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The Design Of An Instrument To Assess Clinical Laboratories Efficacy Post Implementation Of The Patient Protection Affordable Care Act, Harry McDonald Jr. 2017 University of Southern Mississippi

The Design Of An Instrument To Assess Clinical Laboratories Efficacy Post Implementation Of The Patient Protection Affordable Care Act, Harry Mcdonald Jr.

Dissertations

The healthcare system in the United States has undergone substantial changes in support of the Patient Protection and Affordable Care Act (PPACA). On March 23, 2010, the implementation of the new healthcare law brought universal healthcare access to all Americans, while attempting to increase quality and decrease medical costs. The new law promotes more of a quality-focused, outcome-based model rather than a pay-for-fee service model; thus, moving the paradigm from infrequent to preemptive healthcare. The PPACA postulates as the only way to achieve cost savings while increasing quality and access. Never before has there been such an extensive change to ...


Facilitating Access To Health Coverage And Care By Advancing Health Insurance Literacy, Debi Lang, Deborah Raymond, Suzanne B. Cashman, Jessica Larochelle, Jennifer Lee, Tina Alu, Karen Baumbach 2017 University of Massachusetts Medical School

Facilitating Access To Health Coverage And Care By Advancing Health Insurance Literacy, Debi Lang, Deborah Raymond, Suzanne B. Cashman, Jessica Larochelle, Jennifer Lee, Tina Alu, Karen Baumbach

Community Engagement and Research Symposia

Although Massachusetts currently has the highest rate of health insurance coverage in the nation, reports suggest health care consumers do not fully understand how their insurance works. Thus, the insured and uninsured populations alike need ongoing support in order to develop health insurance literacy, defined as the degree to which individuals obtain, process, and understand information about health insurance in order to make informed decisions about choosing and using their coverage, which in turn can lead to positive health outcomes. Educating consumers and giving them tools and resources are strategies that advance health insurance literacy. Since 2001, the Blue Cross ...


Medicaid, Family Spending, And The Financial Implications Of Crowd-Out, Marcus Dillender 2017 W.E. Upjohn Institute

Medicaid, Family Spending, And The Financial Implications Of Crowd-Out, Marcus Dillender

Marcus Dillender

A primary purpose of health insurance is to protect families from medical expenditure risk. Despite this goal and despite the fact that research has found that Medicaid can crowd out private coverage, little is known about the effect of Medicaid on families' spending patterns. This paper implements a simulated instrumental variables strategy with data from the Consumer Expenditure Survey to estimate the effect of an additional family member becoming eligible from Medicaid on family-level health insurance coverage and spending. The results indicate that an additional family member becoming eligible for Medicaid increases the number of people in the family with ...


Building Delivery Systems For Population Health, Glen P. Mays 2017 University of Kentucky

Building Delivery Systems For Population Health, Glen P. Mays

Glen Mays

This session profiles recent research on the characteristics of communities that achieve success in improving population health, including the structure of multi-organizational networks that support cooperative health initiatives.    


Life Satisfaction And Diet: Evidence From The Russian Longitudinal Monitoring Survey, Sonya Huffman, Marian Rizov 2017 Iowa State University

Life Satisfaction And Diet: Evidence From The Russian Longitudinal Monitoring Survey, Sonya Huffman, Marian Rizov

Economics Working Papers

The goal of this study is to improve our understanding of life satisfaction overall and in Russia in particular by examining the impacts of diet on lifetime satisfaction and correcting for reverse causality using 1994–2005 data from the Russian Longitudinal Monitoring Survey (RLMS). Do people with better diets report higher levels of lifestyle satisfaction?

Results suggest that calories, fat, and protein consumption, and a more diverse diet have a positive and statistically significant effect on life satisfaction levels of the Russian people. In addition, living in a region with higher per capita income increases life satisfaction of the citizens ...


