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Labor Force Participation, Disability, And Implications For Healthcare Utilization And Employment, Lawrence C. Pellegrini Mar 2017

Labor Force Participation, Disability, And Implications For Healthcare Utilization And Employment, Lawrence C. Pellegrini

Doctoral Dissertations

The study period (i.e., 1999-2014) is characterized by declining labor force participation rates, rising disability enrollment, varying healthcare utilization, and increasing and changing composition of healthcare provider employment. However, little is known about the effect labor force participation and disability enrollment both have on the US healthcare system (i.e., healthcare utilization and employment). This dissertation is comprised of three manuscripts answering questions related to these relationships. Results show that labor force participation is a more robust indicator than the unemployment rate for exploring the effect of the labor market on healthcare spending and health outcomes, with healthcare spending itself exhibiting …


Patient-Centered Medical Home Model Of Care For Non-Elderly Adults With Mental Illness: Preventive Care, Healthcare Quality, Services Utilization, And Cost Analyses, Jennifer Bowdoin Mar 2017

Patient-Centered Medical Home Model Of Care For Non-Elderly Adults With Mental Illness: Preventive Care, Healthcare Quality, Services Utilization, And Cost Analyses, Jennifer Bowdoin

Doctoral Dissertations

Background. Patient-centered medical homes (PCMHs) may improve outcomes for non-elderly adults with mental illness while containing the cost of care. However, additional research is needed to assess the association between receipt of care consistent with the PCMH and preventive care, healthcare quality, healthcare services utilization, and healthcare services cost for a nationally representative sample of non-elderly adults with mental illness in the United States. Research is also needed to examine whether non-elderly adults with mental illness receive care consistent with the PCMH. Methods. A surveillance study was conducted using self-reported data for a nationally representative sample of non-elderly adults …