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Full-Text Articles in Medicine and Health Sciences
When It Hits The Fan, Does Network Management Matter? : A Study On Policy Shocks And The Production And Delivery Of Public Goods And Services By Service Delivery Networks, Jennie Rhodes Law
When It Hits The Fan, Does Network Management Matter? : A Study On Policy Shocks And The Production And Delivery Of Public Goods And Services By Service Delivery Networks, Jennie Rhodes Law
Legacy Theses & Dissertations (2009 - 2024)
EXECUTIVE SUMMARYFor decades public administration and management scholars have conceptualized organizational networks as solutions to failures of markets and hierarchies (see, for example, Goldsmith and Eggers 2005; Osborne and Gaebler 1992). Relationships among organizations or actors within a network are framed positively as channels through which human, financial, and knowledge resources flow to address complex or “wicked” social problems (see, for example, Rittel and Weber, 1973). However, recent scholarship has sought to pull the curtain back and identify the pitfalls of networked arrangements for public service delivery (see, for example, O’Toole & Meier, 2006; O’Toole & Meier, 2004). Such studies …
Using Machine Learning To Predict Super-Utilizers Of Healthcare Services, Kevin Paul Buchan Jr.
Using Machine Learning To Predict Super-Utilizers Of Healthcare Services, Kevin Paul Buchan Jr.
Legacy Theses & Dissertations (2009 - 2024)
In this dissertation, I aim to forecast high utilizers of emergency care and inpatient Medicare services (i.e., healthcare visits). Through a literature review, I demonstrate that accurate and reliable prediction of these future high utilizers will not only reduce healthcare costs but will also improve the overall quality of healthcare for patients. By identifying this population at risk before manifestation, I propose that there is still time to reverse undesirable healthcare trajectories (i.e., individuals whose clinical risk increases an excessive healthcare and treatment burden) through timely attention and proper care coordination. My dissertation culminates in the delivery of state-of-the-art predictive …
Essays On Income Inequality, Minority Health And Healthcare Spending, Rui Cheng
Essays On Income Inequality, Minority Health And Healthcare Spending, Rui Cheng
Legacy Theses & Dissertations (2009 - 2024)
This set of essays addresses issues related to income inequality, public healthcare supply and population health. Income inequality has been found to affect health in a number of studies. Using data from Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey of adults in the United States, the first chapter of my dissertation studies the effect of state level and county level income inequality on health status and the pathway via public health spending. By using multiple imputation method applied to BRFSS income data, it derives synthetic Gini coefficient at state level and county level for each year from 2000 …
Health Care Priorities And The Effects Of Double Rationing, Christine Marie Muller
Health Care Priorities And The Effects Of Double Rationing, Christine Marie Muller
Legacy Theses & Dissertations (2009 - 2024)
The purpose of my research is to investigate "double rationing" which entails rationing at two levels of the health care system. At one level, policy makers prioritize treatments that will be covered under a publicly financed health care system. At a lower level, doctors or other health care professionals prioritize patients in need of scarce medical treatments. Traditionally, research focusing on health care rationing has treated these two activities as if they were separate and unrelated events. This research considers the effects of lower level prioritization activities on the ability of policy-makers to achieve their own (and arguably, societal) health …