Evolution In Public Health Systems And Their Contributions To Population Health, Glen P. Mays 2017 University of Kentucky

Evolution In Public Health Systems And Their Contributions To Population Health, Glen P. Mays

Glen Mays

This session describes new empirical approaches for classifying and comparing public health delivery systems based on their organizational and network characteristics.  Using these classification systems together with quasi-experimental methods for causal inference, we estimate health and economic outcomes that are attributable to improvements in public health delivery systems. Results indicate that strong systems contribute to sizable gains in health status and slower rates of growth in medical costs over time.    


Production Of Energy And Environmental Protection As A Prerequisite For Sustainable Development, Diana Baus 2017 The Graduate Center, City University of New York

Production Of Energy And Environmental Protection As A Prerequisite For Sustainable Development, Diana Baus

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

This paper explains why renewable energy is a prerequisite for sustainable development. The development of renewable energy sources is important because renewable energy sources have a very important role in reducing emissions of carbon dioxide (CO2) into the atmosphere, eradicate poverty and increase the employment rate. In the first section the paper introduces renewable energy sources. The focus is on the function of solar energy, wind power, biomass, geothermal energy, and hydroelectric energy and their implementation globally. The second part of the paper elaborates on the economic, political, and social aspects for the development of renewable energy sources. The ...


Overpopulation And The Impact On The Environment, Doris Baus 2017 The Graduate Center, City University of New York

Overpopulation And The Impact On The Environment, Doris Baus

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

In this research paper, the main focus is on the issue of overpopulation and its impact on the environment. The growing size of the global population is not an issue that appeared within the past couple of decades, but its origins come from the prehistoric time and extend to the very present day. Throughout the history, acknowledged scientists introduced the concept of “overpopulation” and predicted the future consequences if the world follows the same behavioral pattern. According to predictions, scientists invented the birth control pill and set population control through eugenics. Despite that, population continued to increase and fight with ...


Race, Age, And Neighborhood Socioeconomic Status In Low Birth Weight Disparities Among Adolescent Mothers: An Intersectional Inquiry, Sheryl L. Coley, Tracy R. Nichols 2017 University of Wisconsin Madison

Race, Age, And Neighborhood Socioeconomic Status In Low Birth Weight Disparities Among Adolescent Mothers: An Intersectional Inquiry, Sheryl L. Coley, Tracy R. Nichols

Journal of Health Disparities Research and Practice

Introduction: Few studies examined socioeconomic contributors to racial disparities in low birth weight outcomes between African-American and Caucasian adolescent mothers. This cross-sectional study examined the intersections of maternal racial status, age, and neighborhood socioeconomic status in explaining these disparities in low birth weight outcomes across a statewide sample of adolescent mothers.

Methods: Using data from the North Carolina State Center of Health Statistics for 2010-2011, birth cases for 16,472 adolescents were geocoded by street address and linked to census-tract information from the 2010 United States Census. Multilevel models with interaction terms were used to identify significant associations between maternal ...


The Finney County, Kansas Community Assessment Process: Fact Book, Debra J. Bolton PhD, Shannon L. Dick M.S. 2017 Kansas State University

The Finney County, Kansas Community Assessment Process: Fact Book, Debra J. Bolton Phd, Shannon L. Dick M.S.

Dr. Debra Bolton

This multi-lingual/multi-cultural study was called, Community Assets Processt, by the groups that “commissioned” it: Finnup Foundation, Finney County K-State Research & Extension, Western Kansas Community Foundation, Finney County United Way, Finney County Health Department, United Methodist Community Health Center (UMMAM), Center for Children and Families, Garden City Recreation Commission, and the Garden City Cultural Relations Board, because we intend for this to be an ongoing discussion. An objective, for those promoting the study, was to connect foundation, state, and federal funding with activities or services that addressed the true needs of people living in Finney County. The group was looking for data that would offer insights on ways to address the needs of diverse audiences through human services agencies, County Extension, the schools, churches, and other entities working with community members of Finney County. Initially, an online survey was sent to directors of Finney County’s human service organization/agencies and schools. Directors were asked what sorts of data were required to help them quantify the needs of their client/customer bases. It was from those responses that the committee designed the survey instrument. The objective of the resulting survey instrument was to gather data that would: Identify resources available in Finney County (a Minority-majority county) Identify services needed in the community Capture information regarding well-being of people in Finney County Feature General Demographic (gender, age, race/ethnicity, education, household income) Length of years lived in Finney County Primary and secondary languages spoken at home (the survey was conducted in four (4) languages) Educational needs Health questions (insurance, health conditions, mental health, medical care, etc.) Social and health needs; and Questions to measure community engagement and social involvement Target individuals and groups of varying ages, socio-economic backgrounds, ethnic backgrounds, and religious affiliations. Target survey respondents 18 years or older Keep survey respondents’ identities confidential since the study was approved by Kansas State University’s Institutional Review Board for compliance in Research with Human Subjects. Data were gathered from about 1% of Finney County’s population through surveys and focus groups conducted in four languages better to understand the ...


