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New York City Women’S Experiences With Perinatal Depression Inquiries, Diagnosis, And Treatment Initiation, Caterina Pisciotta Sep 2026

New York City Women’S Experiences With Perinatal Depression Inquiries, Diagnosis, And Treatment Initiation, Caterina Pisciotta

Dissertations, Theses, and Capstone Projects

Perinatal depression represents a significant public health concern, yet many women who experience depression symptoms during the perinatal period (either during pregnancy and/or after birth) do not receive treatment. Initiatives, such as ThriveNYC, were designed to address these gaps by screening and treating perinatal women for maternal depression, integrating screening into routine perinatal care and strengthening pathways to treatment. Using representative survey data collected between 2016 and 2021 via the Center for Disease Control and Prevention’s Pregnancy Risk Assessment Monitoring System (PRAMS), this study examined trends in perinatal depression inquiries (a proxy for “screening”) and postpartum diagnosis, as well as …


The Game Within: An Anthropological Approach To Games And Play, Nehal Maged Mohamed Sep 2026

The Game Within: An Anthropological Approach To Games And Play, Nehal Maged Mohamed

Theses and Dissertations

This thesis is based on an eighteen-month ethnography of El Ghawasa, an Egyptian play-based organization that designs educational games, tools, and services. Claiming that El Ghawasa, with its ethos of play, seeks to create an alternative to the capitalist corporate structure. Through tracking how this organization navigates ruptures, negotiates constraints, and experiments with different practices and internal restructuring, I explore the possibilities and limitations of El Ghawasa, while attempting to resist absorption by the very system it opposes. I ask: when the rules keep changing (while the logic of the capitalist corporate structure remains the same), and the boundaries of …


Inflation-Differential Rule Versus (De Facto Soft-Peg) Discretion: Exchange-Rate Management Approach In Developing Economies, Behnam Ebrahimi, Mohammad Vaez Barzani Dr. Sep 2026

Inflation-Differential Rule Versus (De Facto Soft-Peg) Discretion: Exchange-Rate Management Approach In Developing Economies, Behnam Ebrahimi, Mohammad Vaez Barzani Dr.

Bulletin of Monetary Economics and Banking

Many developing and emerging economies officially report a managed floating exchange-rate regime tailored with a fundamental exchange rate management approach, while in practice operating a de facto soft peg, characterized by discretionary, near-constant exchange-rate depreciation aimed at dampening inflation expectations. This discretionary approach—often justified as a pragmatic response to inflationary pressure—produces a hybrid regime that lacks the transparency and credibility emphasized in IMF policy guidance. This study evaluates whether substituting Discretionary Soft-Peg Exchange Rate Management approach with an Inflation-Differential Rule of Exchange Rate Management approach, which links exchange-rate adjustments to the inflation differential between domestic and rest of the world, …


Fiscal Decentralization, Local Government Size, And Regional Economic Growth: Evidence From Indonesia, Faizul Mubarok, Hasta Dwi Pradana, Etty Puji Lestari Sep 2026

Fiscal Decentralization, Local Government Size, And Regional Economic Growth: Evidence From Indonesia, Faizul Mubarok, Hasta Dwi Pradana, Etty Puji Lestari

Bulletin of Monetary Economics and Banking

This study investigates the dynamic relationship between fiscal decentralization, local government size, and regional economic growth in Indonesia. Integrating fiscal federalism theory with the Armey curve framework, the study examines whether decentralization reshapes the scale of subnational governments and how this influences growth outcomes. Using balanced panel data from 26 Indonesian provinces over the period 1995–2020, the analysis employs dynamic panel estimators based on the Generalized Method of Moments (GMM) to address endogeneity, persistence, and unobserved heterogeneity. The results reveal a nuanced relationship between fiscal decentralization and government size. Greater revenue autonomy is associated with a contraction in government size …


Legal Geographies Of The Public Trust Doctrine, Alida Cantor, John P. Casellas Connors, Elizabeth Carlino Sep 2026

Legal Geographies Of The Public Trust Doctrine, Alida Cantor, John P. Casellas Connors, Elizabeth Carlino

Geography Faculty Publications and Presentations

The Public Trust Doctrine (PTD) is a legal principle that recognizes a duty of the government to hold certain natural resources in trust for public benefit. The doctrine has been extended within the United States to address issues of water, coastal access, wildlife conservation, and climate change. Its implementation is spatially uneven and subjective, however, raising geographic questions around scale, power, and political economy. This article uses a legal geographic approach to understand the PTD. Focusing on water, wildlife, and atmospheric resources, we analyze themes of scale and jurisdiction, property and commons, and legal and environmental subjectivity. We argue that …


