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Walden Dissertations and Doctoral Studies

Healthcare

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Covid-19 Ethical Decisions Encountered By Healthcare Professionals In Southwest Ohio, Joshua Lader Jan 2022

Covid-19 Ethical Decisions Encountered By Healthcare Professionals In Southwest Ohio, Joshua Lader

Walden Dissertations and Doctoral Studies

The COVID-19 coronavirus has wreaked havoc on the world and medical community. Treating individuals during a worldwide pandemic is nothing short of heroic. With limited supplies and treatment options, healthcare professionals were forced to make ethical considerations when treating patients with COVID-19. The pandemic exposed stress in the healthcare system, leading to difficult ethical decisions such as providing access or denying access to treatment. Knowing these ethical considerations can assist healthcare professionals with practical policies for future pandemics. The key research question in this study explored how healthcare professionals in Southwest Ohio made ethical decisions related to who and how …


Evaluating The Role Of Health Care In Mexico In Undocumented Immigration To The United States, Abdul Ganiyu Mohammed Jan 2021

Evaluating The Role Of Health Care In Mexico In Undocumented Immigration To The United States, Abdul Ganiyu Mohammed

Walden Dissertations and Doctoral Studies

Undocumented immigration has been a major social and political problem for the United States with an estimated 11 million immigrants living presently in an undocumented status. In Mexico, 73% of the population live below the poverty line and face challenges in meeting basic needs let alone purchasing private health insurance. In May 2003, the government of Mexico established the Segura Popular (popular healthcare) to extend health insurance to underinsured and uninsured communities to address healthcare access inequities. In depth phenomenological interviews were used to explore the lived experiences of formerly undocumented Mexican immigrants living in Hidalgo County, Texas, regarding the …


Comparison Of Social Interest Perceptions Of Homeless Youth, And Non-Homeless At-Risk Youth, Michele Cindy Johnson Jan 2020

Comparison Of Social Interest Perceptions Of Homeless Youth, And Non-Homeless At-Risk Youth, Michele Cindy Johnson

Walden Dissertations and Doctoral Studies

Homeless youth face serious obstacles related to obtaining education, healthcare and stable accommodations. Adler’s social interest theory states that an individual’s perceptions impact their motivations and willingness to contribute to society. No research was found that compared the perceptions of homeless youth with nonhomeless at-risk youth using Adler’s theory. The purpose of this mixed method study was to compare perceptions of homeless youth with nonhomeless at-risk youth regarding the impact of public policies in creating obstacles to education, healthcare, and stable accommodations. A quantitative social interest instrument followed by face-to-face interviews was administered to 55 homeless youth and 64 nonhomeless …


Urgent Care Centers And Workers’ Compensation Medical Cost Containment, Drema M. Thompson Jan 2020

Urgent Care Centers And Workers’ Compensation Medical Cost Containment, Drema M. Thompson

Walden Dissertations and Doctoral Studies

In response to healthcare payment policy reforms, billions of dollars in healthcare provider charges are challenged annually. Following the implementation of the Virginia workers’ compensation medical fee legislation, healthcare organizations experienced declining worker compensation medical fee schedule reimbursements and lack of profitability. Grounded in the adaptive cycle model, the purpose of this qualitative single case study was to explore strategies 2 urgent care center (UCC) leaders in Virginia used to increase profits after implementing the Virginia workers’ compensation medical fee legislation. Data were collected via in-depth interviews and a review of company documents. Thematic analysis was used to analyze data. …


Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters Jan 2018

Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters

Walden Dissertations and Doctoral Studies

Researchers have suggested that jails and prisons in the United States are becoming the new mental health clinics, contributing to the phenomenon of mass incarceration and costing upwards of $15 billion per year in public revenue. The problem is no conclusive evidence exists that treatment in these custodial environments is more effective than that provided by noncustodial programs; especially for substance users. Additionally, the continuing incarceration of people with mental health problems by the hundreds of thousands poses a difficult ethical dilemma regarding why this population does not receive noncustodial or hospital treatment instead. The study addressed the research question …


Accessibility To Health Care Services For Children With Autism Spectrum Disorders, Leanne Elizabeth Scalli Jan 2018

Accessibility To Health Care Services For Children With Autism Spectrum Disorders, Leanne Elizabeth Scalli

Walden Dissertations and Doctoral Studies

The study was an investigation into health care accessibility for children with autism spectrum disorder (ASD) following the transition to a private Medicaid system in the state of Florida. Pilot studies of managed Medicaid programs focused on costs and did not address how changes to the system impacted access to health care services. There were limited studies designed to understand how a change in the system, such as a privatization, would affect vulnerable populations such as young children with ASD. Additional concerns existed for children that were historically underserved by the health care system such as African American and Latino …


A Comparison Of Regional Health Care Structures For Emergency Preparedness, Leslie Porth Jan 2015

A Comparison Of Regional Health Care Structures For Emergency Preparedness, Leslie Porth

Walden Dissertations and Doctoral Studies

Since 2001, increased policy attention and federal funding mechanisms have required more effective disaster response by government actors and private sector organizations, including the health care system. However, there is limited scholarly evidence documenting which structural elements have been associated with efficacious regional coalitions. This study addressed the gap by examining whether the number of different participating disciplines (a proxy for coalition roles), community setting, and prior weather-related disaster declaration influenced the number of activities (a proxy for coalition responsibilities) conducted by the health care coalition. Social network theory was the theoretical lens with which the study results were used …


Independent Retail Business Owners' Perceptions Of The Patient Protection And Affordable Care Act., Bradley A. Hall Jan 2015

Independent Retail Business Owners' Perceptions Of The Patient Protection And Affordable Care Act., Bradley A. Hall

Walden Dissertations and Doctoral Studies

Passage of the Patient Protection and Affordable Care Act (PPACA) in 2010 prompted the question of how independent businesses may react to the employer mandate in the PPACA. The law is based on the theory of managed competition and it is more likely to affect businesses with fewer employees than to affect larger businesses that already offer health insurance. The purpose of this quantitative, pre-experimental study was to examine the strategic responses of independent retail business owners in Hillsborough County, Florida, regarding their perceptions of the employer mandate in the PPACA. Before 2014, there was a great deal of non-peer-reviewed …