Health Economics Commons^™

Cost Analysis Of Implementing An Exercise Program For Fall And Fracture Prevention In Older Adults On Proton Pump Inhibitor Therapy, Thomas Adam Wichelmann, Nhan Dang, David H. Kruchko, Sufyan Abdulmujeeb, Eli D. Ehrenpreis

Journal of Patient-Centered Research and Reviews

Purpose: Falls have significant financial impact. Proton pump inhibitor (PPI) therapy is associated with an increased risk of falls and fractures. Exercise programs have been shown to decrease risk of falls in the elderly population and are recommended by the U.S. Preventive Services Task Force for patients over age 65 to reduce falls. Our study aimed to explore the potential financial benefit of implementing three different Centers for Disease Control and Prevention-recommended exercise-based interventions for fall prevention (Tai Chi, Stepping On, and Otago Exercise Program) in ≥ 65-year-old patients on PPI therapy.

Methods: A Markov model was developed to predict …

Essays On Disability And The Labour Market, Robert Geoffrey Millard

Electronic Thesis and Dissertation Repository

My dissertation consists of three chapters about the effects of disability and disability policy.

The second chapter analyzes the variation in labour market outcomes across disabilities by representing disability as a bundle of characteristics. Rich with information on the characteristics of a disabling condition, I use the Participation and Activity Limitation Survey to compare the relative importance of each {characteristic} and their interactions on employment, wages, hours worked, and annual employment income. The disability {characteristics} include the type of activity limitation, number of limitations, timing of onset, severity, and persistence. I find substantial cross-sectional variation in labour supply, wages, and …

Essays On Impacts Of Women Empowerment On The Health Outcomes Of Children, Sagnik Das

Dissertations, Theses, and Capstone Projects

Chapter 1: Taking cognizance of the lack of representation of women in politics, the Indian government in 1993, enacted the 73rd constitutional amendment which led to a sudden increase in the representation of women in the local governments. Exploiting the exogenous variation in the timing of implementation of the 73rd amendment across the states, I study the spillover effects of this mandated empowerment of women on the health outcomes of children by using nationally representative survey data and employing a difference-in-difference estimation strategy. In this study, I find evidence of a positive impact of mandated women empowerment on the survival …

Fractal Analysis Of Subchondral Cyst At Mandibular Condyle Detected On Panoramic Radiograph In A Group Of Thai Population, Aloysius Putut Wijanarko, Preeyaporn Srimawong, Suchaya Pornprasertsuk-Damrongsri, Apirum Janhom

Journal of Dentistry Indonesia

Objectives: This study aimed to analyze subchondral cyst on the mandibular condyle using fractal dimension (FD) measurement on a panoramic radiograph. Methods: This retrospective study examined 15 patients aged 24 to 75 years who had undergone panoramic radiography and cone-beam computed tomography on both sides of the mandibular condyles, between January 2013 and November 2017, in the Oral and Maxillofacial Radiology Clinic, Dental Hospital, Mahidol University. These 15 patients, all of whom had a subchondral cyst on one side of the mandibular condyle, constituted both the study and control groups: the 15 affected sides constituted the study group, …

Electromyographic Activity Of Masticatory Muscles In Asymptomatic Young Adults, Aneta Wieczorek, Malgorzata Pihut, Jolanta E. Loster

Journal of Dentistry Indonesia

Introduction: The masseter and the anterior part of the temporalis are the muscles mainly responsible for the clenching function. Clenching patterns and the activity of these muscles are not expected to differ between male and females, nor between different occlusal classes. Objective: The aim of this study was to determine whether the activity index of the masseter and temporalis muscles is related to occlusal class and gender. Methods: This study involved 145 eighteen-year-old Caucasian volunteers who underwent surface electromyography. The sEMG was analyzed at the moment of 100% occlusal contact. Occlusal classes were determined used plaster casts. …

The Effect Of Disc Displacement On Temporomandibular Joint Morphology In Patients With Disc Displacement, Melike Yurttaş, Esin Bozdemir, Şehnaz Evrimler

Journal of Dentistry Indonesia

Objective: To examine the morphological properties of temporomandibular joint structures by magnetic resonance imaging (MRI) on patients with and without disc displacement (DD). Methods: Thirty-eight patients with disc displacement and 13 patients without disc displacement were included. Age, gender, and clinical findings such as pain, joint sounds of patients were recorded. The patients were classified as anterior disc displacement with reduction (ADDWR) group, anterior disc displacement without reduction (ADDWoR) group, and control group on MRI. Disc morphology was categorized as biconcave, hemiconvex, biconvex, biplanar, or folded. Condyle morphology was characterized as convex, angled, flat, or rounded. Articular eminence …