Rank, Degrading Treatment, And The Italy-Albania Agreement, Jamal Barnes, Obed Adonteng-Kissi Sep 2026

Rank, Degrading Treatment, And The Italy-Albania Agreement, Jamal Barnes, Obed Adonteng-Kissi

Research outputs 2022 to 2026

In November 2023, Italy signed a five-year agreement with Albania to transfer asylum seekers intercepted in international waters by Italian vessels to Italian-run detention centres in Albania for asylum processing and deportation. The agreement has been controversial and raises several human rights issues. This article examines these human rights concerns and argues that the agreement is degrading by design. Analysing policy documents, legal cases, speeches, international human rights and refugee law, and philosophical and legal scholarship on the concept of degrading treatment, this article argues that the cumulative effect of subjecting people to unnecessary suffering, discrimination, and dehumanisation creates a …


Book Review: Damian Cyrocki, The Mariavites: Heresy, The Apocalypse, And Poland’S Female Savior, John Grondelski Aug 2026

Book Review: Damian Cyrocki, The Mariavites: Heresy, The Apocalypse, And Poland’S Female Savior, John Grondelski

Occasional Papers on Religion in Eastern Europe

A review of Damian Cyrocki, The Mariavites: Heresy, the Apocalypse, and Poland’s Female Savior. Equinox Publishing, 2025.  ISBN: ‎ 978-1800505650


Preserving Identity Under Totalitarianism: The Adaptation And Resilience Of Muslim Communities In The Soviet Union, Meltem Akıncı Aug 2026

Preserving Identity Under Totalitarianism: The Adaptation And Resilience Of Muslim Communities In The Soviet Union, Meltem Akıncı

Occasional Papers on Religion in Eastern Europe

This article provides a comprehensive analysis of the methods employed by Muslim peoples in the former Soviet Union to preserve their traditional, spiritual, and religious identity under the systemic anti-religious policies, ideological pressures, and repressive measures of the Soviet totalitarian regime. Despite the Soviet authorities' efforts to rapidly secularize society and reshape public consciousness through scientific atheism, the enduring commitment of Muslim communities to their traditional values is clearly demonstrated. The study examines the closure of mosques, the restriction of religious rituals, and the severe obstacles encountered in performing daily worship. Furthermore, it thoroughly explores the role of Sufi brotherhoods …


Religion And Economics: The Economic Views Of Catholicos-Patriarch Ilia Ii Of Georgia, Giuli Giguashvili Aug 2026

Religion And Economics: The Economic Views Of Catholicos-Patriarch Ilia Ii Of Georgia, Giuli Giguashvili

Occasional Papers on Religion in Eastern Europe

The paper examines the impact of religion on a country’s economic development, analyzing how religious values and institutions influence economic behavior. The research employs a qualitative, comparative, and historical approach based on the systematic analysis of primary and secondary sources. Religion can promote economic growth by strengthening work ethics, education, and social order. Still, it may also hinder development through inefficient resource allocation and regulatory influence. In the context of the 1700th anniversary of Christianity in Georgia, the study highlights the relationship between Orthodox teaching and economic thought. Drawing on the epistles and sermons of the Catholicos-Patriarch of All Georgia, …


Practical Aspects Of Religious Social Work In Modern Ukraine, Inna Vladislavivna Kovalchuk Aug 2026

Practical Aspects Of Religious Social Work In Modern Ukraine, Inna Vladislavivna Kovalchuk

Occasional Papers on Religion in Eastern Europe

This work analyzes the current state and specifics of the activity of religious organizations in the social sphere of Ukraine. Special attention is paid to the transformation of religious social work in the conditions of a full-scale war, where religious communities have become key agents of humanitarian, psychological and spiritual assistance. The article examines the mechanisms of interaction between the church, the state and non-governmental organizations in solving social problems. The findings are based on the practical experiences of those working with internally displaced persons (IDPs), veterans, large families, and individuals facing difficult life circumstances. Unique methods of denominational assistance …


The Orthodox Church Of Georgia In A Shifting Political Landscape: Long Traditions, The Holy Patriarchate And Geopolitics Between The European Union And Russia, Elina Mirjam Siekkinen Aug 2026

