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Essays In Applied Health Economics, Bongkyun Kim 2017 University of Tennessee, Knoxville

Essays In Applied Health Economics, Bongkyun Kim

Doctoral Dissertations

I study how change in environmental factors and information provision about environmental risk effect on human capitals and individuals' behavior.

Psychological maternal stress is thought to be a factor in poor infant health, but direct evidence is difficult to obtain. In first chapter, we posit that the 1994 Northridge earthquake in Los Angeles, California provides a natural test of the effect of mothers' stress on infants' birth weight and gestation. The Northridge disaster featured a low rate of injury and a quick recovery, but long-lasting and well documented consequences for mental health. Difference-in-difference results show that infants born closest to ...


Using Assessment Data To Perform Outcome-Based Quality Measurement, Marybeth McCaffrey 2017 University of Massachusetts Medical School

Using Assessment Data To Perform Outcome-Based Quality Measurement, Marybeth Mccaffrey

Commonwealth Medicine Publications

The MDS-HC, or the Minimum Data Set Home Care, is a tool to help identify the needs of and services for older adults and people with disabilities who live in the community. Twenty-four states perform assessments using the MDS-HC.

In addition to determining eligibility and creating service plans, this assessment data can be used to measure outcomes of home and community-based services (HCBS). These quality indicators are validated, relatively fast and easy to implement, place no additional burden on staff and providers, and enable analysis of population results.

Outcome-based measures are an essential but often missing puzzle piece in assuring ...


Socioeconomic Status, Air Quality And Geographic Variation In Emergency Room Visits For Acute Bronchitis On The California Central Coast, Sean Lang-Brown, Heather W. Starnes, Gary B. Hughes 2017 California Polytechnic State University

Socioeconomic Status, Air Quality And Geographic Variation In Emergency Room Visits For Acute Bronchitis On The California Central Coast, Sean Lang-Brown, Heather W. Starnes, Gary B. Hughes

Symposium

IMPORTANCE: Analysis of geospatial variation in acute bronchitis due to socioeconomic and environmental factors can allow the efficient delivery of resources to populations most at risk.

OBJECTIVE: We sought to determine if small scale variation in socioeconomic factors and emergency room (ER) visits for acute bronchitis are associated in small cities or rural communities. We also modeled the effects of air quality on daily rates of ER visits for acute bronchitis in the context of socioeconomic factors to investigate modifying relationships.

DESIGN, SETTING, AND PARTICIPANTS: We examined ER visits for acute bronchitis in San Luis Obispo and Santa Barbara counties ...


Recurrent Clostridium Difficile Infection Among Medicare Patients In Nursing Homes: A Population-Based Cohort Study, Marya D. Zilberberg, Andrew F. Shorr, William M. Jesdale, Jennifer Tjia, Kate L. Lapane 2017 University of Massachusetts Amherst

Recurrent Clostridium Difficile Infection Among Medicare Patients In Nursing Homes: A Population-Based Cohort Study, Marya D. Zilberberg, Andrew F. Shorr, William M. Jesdale, Jennifer Tjia, Kate L. Lapane

Jennifer Tjia

We explored the epidemiology and outcomes of Clostridium difficile infection (CDI) recurrence among Medicare patients in a nursing home (NH) whose CDI originated in acute care hospitals. We conducted a retrospective, population-based matched cohort combining Medicare claims with Minimum Data Set 3.0, including all hospitalized patients age > /=65 years transferred to an NH after hospitalization with CDI 1/2011-11/2012. Incident CDI was defined as ICD-9-CM code 008.45 with no others in prior 60 days. CDI recurrence was defined as (within 60 days of last day of CDI treatment): oral metronidazole, oral vancomycin, or fidaxomicin for > /=3 days ...