Medicaid, Family Spending, And The Financial Implications Of Crowd-Out, Marcus Dillender 2017 W.E. Upjohn Institute

Medicaid, Family Spending, And The Financial Implications Of Crowd-Out, Marcus Dillender

Upjohn Institute Working Papers

A primary purpose of health insurance is to protect families from medical expenditure risk. Despite this goal and despite the fact that research has found that Medicaid can crowd out private coverage, little is known about the effect of Medicaid on families' spending patterns. This paper implements a simulated instrumental variables strategy with data from the Consumer Expenditure Survey to estimate the effect of an additional family member becoming eligible from Medicaid on family-level health insurance coverage and spending. The results indicate that an additional family member becoming eligible for Medicaid increases the number of people in the family with ...


The Role Of Marriage In Fighting Hiv: A Quantitative Illustration For Malawi, Jeremy Greenwood, Philipp Kircher, Cezar Santos, Michéle Tertilt 2017 University of Pennsylvania

The Role Of Marriage In Fighting Hiv: A Quantitative Illustration For Malawi, Jeremy Greenwood, Philipp Kircher, Cezar Santos, Michéle Tertilt

Population Center Working Papers (PSC/PARC)

How might policies that promote marriage and/or dissuade divorce help in the fight against HIV/AIDS? This question is addressed employing a choice-theoretic general equilibrium search model, using Malawi as a case study. In the framework developed, individuals can choose between married and single life. A single person can select among abstinence and sex with or without a condom. The results suggest that marriage-friendly policies can help to abate HIV/AIDS. The policy predictions that obtain from general equilibrium analysis are compared with those that arise from simulated synthetic field experiments and epidemiological studies.


Determinants Of Organ Donor Registration Rates Among Young Americans, Syed Umar Farooq 2017 Claremont McKenna College

Determinants Of Organ Donor Registration Rates Among Young Americans, Syed Umar Farooq

CMC Senior Theses

In this paper I examine the factors that affect the likelihood an individual is a registered organ donor. Unlike many studies which focus on subpopulations in specific regions, I utilize national data to get a broader assessment of individuals from around the country across a number of racial and religious classifications. Using a probit model and controlling for a variety of parameters, I find that some racial and religious variables are negatively and significantly associated with organ donor registration rates, while education and being female are positively associated with organ donor registration rates. I conclude by discussing the implications of ...


Whither Voluntary Communities Of Co-Located Patients In Vietnam? Empirical Evidence From A 2016 Medical Survey Dataset, Quan-Hoang Vuong 2016 Universite Libre de Bruxelles

Whither Voluntary Communities Of Co-Located Patients In Vietnam? Empirical Evidence From A 2016 Medical Survey Dataset, Quan-Hoang Vuong

Quan-Hoang Vuong

Background: Empirical evidence on quality of life of poor patients falls short for policy-making in Vietnam. Financial burdens and isolation give rise to Vietnamese voluntary co-location clusters where patients seek to rely on each other. These communities, although important, have been under-researched. Increasingly, there are questions about their sustainability. Aim & Objectives: This study aims to identify factors that affect sustainability of such co-location clusters, seeking to measure the community prospect through critical determinants as seen by member patients. An in-depth analysis is expected to yield insights that help shape future policies contributing to improvement of healthcare systems.  Material & Method: A ...