The Orthodox Church Of Georgia In A Shifting Political Landscape: Long Traditions, The Holy Patriarchate And Geopolitics Between The European Union And Russia, Elina Mirjam Siekkinen

Occasional Papers on Religion in Eastern Europe

This paper examines the geopolitical and societal effects of the 2026 patriarchal succession within the Georgian Orthodox Church (GOC), by analyzing how the recent election of Catholicos-Patriarch Shio III on May 11, 2026, impacts Georgia’s European Union integration efforts. The GOC is seen as the foundation of Georgian national identity and state legitimacy, also deeply rooted in the legacy of the late Patriarch Ilia II. The enthronement of the new Patriarch Shio III may reinforce the anti-Western narratives deployed by the ruling Georgian Dream party, which has actively delayed Georgia’s EU accession through illiberal policies such as the "Foreign Agents …


Religious Persecution In Communist Albania Through Constitutional And Legal Acts, Sadik Haxhiu, Besard Belegu, Artan Fejzullahu Aug 2026

Religious Persecution In Communist Albania Through Constitutional And Legal Acts, Sadik Haxhiu, Besard Belegu, Artan Fejzullahu

Occasional Papers on Religion in Eastern Europe

Following the victory of the communist regime in 1944, the new Albanian state built its institutions on a materialist worldview that stood in direct opposition to the universal principles of freedom of conscience and religious belief. The state progressively restricted religious practice until it banned it altogether. This anti-religious campaign proceeded along two tracks: anti-religious political propaganda and the adoption of legal acts prohibiting the practice of religion. A 1967 decree-law banned religious belief outright, and the 1976 Constitution declared Albania the first atheist state in the world. This paper is based on an analysis of legal acts, scholarly literature, …


When Everything Falls Apart: On Core Values, Religion, And What Holds Societies Together, András Máté-Tóth Aug 2026

When Everything Falls Apart: On Core Values, Religion, And What Holds Societies Together, András Máté-Tóth

Occasional Papers on Religion in Eastern Europe

Right now my region, like much of the world, is living through upheavals that reach both nature and politics at their foundations. When I look around and take the political crises seriously — the mass protests in Serbia, the long erosion of checks and balances in Hungary, the bitter fight over the courts and the rule of law in Poland — one question keeps surfacing: are we witnessing genuinely fundamental change, or only a reshuffling on the surface of power? That question is exactly what makes the problem of core values so urgent, and so current.


Shaping Disease: Colonial Stigma And The Politics Of Health In Banyuwangi, The Early Twentieth Century, Rifa'i Shodiq Fathoni, Skriptyan Noor Hidayatullah Syuhri, Vini’Matu Hikmah, Ardhita Zahra Namira Aug 2026

Shaping Disease: Colonial Stigma And The Politics Of Health In Banyuwangi, The Early Twentieth Century, Rifa'i Shodiq Fathoni, Skriptyan Noor Hidayatullah Syuhri, Vini’Matu Hikmah, Ardhita Zahra Namira

Paradigma: Jurnal Kajian Budaya

This article examines the colonial stigma attached to Banyuwangi as an “unhealthy region” in the early 20th century, a label used to justify massive exploitation of its natural resources. Using a historical method, this research analyzes how this stigma not only served as a tool for colonial legitimation but also causatively created conditions that triggered ecological disasters and a public health crisis in a previously isolated area. Through an analysis of primary sources such as colonial reports, health journals, and newspapers, this article traces how large-scale plantation exploitation, enabled by the stigma, led to deforestation, uncontrolled labor migration, and poor …


Universalism And Exclusion: Immigrants Through The Lens Of French Law And Media, George Mikhael Taliak, Abellia Anggi Wardani Aug 2026

Universalism And Exclusion: Immigrants Through The Lens Of French Law And Media, George Mikhael Taliak, Abellia Anggi Wardani

Paradigma: Jurnal Kajian Budaya

This research examines France’s Immigration Law LOI n°2024-42 du 26 janvier 2024 and its representation in three mainstream media outlets across the ideological spectrum: Le Figaro (right), CCFD-Terre Solidaire (left), and France Info (center). Using Critical Discourse Analysis (Fairclough, 1995) and Maurice Halbwachs’s theory of collective memory, the study explores how legal and media discourses construct symbolic and administrative boundaries of national citizenship. Findings reveal that integration is framed not as civic inclusion, but as the internalization of a singular national identity and memory. Media reinforce this framework through divergent but convergent discursive strategies. At the macro level, the law …