Burden Of Atopic Dermatitis In The United States: Analysis Of Healthcare Claims Data In The Commercial, Medicare, And Medi-Cal Databases, Sulena Shrestha, Raymond Miao, Li Wang, Jingdong Chao, Huseyin Yuce, Wenhui Wei 2017 STATinMED Research/SIMR, Inc.

Burden Of Atopic Dermatitis In The United States: Analysis Of Healthcare Claims Data In The Commercial, Medicare, And Medi-Cal Databases, Sulena Shrestha, Raymond Miao, Li Wang, Jingdong Chao, Huseyin Yuce, Wenhui Wei

Publications and Research

Comparative data on the burden of atopic dermatitis (AD) in adults relative to the general population are limited. We performed a large-scale evaluation of the burden of disease among US adults with AD relative to matched non-AD controls, encompassing comorbidities, healthcare resource utilization (HCRU), and costs, using healthcare claims data. The impact of AD disease severity on these outcomes was also evaluated.


Congenital Toxoplasmosis In Austria: Prenatal Screening For Prevention Is Cost-Saving, Andrea-Romana Prusa, David C. Kasper, Larry Sawers, Evelyn Walter, Michael Hayde, Eileen Stillwaggon 2017 Medical University of Vienna

Congenital Toxoplasmosis In Austria: Prenatal Screening For Prevention Is Cost-Saving, Andrea-Romana Prusa, David C. Kasper, Larry Sawers, Evelyn Walter, Michael Hayde, Eileen Stillwaggon

Economics Faculty Publications

Background:

Primary infection of Toxoplasma gondii during pregnancy can be transmitted to the unborn child and may have serious consequences, including retinochoroiditis, hydrocephaly, cerebral calcifications, encephalitis, splenomegaly, hearing loss, blindness, and death. Austria, a country with moderate seroprevalence, instituted mandatory prenatal screening for toxoplasma infection to minimize the effects of congenital transmission. This work compares the societal costs of congenital toxoplasmosis under the Austrian national prenatal screening program with the societal costs that would have occurred in a No-Screening scenario.

Methodology/Principal Findings:

We retrospectively investigated data from the Austrian Toxoplasmosis Register for birth cohorts from 1992 to 2008, including ...


State Differences In The Application Of Medical Frailty Under The Affordable Care Act: 2017 Update, Peter Mosbach, Sherry J. Campanelli 2017 University of Massachusetts Medical School

State Differences In The Application Of Medical Frailty Under The Affordable Care Act: 2017 Update, Peter Mosbach, Sherry J. Campanelli

Commonwealth Medicine Publications

This poster details the effects of Medicaid coverage expansion since the Affordable Care Act began the inclusion of childless adults below the poverty level. This change has created a divide in how different states handle Medicaid coverage and this study examines how states undergoing Medicaid expansion differ in their treatment of individuals who may need the extra benefits offered by traditional Medicaid.

Researchers studied 14 different states and found substantial differences in how each state assessed eligibility for Medicaid coverage. In states like Massachusetts, individuals who were applying for disability-based Medicaid could self-declare that they had special medical needs, while ...


Structural, Nursing, And Physician Characteristics And 30-Day Mortality For Patients Undergoing Cardiac Surgery In Pennsylania, Meghan Lane-Fall, Tara Ramaswamy, Sydney E. S Brown, Xu He, Jacob Gutsche, Lee A. Fleisher, Neuman Mark 2017 University of Pennsylvania

Structural, Nursing, And Physician Characteristics And 30-Day Mortality For Patients Undergoing Cardiac Surgery In Pennsylania, Meghan Lane-Fall, Tara Ramaswamy, Sydney E. S Brown, Xu He, Jacob Gutsche, Lee A. Fleisher, Neuman Mark

Research Briefs

No abstract provided.


Relation Between Narrow Networks And Providers Of Cancer Care, Laura Yasaitis, Justin E. Bekelman, Daniel Polsky 2017 University of Pennsylvania

Relation Between Narrow Networks And Providers Of Cancer Care, Laura Yasaitis, Justin E. Bekelman, Daniel Polsky

Research Briefs

No abstract provided.