The Practices Of Treating Deep Carious Lesions Compared With The Dental Curriculum In Turkish Dentistry, Leyla Kerimova, Erdem Karabulut, Kivanç Yamanel, Neslihan Arhun

Journal of Dentistry Indonesia

Objective: The aim of this cross-sectional study is to investigate Turkish dentists’ opinions and preferences regarding the management of deep carious lesions and compare them with modern dental education concepts as provided by dental schools. Methods: Questionnaire 1 and Questionnaire 2 were sent separately to dental practitioners via the Turkish Dental Association and to university department heads of restorative dentistry. The data obtained were analyzed using chi-square tests and one-way ANOVA tests (p < 0.05). Results: Regarding Questionnaire 1, most of the dentists (89.3%) responded that caries lesions should be removed completely up to the hard cut-off condition of …

Effects Of Lime (Citrus Aurantifolia Swingle) Peel Extract Addition To Periodontal Dressing On The Number Of Blood Vessels In The Gingival Wound Healing Process, Malianawati Fauzia, Savira Pratista Oktaviana

Journal of Dentistry Indonesia

Background: Periodontal dressings that are currently available can only protect wounds from mechanical trauma, but have no ability to accelerate wound healing. Lime (Citrus aurantifolia Swingle) peel extract added to periodontal dressing contains flavonoids which can stimulate the formation of new blood vessels, thus accelerating the healing process. Objective: To determine the effects of adding lime (Citrus aurantifolia Swingle) peel extract to periodontal dressing on the number of blood vessels in the gingival wound healing process. Methods: 32 rabbits with 2 mm wound made on the gingiva were divided into 8 groups. For the control groups of …

“High Spending, Poor Productivity Gains!” Assessing Public Health System (In)Efficiency And Hospital Performance In The State Of Kuwait: Would More Private Delivery Improve Healthcare?, Aljawhara Alsabah

NYMC Student Theses and Dissertations

The healthcare sector in the State of Kuwait has been nurtured for many decades by the government, where the majority of health services in the country are controlled by the Ministry of Health (MoH). Although healthcare services in public sector hospitals are at highly subsidized rates, causing private sector involvement in healthcare to be considerably low, the growing demands for private delivery of care burgeoned participation of private hospitals in Kuwait, and improving hospital efficiency and productivity is more critical and timelier than ever. This dissertation aims to analyze public health system efficiency and hospital performance in the State of …

Medicaid Expansion: Changes In Individual Health Outcomes, Julie Norman

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The Affordable Care Act is one of the biggest changes in the American healthcare system in the 21st century. One element of the ACA is medicaid expansion, which opened up federal funding for states to cover any individual earning below 138% of the federal poverty line. 21 states expanded medicaid in 2014 while 12 haven’t expanded. This paper utilizes the disparity for a natural experiment to determine the efficacy of the program. Outcome variables of interest include measurements of individual health, health access and utilization, and premature death rates. The results indicate positive, but small improvements due to the policy, …

The Effect Of The Affordable Care Act On Opioid Overdose Mortality, Caleb Jordan

All Theses

The opioid epidemic is an ongoing health crisis in the United States, claiming the lives of thousands over the past two decades. In 2014, provisions of the Affordable Care Act expanding Medicaid officially came in effect, extending healthcare to millions of people in the United States. However, Medicaid expansion was optional for states, so some states greatly expanded healthcare to low-income people while others did not. People in expansion states gained more affordable access to prescription drugs and treatment centers, making opioids easier to obtain and addictions more affordable to treat. This makes the effect of the Affordable Care Act …

The Effects Of A Universal Income Transfer On Food Insecurity Within Households, Prianka Maria Sarker

Electronic Theses and Dissertations

Food insecurity is a persistent public health problem, and it adversely affects multiple dimensions of health and well-being across various stages of life. Socio-economic characteristics is one of the key predictors of food insecurity and there exists a strong association between income and food insecurity. Since food insecurity is closely linked to deprivation of financial resources, research has been continued to examine the potential of government income support policies in mitigating food insecurity. Several studies have already demonstrated that income interventions alleviate household-level food insecurity. However, little is known about how these public policies affect adults and children, within the …

The Intergenerational Mortality Tradeoff Of Covid-19 Lockdown Policies, Lin Ma, Gil Shapira, Damien De Walque, Quy-Toan Do, Jed Friedman, Andrei A. Levchenko

Research Collection School Of Economics

In lower-income countries, the economic contractions that accompany lockdowns to contain COVID-19 transmission can increase child mortality, counteracting the mortality reductions achieved by the lockdown. To formalize and quantify this effect, we build a macro-susceptible-infected-recovered model that features heterogeneous agents and a country-group-specific relationship between economic downturns and child mortality and calibrate it to data for 85 countries across all income levels. We find that in some low-income countries, a lockdown can produce net increases in mortality. The optimal lockdown that maximizes the present value of aggregate social welfare is shorter and milder in poorer countries than in rich ones.