Transmutation Of Psychological Phenomena (Academic Burnout And Fomo) Into Cyanotype Art Creation, Zulfan Ali Mujtaba, Adi Kuntoro Aug 2026

Transmutation Of Psychological Phenomena (Academic Burnout And Fomo) Into Cyanotype Art Creation, Zulfan Ali Mujtaba, Adi Kuntoro

Paradigma: Jurnal Kajian Budaya

The pressure of hustle culture and the Fear of Missing Out (FOMO) in the digital era have triggered an escalation of academic burnout among students, demanding alternative psychological recovery interventions beyond verbal clinical approaches. This research aims to explore the creation of alternative Cyanotype photography as a medium for catharsis and resistance against toxic productivity. Utilizing a Practice-Based Research methodology with an autoethnographic approach, data were extracted from the researcher's subjective experiences and transmuted into a visual artifact titled "Metamorfosis yang Lelah". The cultural studies approach and wabi-sabi aesthetics are specifically applied to analyze visual elements in the Prussian Blue …


Principals’ Experiences With Implementation Practices For School Board Policies In An Urban School District, Andrea J. Richardson Aug 2026

Principals’ Experiences With Implementation Practices For School Board Policies In An Urban School District, Andrea J. Richardson

Walden Dissertations and Doctoral Studies

Effective policy implementation is crucial for improving educational outcomes and ensuring equitable learning environments. While existing literature has shown that policy implementation is influenced by factors such as leadership capacity, stakeholder engagement, communication, resource availability, organization context, and accountability, there is little known about how K-12 urban principals narrate, interpret, and make meaning of their experiences to implementing board-mandated policies. This study addressed this gap by exploring how principals in an urban school district in Ohio navigated the complexities of implementing school board policies amid resource limitations, stakeholder resistance, and accountability pressures. The purpose of this qualitative narrative inquiry study …


A Discursive Analysis Of Lesbian And Queer Experiences Of Unwanted Consensual Sex, Sarah E. Swanson Aug 2026

A Discursive Analysis Of Lesbian And Queer Experiences Of Unwanted Consensual Sex, Sarah E. Swanson

Graduate Doctoral Dissertations

This study drew on a critical discursive psychology (CDP) analytical approach to examine how lesbian and queer participants made sense of unwanted consensual sex (UCS).  The data analysis traced how UCS was constructed on three discursive levels: the construction of UCS across narratives, the interpretive repertoires mobilized (including sexual scripts), and the broader sociocultural discourses that shaped what elements of their experiences were intelligible. Therefore, I sought to understand both how participants drew on familiar heteronormative and queer ways of talking about sex and how various discursive resources shaped how they could construct themselves and others. Data for this research …


Our Claims Matter: Latin American Migrants’ Nonviolent And Everyday Resistance Across Transnational Spaces, Pryanka Penafiel-Cevallos Aug 2026

Our Claims Matter: Latin American Migrants’ Nonviolent And Everyday Resistance Across Transnational Spaces, Pryanka Penafiel-Cevallos

Graduate Doctoral Dissertations

This dissertation examines how Latin American migrants engage in nonviolent resistance across transnational spaces in Ecuador, challenging dominant narratives that portray migrants primarily as passive actors or humanitarian subjects. Focusing mainly on Venezuelan, Colombian, and returned Ecuadorian migrants, the study places migrants’ political agency at the center of analysis. It asks how migrants resist, for what purposes, and under which conditions they mobilize nonviolent and everyday resistance practices to claim rights, dignity, and human security in a host country marked by both legal innovation and growing exclusion.

Drawing on civil resistance theory, everyday resistance approaches, and migration scholarship, the research …


How Do Governments Combat Jihad Online?, Noah Cook Aug 2026

How Do Governments Combat Jihad Online?, Noah Cook

Honors College Theses

Since the September 11th, 2001 attacks, jihadist groups like ISIS, al-Qaeda, and al-Shabaab have used the internet as a tool for recruitment, radicalization, and propaganda dissemination. Since then, governments, non-governmental organizations, and private companies have developed strategies to combat jihadism on the internet. This paper examines how these actors have worked to mitigate the digital jihadist footprint and its effects by analyzing three main approaches to countering violent Islamist extremism on the internet: counter narrative initiatives, awareness-raising programs, and content removals. This paper finds that each of these methods has its own strengths and weaknesses. Counter narrative campaigns show the …