Crop Residues: The Rest Of The Story, Douglas L. Karlen, Rattan Lal, Ronald F. Follett, John M. Kimble, Jerry L. Hatfield, John A. Miranowski, Cynthia A. Cambardella, Andrew Manale, Robert P. Anex, Charles W. Rice 2017 United States Department of Agriculture

Crop Residues: The Rest Of The Story, Douglas L. Karlen, Rattan Lal, Ronald F. Follett, John M. Kimble, Jerry L. Hatfield, John A. Miranowski, Cynthia A. Cambardella, Andrew Manale, Robert P. Anex, Charles W. Rice

Douglas L Karlen

Synopsis In the February 15, 2009 issue of ES&T Strand and Benford argued that oceanic deposition of agricultural crop residues was a viable option for net carbon sequestration (43 [4], 1000−1007). In reviewing the calculations and bringing their experience to bear, Karlen et al. argue in this Viewpoint that crop residue oceanic permanent sequestration (CROPS) as envisioned by Strand and Benford will not work. They further propose alternative possibilities in agricultural methods to achieve a net decrease of CO2 emissions.


Prescription Drug Monitoring Programs: Evolution And Evidence, Janet Weiner, Yuhua Bao, Zachary Meisel 2017 University of Pennsylvania

Prescription Drug Monitoring Programs: Evolution And Evidence, Janet Weiner, Yuhua Bao, Zachary Meisel

Issue Briefs

This Issue Brief reviews the current status and characteristics of PDMPs, their use, and evidence of their effectiveness. It summarizes best practices for PDMPs and the needs for further research and evaluation.


Weight And Wages: The Effect Of Changing Bmi Over Time, Gregory Geisel 2017 Union College - Schenectady, NY

Weight And Wages: The Effect Of Changing Bmi Over Time, Gregory Geisel

Honors Theses

Obesity in the United States has been growing at an alarming rate, driving up health care costs and also promoting a worsening wage penalty for overweight workers. This study explores the determinants of the wage penalty borne by overweight individuals. To investigate this phenomenon individual BMI history was obtained from the Panel Study of Income Dynamics for 1986-1999. Upon examination of the cross-sectional data from 1986, there was a wage penalty observed for males who were underweight and for females who were overweight. The analysis of panel data from 1986 and 1999 however showed that it is not the BMI ...


Hospital Merger And Acquisition Effects On Healthcare Quality And Cost, Emily Su 2017 Union College - Schenectady, NY

Hospital Merger And Acquisition Effects On Healthcare Quality And Cost, Emily Su

Honors Theses

Healthcare is as much a business subject to market dynamics as it is a public service, with enormous sums of money and resources devoted to it. Since a person’s health is one of his or her most valuable assets, healthcare will always be in high demand, regardless of the price of medical goods and services. Considering healthcare’s nature as a necessary good and the irreplaceable importance of a medical facility to its service area, any changes in capacity or method of healthcare delivery may have profound effects on the dependent population. Situations in which a hospital merges with ...


Do Marketing Strategies Impact Condom Sales In Uganda?, Meyhar Mohammed 2017 The University of San Francisco

Do Marketing Strategies Impact Condom Sales In Uganda?, Meyhar Mohammed

Master's Theses

What attracts people to buy condoms? HIV/AIDS remain one of the biggest health dangers of the world, especially in Sub-Saharan Africa. A lot of efforts have been pursued in the past two decades to drastically reduce prevalence of HIV and increase awareness about preventive mechanisms. In order to prevent relapse of success achieved so far, it is important to recognize transformation of consumer behavior due to growth in social networks, education and awareness over time. There are a lot of behavioral triggers captured by social marketing interventions in the field of public health. In an attempt to investigate the ...


