outcomes. International Journal of Tuberculosis and Lung Disease. 2014; 18 (3), 315-321.

Elo, I. Beltrán-Sánchez, H. Macinko, J. Cause-specific contributions to black-white differences in life expectancy: the role of health care and public health interventions, 1980-2007. Population Research and Policy Review. 2014 Feb 1;33(1):97-126.

Uyei J, Coetzee D, Macinko J, Weinberg SL, Guttmacher S. Measuring the degree of integrated tuberculosis and HIV service delivery in Cape Town, South Africa. Health Policy Plan. 2014 Jan; 29(1):42-55.

Bae JY, Anderson E, Silver D, Macinko J. Child Passenger Safety Laws in the United States, 1978-2010: Policy Diffusion in the Absence of Federal Mandate. Social Science & Medicine 2014 Jan; 100:30-37.

Silver D, Bae JY, Jimenez G, Macinko J. Variations in U.S. Traffic Safety Policy Environments and Motor Vehicle Fatalities 1980-2010. Public Health 2013 Dec;127(12):1117-25.

Macinko, J, Mullachery, P. Proietti, F. Lima-Costa MF. Who experiences discrimination in Brazil? Evidence from a large metropolitan region. Int J Equity Health. 2012 Dec 18;11:80.

Macinko J, Lima Costa MF. Access to, use of and satisfaction with health services among adults enrolled in Brazil's Family Health Strategy: evidence from the 2008 National Household Survey. Trop Med Int Health. 2012 Aug 21: 17(1):36-42.

Macinko J & D Silver. Improving state health policy assessment: an agenda for measurement and analysis. Am J Public Health. 2012 Sep;102(9):1697-705.

Macinko J, Lima-Costa MF. Horizontal equity in health care utilization in Brazil, 1998-2008. Int J Equity Health. 2012 Jun 21;11(1):33.

Lima-Costa MF, De Oliveira C, Macinko J, Marmot M. Socioeconomic inequalities in health in older adults in Brazil and England. Am J Public Health. 2012 Aug;102(8):1535-41. 

Uyei J, Coetzee D, Macinko J, Guttmacher S. Integrated delivery of HIV and tuberculosis services in sub-Saharan Africa: a systematic review. Lancet Infect Dis. 2011 Nov;11(11):855-67.

Paim J, Travassos C, Almeida C, Bahia L, Macinko J. The Brazilian health system: history, advances, and challenges. Lancet. 2011 May 21;377(9779): 1778-97. Epub 2011 May 9.

Dourado I, Oliveira VB, Aquino R, Bonolo P, Lima-Costa MF, Medina MG, Mota E, Turci MA, Macinko J. Trends in primary health care-sensitive conditions in Brazil: the role of the Family Health Program (Project ICSAP-Brazil). Med Care. 2011 Jun;49(6):577-84.

Macinko J, de Oliveira VB, Turci MA, Guanais FC, Bonolo PF, Lima-Costa MF. The influence of primary care and hospital supply on ambulatory care-sensitive hospitalizations among adults in Brazil, 1999-2007. Am J Public Health. 2011 Oct;101(10):1963-70. Epub 2011 Feb 17.

Macinko J, Dourado I, Aquino R, Bonolo Pde F, Lima-Costa MF, Medina MG, Mota E, de Oliveira VB, Turci MA. Major expansion of primary care in Brazil linked to decline in unnecessary hospitalization. Health Aff (Millwood). 2010 Dec;29(12):2149-60.

Black JL, Macinko J. The changing distribution and determinants of obesity in the neighborhoods of New York City, 2003-2007. Am J Epidemiol. 2010 Apr 1;171(7):765-75. Epub 2010 Feb 19.

Black JL, Macinko J,Dixon LB, Fryer GE Jr. Neighborhoods and obesity in New York City. Health & Place. 2010 May;16(3):489-99. Epub 2010 Jan 7.

Guanais FC, Macinko J. The health effects of decentralizing primary care in Brazil. Health Aff (Millwood). 2009 Jul-Aug;28(4):1127-35.

Macinko J, Elo IT. Black-white differences in avoidable mortality in the USA, 1980-2005. J Epidemiol Community Health. 2009 Sep;63(9):715-21. Epub 2009 Apr 12.

Shi L, Macinko J. Changes in medical care experiences of racial and ethnic groups in the United States, 1996-2002. Int J Health Serv. 2008;38(4):653-70.

Black JL, Macinko J. Neighborhoods and obesity. Nutr Rev. 2008 Jan;66(1):2-20.

Macinko J, Marinho de Souza Mde F, Guanais FC*, da Silva Simões CC. Going to scale with community-based primary care: an analysis of the family health program and infant mortality in Brazil, 1999-2004. Soc Sci Med. 2007 Nov;65(10):2070-80.

Macinko J, Montenegro H, Nebot Adell C, Etienne C; Grupo de Trabajo de Atención Primaria de Salud de la Organización Panamericana de la Salud. [Renewing primary health care in the Americas]. Rev Panam Salud Publica. 2007 Feb-Mar;21(2-3):73-84.

Macinko J, Starfield B, Shi L. Quantifying the health benefits of primary care physician supply in the United States. Int J Health Serv. 2007;37(1):111-26.

Macinko J, Almeida C, de Sá PK. A rapid assessment methodology for the evaluation of primary care organization and performance in Brazil. Health Policy & Plan. 2007 May;22(3):167-77. Epub 2007 Mar 30.

Marinho de Souza Mde F, Macinko J, Alencar AP, Malta DC, de Morais Neto OL. Reductions in firearm-related mortality and hospitalizations in Brazil after gun control. Health Aff (Millwood). 2007 Mar-Apr;26(2):575-84.

Starfield B, Shi L, Grover A, Macinko J. The need for real evidence in physician workforce decision making: a reply to Ed Salsberg (3/15/2005). Health Aff (Millwood). 2005 Jan-Jun;Suppl Web Exclusives:W5-S-7-W5-S-8.

Macinko J, Guanais FC, de Fátima M, de Souza M. Evaluation of the impact of the Family Health Program on infant mortality in Brazil, 1990-2002. JECH. 2006 Jan;60(1):13-9.

Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457-502.

Shi L, Macinko J, Starfield B, Politzer R, Xu J. Primary care, race, and mortality in US states. Soc Sci Med. 2005 Jul;61(1):65-75. Epub 2005 Jan 22.

Shi L, Macinko J, Starfield B, Politzer R, Wulu J, Xu J. Primary care, social inequalities, and all-cause, heart disease, and cancer mortality in US counties, 1990. Am J Public Health. 2005 Apr;95(4):674-80.

Starfield B, Shi L, Grover A, Macinko J. The effects of specialist supply on populations' health: assessing the evidence. Health Aff (Millwood). 2005 Jan-Jun; Web Exclusives:W5-97-W5-10.

Shi L, Macinko J Starfield B, Xu J, Regan J, Politzer R, Wulu J. Primary care, infant mortality, and low birth weight in the states of the USA. J Epidemiol Community Health. 2004 May;58(5):374-80.

Macinko J, Shi L, Starfield B, Wulu JT Jr. Income inequality and health: a critical review of the literature. Med Care Res Rev. 2003 Dec;60(4):407-52.

Macinko J, Shi L, Starfield B. Wage inequality, the health system, and infant mortality in wealthy industrialized countries, 1970-1996. Soc Sci Med. 2004 Jan;58(2):279-92.

Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998. Health Serv Res. 2003 Jun;38(3):831-65.

Macinko J, Starfield B. The utility of social capital in research on health determinants. Milbank Quarterly. 2001;79(3):387-427.