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Full-Text Articles in Medicine and Health Sciences

An Analysis Of Employment Policies And Their Effect On Work-Life Balance For Caregiving Parents Of Children With Special Needs, Sara Panella Dec 2013

An Analysis Of Employment Policies And Their Effect On Work-Life Balance For Caregiving Parents Of Children With Special Needs, Sara Panella

Muskie School Capstones and Dissertations

This capstone addresses the work-­‐life conflict facing employed caregiver parents with special needs children by 1) identifying what employed parents of children with disabilities need from their employer in order to achieve a work-­‐life balance that improves economic security and emotional well-­‐being, and 2) evaluating how well policies address those needs. An investigation of work-­‐family conflict and stress among parents of special needs children is conducted by examining the current literature and conducting interviews with caregivers to explore their work-­‐life balance needs. Policy recommendations are provided, based on an analysis of public and workplace policies currently in use and policy …


Closing The Rural Mortality Gap? An Examination Of 10-Year Cardiovascular Mortality Trends In Washington And Aroostook Counties, Maine, Christy Daggett Dec 2013

Closing The Rural Mortality Gap? An Examination Of 10-Year Cardiovascular Mortality Trends In Washington And Aroostook Counties, Maine, Christy Daggett

Muskie School Capstones and Dissertations

This study examines a significant reduction in cardiovascular disease (CVD) mortality1 in two rural, white, low-income counties in Maine over 1999-2009: Washington County and Aroostook County. Two similar counties with similarly high rates of CVD mortality– Penobscot and Piscataquis - were selected as comparators. The study considers different factors known to correlate with CVD mortality, including behavioral risk factors, co-morbid conditions, insurance coverage, and social determinants of health.


Variables To Predict Risk Of Hospital Readmission, Julie I. Carroll Jun 2013

Variables To Predict Risk Of Hospital Readmission, Julie I. Carroll

Muskie School Capstones and Dissertations

As the healthcare industry transitions toward accountable care and payment reform, creative approaches to healthcare is imperative. Poorly coordinated care and shorter hospital stays have resulted in higher rates of readmissions. This has large implications for hospitals and health systems.


Expanding Roles Of Medical Assistants In The Patient Centered Medical Home, Christopher W. Eldridge Jun 2013

Expanding Roles Of Medical Assistants In The Patient Centered Medical Home, Christopher W. Eldridge

Muskie School Capstones and Dissertations

The Patient Centered Medical Home (PCMH) is a new model of care endorsed in 2007 by the four major primary care physician associations. The PCMH is an approach to providing comprehensive primary care for children, youth, and adults. The PCMH is a health care setting that facilitates partnerships between individual patients and their personal physicians, and, when appropriate, the patient’s family as defined in the 2007 document Joint Principles of the Patient-Center Medical Home. The five key principles as defined in the article are:
1) Physician Directed Medical Practice
2) Whole Person Orientation
3) Care is Coordinated and/or Integrated across …


Members In Mind: Outreach & Education Strategies For Co-Op Insurance Plans. Final Report, Elizabeth Rogers May 2013

Members In Mind: Outreach & Education Strategies For Co-Op Insurance Plans. Final Report, Elizabeth Rogers

Muskie School Capstones and Dissertations

As envisioned by the federal policymakers who designed the Patient Protection and Affordable Care Act of 2011 (ACA), and the state-based health leaders who are founding them, Consumer Oriented and Operated Plans (CO-OPs) are intended to be a different kind of insurer: non-profit partners in health and healthcare. While many Americans (including Mainers) should welcome this new model, CO-OPs face challenges in establishing brand recognition and capturing the hearts and minds of consumers. The purpose of this research project was to support CO-OPs, particularly Maine’s CO-OP, Maine Community Health Options (MCHO), in assessing and developing communications strategies that enable individuals …


Diffusion Of Polst Education In Maine: Successes, Challenges, And Opportunities, Mary Lou Ciolfi May 2013

Diffusion Of Polst Education In Maine: Successes, Challenges, And Opportunities, Mary Lou Ciolfi

Muskie School Capstones and Dissertations

POLST, Physicians Orders for Life Sustaining Treatment originted in Oregon in the 1990's and is a vehicle for recording patient health care choices near the end of life as actionable physician orders so choices are honored with greater clarity and frequency at the point of care. This capstone is about educating and encouraging clinicians and the public to engage in conversations surrounding POLST.


Evidence-Based, Best Practice Workplace Interventions To Reduce Overweight And Obesity Rates Among Employees In One Maine Organization: Identification Of Strategic Models, Joanna Aronica Apr 2013

Evidence-Based, Best Practice Workplace Interventions To Reduce Overweight And Obesity Rates Among Employees In One Maine Organization: Identification Of Strategic Models, Joanna Aronica

Muskie School Capstones and Dissertations

Wellness programs have evolved over several decades and a great deal of research has been conducted to measure the efficacy of the programs. The goal of this capstone is to explore obesity in the workplace and its impact on chronic disease in one Maine organization and to identify innovative and best practice, evidence based interventions that will reduce the risk.