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Preventive Medicine: A "Cure" For The Healthcare Crisis, Janice L. Clarke, Deborah Meiris
Preventive Medicine: A "Cure" For The Healthcare Crisis, Janice L. Clarke, Deborah Meiris
College of Population Health Faculty Papers
Introductory Editorial: Few would dispute the premise that prevention, early detection, and early intervention form the first line of defense on the disease management (DM) continuum. That being the case, our national statistics on preventive health should be raising concerns throughout the industry. The US healthcare delivery system continues to fall woefully short of its prevention targets. On the international scene, the United States lags behind countries with less wealth and less technological savvy. Commentaries abound on the problems, but recently I became aware of an organization with an exciting goal and a novel solution for bringing preventive medicine …
A Comprehensive Analysis Of The Determinants Of State Medicaid Prescription Drug Expenditures, Sanjoy Roy
A Comprehensive Analysis Of The Determinants Of State Medicaid Prescription Drug Expenditures, Sanjoy Roy
Graduate Theses, Dissertations, and Problem Reports
Prescription drug payments are the fastest growing and most widely varying expenditures across state Medicaid programs. To aid health policy efforts, this study identified determinants of drug utilization and expenditures using Andersen's Behavior Model of Health Services Utilization. A Structure Equation Model was built using five-year data for 48 states, to test relationships among the latent constructs of policy, access, predisposing characteristics, enabling resources, and need for healthcare; and, their influence on drug utilization. Only predisposing characteristics and enabling resources showed significant effects on drug utilization. Cluster Analysis classified state Medicaid programs into eight groups that differ on federal matching, …