Medical Expenses Matter Most For The Poor, Quan-Hoang Vuong 2016 Universite Libre de Bruxelles

Medical Expenses Matter Most For The Poor, Quan-Hoang Vuong

Quan-Hoang Vuong

Introduction: Less developed countries, Vietnam included, face serious challenges of inefficient diagnosis, inaccessibility to healthcare facilities, and high medical expenses. Information on medical costs, technical and professional capabilities of healthcare providers and service deliveries becomes influential when it comes to patients’ decision on choices of healthcare providers. Methods: The study employs a data set containing 1,459 observations collected from a survey on Vietnamese patients in late 2015. The standard categorical data analysis is performed to provide statistical results, yielding insights from the empirical data. Results: Patients’ socio-economic status (SES) is found to be associated with the degree of significance ...


The Effect Of Health Insurance On Young Adults' Labor Market Outcomes: Evidence From The Affordable Care Act's Dependent Coverage Expansion, Quazi Hassan 2016 CUNY Hunter College

The Effect Of Health Insurance On Young Adults' Labor Market Outcomes: Evidence From The Affordable Care Act's Dependent Coverage Expansion, Quazi Hassan

School of Arts & Sciences Theses

The Affordable Care Act’s dependent coverage mandate extended young adults’ parental coverage to age 26. I study the expansion’s impact on young adults’ labor market outcomes using a control function method. Following the expansion, I find dependent coverage lowered labor force participation, lowered incomes, and mixed evidence regarding labor supply.


Fresh Air: The Impact Of Reformulated Gasoline On Infant Health, Mohammed Husain 2016 CUNY Hunter College

Fresh Air: The Impact Of Reformulated Gasoline On Infant Health, Mohammed Husain

School of Arts & Sciences Theses

This paper considers a 1996 Reformulated Gasoline program, where gasoline emissions were regulated in California, to observe the effects on infant health indicators. I use a cross-county analysis to find significant effects from the policy that suggests an improvement in birth weight, gestational length, and infant mortality.


The Effects Of The Implementation Of Green Carts On New Yorkers' Bmi, Ana L. Pacheco 2016 CUNY Hunter College

The Effects Of The Implementation Of Green Carts On New Yorkers' Bmi, Ana L. Pacheco

School of Arts & Sciences Theses

This study focuses on the Green Cart Initiative implemented by the New York City Mayor’s Office of Food Policy. The Initiative was implemented to bring fresh fruits and vegetables in a fast, cheap, and efficient way to neighborhoods considered food deserts and areas with high rates of obesity.


The Impact Of The Federally Qualified Health Center Advanced Primary Care Practice Demonstration On The Poor And Elderly, Jaison R. Moreno 2016 CUNY Hunter College

The Impact Of The Federally Qualified Health Center Advanced Primary Care Practice Demonstration On The Poor And Elderly, Jaison R. Moreno

School of Arts & Sciences Theses

Implementing a difference-in-differences, I quantify the effects of the Federally Qualified Health Centers Advanced Primary Care Practice demonstration on the self-reported general health of 367 U.S. counties across 47 states. I find small positive statistically significant effects of the demonstration on the elderly and residents of high poverty communities.


Professor Trudeau Recognized As First Runner-Up For Georgescu-Roegen Prize, Jennifer M. Trudeau 2016 Selected Works

Professor Trudeau Recognized As First Runner-Up For Georgescu-Roegen Prize, Jennifer M. Trudeau

Jennifer Trudeau

The Southern Economic Association (SEA) recently recognized Jennifer Trudeau, assistant professor of business economics at Sacred Heart University's Jack Welch College of Business, as the first runner-up for the renowned Georgescu-Roegen prize.

The SEA annually awards the Georgescu-Roegen prize to the best academic article published in the Southern Economic Journal. Trudeau received the 2016 runner-up prize for her article, “The Role of New Media on Teen Sexual Behaviors and Fertility Outcomes—The Case of 16 and Pregnant.” (SEJ, Volume 82, Number 3, January 2016).


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