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Episode Based Payment Models And The Hospital Safety-Net: An Evaluation Of The Center For Medicare And Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program, John A. Gravina

Dissertations and Theses

Episode Based Payment Models and the Hospital Safety-net: An Evaluation of the Center for Medicare and Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program

By John Anthony Gravina

Advisor: Alexis Pozen, Ph.D.

Introduction: Payments for Healthcare services are increasingly being tied to clinical quality, patient experience, health outcomes, and efficiency through value-based payment arrangements (VBP). VBP presents a potential opportunity to reduce healthcare expenditures by requiring providers to take on financial risk associated with the cost and quality of care, therefore aligning payment incentives with the goals of providing higher quality and efficient care. As of 2020, 80 percent of …

Psychedelic Use And Psychological Flexibility: The Role Of Decentering, Mystical Experiences, Ego-Dissolution, And Insight, William M. Campo

Dissertations and Theses

The purpose of this study was to investigate potential associations between psychological flexibility (PF) and characteristics of the psychedelic experience: self-perceived meaningful intention, feelings of comfort and safety, decentering, mystical experiences, ego-dissolution, and insight. The first hypothesis was that perceived meaningful intention and feelings of comfort/safety during the psychedelic experience were expected to be associated with PF, decentering, mystical experiences, ego-dissolution, and insight. The second hypothesis was that decentering, mystical experiences, ego-dissolution, and insight were expected to be associated with greater PF. Participants who used classic psychedelic substances prior to this study were recruited from social media. The sample after …

Identification Of Adhd And Comorbid Disorders In Children: The Potential Role Of Minority Group Membership, Rachel H. Tayler

Dissertations and Theses

Identification of ADHD and Comorbid Disorders in Children: The potential role of minority group membership

by

Rachel Tayler, MSc, MA

Advisor: Sarah O’Neill, PhD

Attention-Deficit/Hyperactivity Disorder (ADHD) affects six million US children. Females, Latinx, and possibly Black children have lower rates of diagnosis than their Male and White non-Latinx peers. ADHD is behaviorally defined, and as such, clinicians' perceptions of symptoms and determination of diagnoses may be influenced by demographic factors such as race, ethnicity and sex.

This vignette study examined whether clinicians' implicit ethnic, racial, and sex biases affect diagnosis of ADHD and comorbid conditions. Psychiatry trainees and pediatricians …