Medicine and Health Sciences Commons^™

Barriers And Facilitators To Voting For People With Disabilities In Michigan Rural Communities, Christian Aguilar-Quiroz, Kaylyn Brzys, Chris Paclibar, Kyle Witte

Community Based

Objective: In this study, we sought to investigate and obtain data on the perceived barriers and facilitators that rural Michigan residents with disabilities face throughout the voting process.

Method: We conducted two separate focus groups in two different rural areas of Michigan asking a series of semi-structured questions about the participants’ voting experiences. We obtained recorded interviews, qualitative data, of their answers to these prepared questions.

Results: Physical accessibility was limited by poor lighting for people with low vision problems and a lack of accommodations for those who are not able to stand for a prolonged time while waiting in …

Implementation Of The Vaccines For Children Program In A Midwest, Urban Clinic Dedicated To The Underserved Population, Akmal Saydazamov

Doctoral Projects

Background: Low immunization rates weaken herd immunity and endanger children. The Safety Net Health Clinic (SNHC) study site serves an underprivileged and refugee population with significantly lower than ideal coverage. Series completion disparities persisted after control for demographic, access-to-care, poverty and language effects (Varan et al, 2016).

Objectives: SNHC implemented the Vaccines for Children (VFC) program in order to increase the vaccination rates among the underserved population.

Methods: As an efficacy study, the project focused on three major areas in the VFC implementation – cost, staff preparedness and patient need. Cost was determined by utilizing electronic medical records (EMR) and …

Sociodemographic Characteristics Of Heart Failure Associated Hospital Readmissions In Michigan Medicare Patients, Kelsey A. Peterson

Masters Theses

Repeated hospital admissions constitute a large proportion of healthcare expenses, but are incurred by a small minority of chronically ill patients. Rising healthcare expenditures and the link between readmissions and quality of care make readmission rates a high priority for clinicians as well as insurance payers. Though hospital readmissions have many components, one of the relationships which is still inconclusive is that between socioeconomic status and hospital readmission rates.

Investigating the conditions which have a substantial impact on the rate of hospital readmissions, heart failure stands out as it is the leading cause of death in the United States. This …

Health Service Use And Expenditure Patterns Of Dual Eligibles In Michigan, Cristian Meghea, William Corser, Qi Zhu

Michigan Journal of Public Health

Objective: The objective is to provide a statewide population-based comparison of Michigan beneficiaries dually eligible for Medicare and Medicaid (duals) to Medicare-only beneficiaries, including the public health expenditures by service type, and to focus on the LTC service use patterns of elderly duals receiving care in various settings. Data Sources: Data sources were linked 2005 and 2006 individual Medicaid and Medicare claims from all Michigan duals. Methods: CMS provided Medicare claims and beneficiary data. Michigan Department of Community Health provided Medicaid claims data. Design: We compared characteristics and health expenditures across various categories of beneficiaries and LTC care settings. Principal …