Investigation Of Patients' Use Of Non-Pharmacological Substances In Dental Pain Management, Neslihan Yılmaz Çırakoğlu, Özgenur Kaya Aug 2026

Investigation Of Patients' Use Of Non-Pharmacological Substances In Dental Pain Management, Neslihan Yılmaz Çırakoğlu, Özgenur Kaya

Journal of Dentistry Indonesia

Background: Dental pain is a complex condition influenced by biological, biochemical, environmental, and psychological factors. Before seeking professional care, many patients attempt to relieve dental pain using self-administered, non-medical agents. This study aimed to investigate patients’ use of non-pharmacological substances in dental pain management and to identify factors influencing these practices.

Methods: The questionnaire consisted of four sections addressing demographic characteristics, oral hygiene habits, pain characteristics, and pain-relief agents. Categorical variables were analyzed using Pearson’s chi-square test. Categorical data are presented as frequencies and percentages, while continuous data are expressed as mean ± standard deviation and median values. …


Process And Change In The Global Governance Of Sustainable Development, S. Beth Fascitelli Aug 2026

Process And Change In The Global Governance Of Sustainable Development, S. Beth Fascitelli

Graduate Doctoral Dissertations

In 2015, to euphoric acclaim, the world adopted the 2030 Agenda for Sustainable Development. But with less than five years to deliver its seventeen Sustainable Development Goals (SDGs), the Agenda’s “transformational vision” remains unrealized. To understand why, this dissertation looks not to the Agenda’s implementation but to its birth, asking how the three-year process that produced it was designed, implemented, and experienced, and whether its mechanisms reinforced or challenged the structures that shape global sustainability governance. The premise is simple: how global agreements are negotiated matters as much as their substance. The study thus pushes back against a celebratory view …


The Negotiated Identities Of Refugee-Background Women During Resettlement, Iuliia Fakhrutdinova Aug 2026

The Negotiated Identities Of Refugee-Background Women During Resettlement, Iuliia Fakhrutdinova

Graduate Doctoral Dissertations

Refugee-background women experience unique challenges while resettling in the U.S. as they navigate complicated transnational gender roles, education gaps, migration trauma, learning a new language, and literacy in the adaptation process during resettlement, which can derail the productive paths they are on. Therefore, ignoring refugee-background women’s unique experiences and failing to understand their identities prevents our society from doing social justice and creating a space for a smooth adaptation to the new context. Language plays a paramount role in identity formation, as it moves away from the belief that identity is an essential concept. For refugee-background women during resettlement, their …


From Structure To Experiences: How Facility Capacity And Staffing Shape The Adoption And Impact Of Lgbt-Affirming Policies In Long-Term Care, Andrew Alberth Aug 2026

From Structure To Experiences: How Facility Capacity And Staffing Shape The Adoption And Impact Of Lgbt-Affirming Policies In Long-Term Care, Andrew Alberth

Graduate Doctoral Dissertations

Long-term care (LTC) settings – including nursing homes (NHs) and assisted living facilities (ALFs) – provide necessary care for individuals with extreme health and functioning limitations. Sexual and gender minority (LGBT) older adults report challenges receiving effective, person-centered care LTC. Some LGBT older adults may hide their sexual orientation and gender identity when entering LTC settings or delay seeking needed LTC fearing discrimination from staff and other residents. Furthermore, staff in LTC settings indicate little awareness of LGBT-residents and possess inadequate LGBT-cultural competency necessary for providing person-centered care. Therefore, LGBT-residents LTC experiences remain underexplored in the broader research. Adopting LGBT-affirming …


Governing Climate Change For Sustainable Food Security In The Busoga Region Of Uganda, James Kintu Aug 2026

Governing Climate Change For Sustainable Food Security In The Busoga Region Of Uganda, James Kintu

Graduate Doctoral Dissertations

Busoga, Uganda's most sugarcane-intensive sub-region, hosts seven mills and an expanding outgrower economy, yet remains among Uganda's most food-insecure areas, with over half of its households food-insecure. This study examined how governance of climate change and sugarcane expansion shapes capabilities for food access, land tenure, and decision-making among women, youth, and land-poor households in Jinja and Buyende.