The Economic Efficiency Of Aid Targeting, Ariel Benyishay, Matthew Dilorenzo, Carrie B. Dolan

Arts & Sciences Articles

How efficient is the targeting of foreign aid to populations in need? A long literature has focused on the impacts of foreign aid, but much rarer are studies that examine how such aid is allocated within countries. We examine the extent to which donors efficiently respond to exogenous budget shocks by shifting resources toward needier districts within a given country, as predicted by theory. We use recently geocoded data on the World Bank’s aid in 23 countries that crossed the lower-middle income threshold between 1995 and 2010 and thus experienced sharp aid reductions. We measure locations’ need along a number …

Essays On Industrial Organization And Health Economics, Cecilia S. Diaz Campo

Electronic Thesis and Dissertation Repository

My thesis consists of three chapters studying the impact of health insurance design and public health policy on consumers’ health and health care utilization, welfare, and costs.

Chapter 2 studies an overlooked dynamic incentive that encourages health care utilization, which I term \textit{dynamic moral hazard}. Typical health plans feature high deductibles and caps on consumers' out-of-pocket spending, which generate nonlinear pricing. These nonlinearities, coupled with the uncertainty intrinsic to future health care demand, encourage consumers to increase spending since current utilization lowers future expected prices. Standard models study health care utilization decisions through the lens of annual models, which abstract …

Covid's Impact On Nurses & Their Labor Market, Joshua Stanfill

University Honors Theses

The Covid pandemic has swept across the globe impacting many different kinds of people in many different ways. Businesses and workers experienced changes in how their respective labor markets operated with new incentives. One group of laborers that experienced quite a significant impact are nurses working through the Covid pandemic. The pandemic created new incentives for nurses that heavily impacted their labor market. Through a literature review of scientific studies examining the impacts of working through a pandemic on nurses, I discovered that this was causing psychological and emotional damage to nurses. Covid spurred on an already occurring nursing shortage …

Episode Based Payment Models And The Hospital Safety-Net: An Evaluation Of The Center For Medicare And Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program, John A. Gravina

Dissertations and Theses

Episode Based Payment Models and the Hospital Safety-net: An Evaluation of the Center for Medicare and Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program

By John Anthony Gravina

Advisor: Alexis Pozen, Ph.D.

Introduction: Payments for Healthcare services are increasingly being tied to clinical quality, patient experience, health outcomes, and efficiency through value-based payment arrangements (VBP). VBP presents a potential opportunity to reduce healthcare expenditures by requiring providers to take on financial risk associated with the cost and quality of care, therefore aligning payment incentives with the goals of providing higher quality and efficient care. As of 2020, 80 percent of …

Mental Health Is Wealth Too: Did The Affordable Care Act Medicaid Expansion Improve Mental Health Outcomes?, Dereck Wang

Honors Theses

The ongoing COVID-19 pandemic has greatly exacerbated mental health, which has long been a growing problem in the United States; poor mental health not only jeopardizes the well-being of Americans but also has severe implications for America’s economy. Not only do mental health conditions have significant costs of treatment, but the absenteeism, presenteeism, early retirement, and mortality stemming from poor mental health also severely impact productivity. One health policy that could alleviate this problem is Medicaid expansion. The Affordable Care Act gave states the choice to expand Medicaid eligibility for individuals with incomes up to 138% of the federal poverty …

The Effects Of Recreational Marijuana Dispensaries On Local Opioid Mortality, Patrick Morrison

Honors Theses

This study examines how recreational marijuana dispensaries in Colorado affect opioid mortality at the county level. Using a difference-in-difference model with county and year fixed effects, I estimate the impact of recreational marijuana dispensary access on fatal opioid overdoses. Additionally, I employ distance from a major roadway and border as two instrumental variables to help limit the endogeneity associated with the location of dispensaries. Previous studies have shown that medical and recreational marijuana dispensary access decreases opioid mortality at the state level. Still, no study has explored the connection between recreational marijuana dispensaries and overdoses at the county level. Using …

Three Essays On Development Economics And Human Capital, Arpita Khanna

Dissertations and Theses Collection (Open Access)

In the first chapter, we estimate the impact of exposure to the 2015 Nepal Earthquake on intimate partner violence with two rounds of Demographic and Health Surveys data. Using differences-in-differences estimation, we find that exposure to the earthquake lead to a statistically and economically significant increase in intimate partner violence in the urban areas but not in the rural areas. This is possibly due to an increase in the stress felt by the victims. We also offer some evidence that the impact heterogeneity between the urban and rural areas is attributable to the differences in the reconstruction processes and assistance …