Three Essays In Economic Development, Growth, And Trade, Alvin L. Chiang 2017 Florida International University

Three Essays In Economic Development, Growth, And Trade, Alvin L. Chiang

FIU Electronic Theses and Dissertations

This dissertation is composed of three essays and analyzes the effects of both health outcomes and international trade on economic development and growth.

In the first chapter, I develop a theoretical model using a Nelson-Phelps framework in order to establish a causal relationship between health outcomes and economic growth. I also econometrically test this approach to quantify the magnitude of the effects observed. Using the international epidemiological transition as a baseline and instrumental variable regression, I find that both life expectancy growth rates and initial levels of life expectancy are the main drivers of economic growth, and improvements in both ...


Demonstrating Return On Investment For Community Health Worker Services: Translating Science Into Practice, Katharine London, Kelly Love, Roosa Tikkanen 2017 University of Massachusetts Medical School

Demonstrating Return On Investment For Community Health Worker Services: Translating Science Into Practice, Katharine London, Kelly Love, Roosa Tikkanen

Commonwealth Medicine Publications

Learn about interventions that employ community health workers to improve health outcomes for select patient groups while containing costs. UMass staff constructed models to focus on specific health issues, such as diabetes and asthma, in particular regions in Maine. The models are designed to promote widespread adoption of payment models and mechanisms that support CHWs’ work.


Accountable Care Organizations And Alternative Payment Methods: Opportunities For Community Health Workers, Katharine London 2017 University of Massachusetts Medical School

Accountable Care Organizations And Alternative Payment Methods: Opportunities For Community Health Workers, Katharine London

Commonwealth Medicine Publications

Learn the different care delivery systems and alternative payment methods that can support community health worker (CHW) services, including approaches used by the Massachusetts Medicaid program, MassHealth. The benefits of reform include improved health outcomes for patients by utilizing CHWs, and more financial flexibility for accountable care organizations through new funding mechanisms. These methods give providers and payers the flexibility to develop new approaches on their own in order to improve health outcomes.


Community Benefits Spending By Private Tax-Exempt Hospitals In The U.S., Wael ElRayes 2017 University of Nebraska Medical Center

Community Benefits Spending By Private Tax-Exempt Hospitals In The U.S., Wael Elrayes

Theses & Dissertations

The Internal Revenue Service issued the long awaited regulatory guidelines for the Community Benefits (CB) spending for private tax-exempt hospitals in December 2008, which required these hospitals to report their policies, practices, and spending on CB activities. The Affordable Care Act amended these rules in 2010 by adding a section on Community Health Needs Assessment.

This study evaluates and tracks spending on the total and different CB activities by all private tax-exempt hospitals in seven states after the implementation of the latest IRS and ACA reporting regulations from 2010 - 2013. Moreover, this study investigates which community health indicators are predictive ...


Effect Of A Price Transparency Intervention In The Electronic Health Record On Clinician Ordering Of Inpatient Laboratory Tests, Mina S. Sedrak, Jennifer S. Myers, Dylan Small, Irving Nachamkin, Justin B. Ziemba, Dana Murray, Gregory W. Kurtzman, Jingsan Zhu, Wenli Wang, Deborah Mincarelli, Daniel Danoski, Brian P. Wells, Jeffrey S. Berns, Patrick J. Brennan, C. William Hanson, Jessica Dine, Mitesh S. Patel 2017 University of Pennsylvania

Effect Of A Price Transparency Intervention In The Electronic Health Record On Clinician Ordering Of Inpatient Laboratory Tests, Mina S. Sedrak, Jennifer S. Myers, Dylan Small, Irving Nachamkin, Justin B. Ziemba, Dana Murray, Gregory W. Kurtzman, Jingsan Zhu, Wenli Wang, Deborah Mincarelli, Daniel Danoski, Brian P. Wells, Jeffrey S. Berns, Patrick J. Brennan, C. William Hanson, Jessica Dine, Mitesh S. Patel

Research Briefs

No abstract provided.


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 ...


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