The study developed an integrated CA-CEP-RFS framework, combining the Capability Approach, Comparative Environmental Politics, and the Resilient Food Systems framework, with Sen's Entitlement Framework bridging capabilities to production, trade, own-labor, and transfer entitlements. A qualitative case study drew on a documentary review, 27 …


The Effect Of State Policy On Individuals With Mental Illness In Nursing Homes: A Multilevel Analysis, Adrita Barooah Aug 2026

The Effect Of State Policy On Individuals With Mental Illness In Nursing Homes: A Multilevel Analysis, Adrita Barooah

Graduate Doctoral Dissertations

ABSTRACT

THE EFFECT OF STATE POLICY ON INDIVIDUALS WITH MENTAL ILLNESS IN NURSING HOMES: A MULTILEVEL ANALYSIS

August 2026

Adrita Barooah, B.Sc., University of Delhi, India

M.S., University of Massachusetts Boston

Ph.D., University of Massachusetts Boston

Directed by Professor Pamela Nadash

The proportion of individuals living with a mental illness in U.S. nursing homes has grown substantially over the past few decades (Fashaw et al., 2020), raising serious concerns about care quality, resource adequacy, and costs to both nursing homes and government payers. The lack of adequate resources and knowledge has resulted in sub-par mental health care (O'Connor et al., …


From Mandala To Palace: The Transformation Of Kidung Artati Into Ranggasutrasna Version Of Serat Kidungan From The Surakarta, Agung Kriswanto, I Made Suparta Aug 2026

From Mandala To Palace: The Transformation Of Kidung Artati Into Ranggasutrasna Version Of Serat Kidungan From The Surakarta, Agung Kriswanto, I Made Suparta

Paradigma: Jurnal Kajian Budaya

This article examines the transformation of Kidung Artati from the Merapi–Merbabu milieu into the version preserved in Serat Kidungan compiled by Ranggasutrasna in the Surakarta court. The study aims to trace the process of textual transmission and ideological transformation that occurred when a kidung originating in an ascetic milieu was incorporated into a later courtly literary context. The sources used in this research consist of Kidung Artati and Kidung Rumeksa Ing Wengi from the Merapi–Merbabu manuscripts, as well as the Ranggasutrasna version of Serat Kidungan. The method applied is textual criticism and comparative textual analysis in order to identify …


Revictimization Of Female Sexual Assault Survivors During Cross-Examination From The Perspective Of Criminal Prosecutors, Robyn Fuchs Aug 2026

Revictimization Of Female Sexual Assault Survivors During Cross-Examination From The Perspective Of Criminal Prosecutors, Robyn Fuchs

Walden Dissertations and Doctoral Studies

Sexual assault is a heinous crime that remains one of the most underreported crimes. Victims of sexual assault face scrutiny for reporting and may be revictimized by the process. The intent of this study was to examine how cross-examination has the potential to revictimize female sexual assault survivors from the perspective of criminal prosecutors. This study may provide insight on whether defense attorneys intentionally cause harm to victims or if there is an automatic level of trauma in testifying. Ten interviews were conducted with criminal prosecutors across the United States. After the interviews, the transcripts were manually analyzed to identify …


Introduction To Film, Teresa A. Fisher Aug 2026

Introduction To Film, Teresa A. Fisher

Open Educational Resources

An introduction to the filmmaking process including film history, narrative, mise-en-scene, editing, cinematography, sound, and acting. Includes a chapter on documentary film, experimental film, and animation.


Cost Analysis Of Rheumatoid Arthritis In Insured Patients And Its Determinant Factors: Data From A National Referral Hospital In Indonesia, Rudy Hidayat, Fara Fauzia, Mochammad Alfansyah Dhifanra, Aries Maulana Aug 2026

Cost Analysis Of Rheumatoid Arthritis In Insured Patients And Its Determinant Factors: Data From A National Referral Hospital In Indonesia, Rudy Hidayat, Fara Fauzia, Mochammad Alfansyah Dhifanra, Aries Maulana

Kesmas

Rheumatoid arthritis (RA) leads to progressive functional impairment and considerable economic burden. This study estimated the annual (12-month) cost per patient among patients with RA and its determinant factors. A descriptive cross-sectional economic study of RA patients who had been treated for at least one year at the outpatient clinic of a national referral hospital in Jakarta, Indonesia, and met the 2010 ACR–EULAR criteria. Data collected from January 2023 to December 2024 were obtained from medical and billing records for demographic characteristics, direct medical costs, and DAS28-based disease activity, whereas non-medical and indirect costs were collected through structured patient interviews. …