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Full-Text Articles in Medicine and Health Sciences

Analyzing The Investment Potential To Increase Prenatal Care Utilization As A Tactic To Decrease Preterm Birth Costs In Tennessee, Michael S. Wiggins May 2021

Analyzing The Investment Potential To Increase Prenatal Care Utilization As A Tactic To Decrease Preterm Birth Costs In Tennessee, Michael S. Wiggins

Doctoral Dissertations and Projects

Preterm birth contributes significantly to health care costs in the United States (Frey & Klebanoff, 2016). Certain components of prenatal care reduce preterm birth incidence (Newnham et al., 2014). Tennessee’s preterm birth rate ranks 35th among the 50 United States (National Center for Health Statistics, 2019). This study analyzed the investment potential to reduce preterm birth cost through increasing prenatal care utilization in Tennessee. Based on 2018 data, the study identified a significant relationship between prenatal care utilization and preterm birth incidence in Tennessee. The study also identified a significant opportunity to increase prenatal care utilization in Tennessee when compared …


Connecting Healthcare – Leveraging Technology To Promote Value-Based Care In The Emergency Department, Ahnna Michelle Jackson Apr 2021

Connecting Healthcare – Leveraging Technology To Promote Value-Based Care In The Emergency Department, Ahnna Michelle Jackson

Doctoral Dissertations and Projects

The emergency department is a fast-paced and complex environment that serves hundreds of thousands of people a day across the state of Georgia. The establishment of a culture of value-based care in the emergency department is attainable but often falls short when the staff cannot properly leverage the technology available to them. Framed by the Complex Adaptive Theory and The Input/Throughput/Output Model of ED Patient Flow, the purpose of this qualitative case study was to explore how emergency department leaders and staff could better leverage technology to develop and sustain a culture of value-based care. The 30 participants in this …


Perceptions Of Health Insurers Towards Pay-For-Performance As A Cost Control Model For Hospital Services, Mandlenkosi Moyo Mar 2021

Perceptions Of Health Insurers Towards Pay-For-Performance As A Cost Control Model For Hospital Services, Mandlenkosi Moyo

Doctoral Dissertations and Projects

Hospital costs are the most significant portion of health-related costs incurred by non-profit health insurers registered as medical schemes in South Africa. Medical schemes continue to use retrospective reimbursement models for hospitals despite general acknowledgment that these models do not limit hospital costs and utilization. Although medical schemes are interested in implementing alternative reimbursement models, such as pay-for-performance (P4P), they are uncertain about which P4P models they can use to reduce hospital costs, resulting in their inability to make critical changes to their costs from traditional fee-for-service models. This qualitative exploratory multiple case study used 17 open-ended case interviews to …


Employee Wellness Program Participation: Exploring Participation Of Registered Nurses In East Tennessee, Jacquelyn Turner Jan 2021

Employee Wellness Program Participation: Exploring Participation Of Registered Nurses In East Tennessee, Jacquelyn Turner

Doctoral Dissertations and Projects

Many organizations are faced with the challenge of managing employee retention and absenteeism. While retention strategies are focal to organizational leaders across the board, the growing shortage of nurses nationwide creates a critical concern for healthcare leaders. The purpose of this qualitative case study was to delve into the existing body of research pertaining to the impact of employee wellness programs on employee retention and absenteeism and further explore the reasons why employees choose to/ not to participate in wellness programs offered by employers. The intent of this study was to add to the existing body of knowledge on employee …