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Full-Text Articles in Medicine and Health Sciences
Association Between Health Literacy Levels And Behavioral Health Hospitalizations And Emergency Department Utilization In The United States, Rebecca Lynn Hoen
Association Between Health Literacy Levels And Behavioral Health Hospitalizations And Emergency Department Utilization In The United States, Rebecca Lynn Hoen
Legacy Theses & Dissertations (2009 - 2024)
Behavioral health disorders are common in the United States (US) and are associated with potentially preventable high-cost health care utilization, such as inpatient hospitalization and emergency department utilization. Health literacy (HL) may be an important modifiable contributing factor to this preventable utilization, as limited health literacy is common in the US and has been linked to increased risk of hospitalization and emergency department utilization. However, few published studies have examined the association between health literacy and behavioral health disorders, and no studies have examined either the association between health literacy and utilization or the potential effects HL interventions might have …
Value-Based Reimbursements In The Us Health Care Market : Direct And Spillover Effects Of Medicare Readmissions Program, Soumyadeb Chatterjee
Value-Based Reimbursements In The Us Health Care Market : Direct And Spillover Effects Of Medicare Readmissions Program, Soumyadeb Chatterjee
Legacy Theses & Dissertations (2009 - 2024)
In this thesis, I take up the question of how the Medicare penalties introduced by the Hospital Readmissions Reduction program (HRRP) impacted the US health care system. The demand side of US health care system is highly fragmented where hospitals and other providers have to serve very different kinds of patients from different payers. Since the majority of a hospital's income is drawn from Medicare, a sharp reduction in its reimbursements is bound to have an effect on its health care delivery to all patients.
Endogenous Policy Design In Healthcare : A Case Study Of Emergency Department Crowding, Katrina Alexandra Hull
Endogenous Policy Design In Healthcare : A Case Study Of Emergency Department Crowding, Katrina Alexandra Hull
Legacy Theses & Dissertations (2009 - 2024)
The United States’ health care system has faced growing per capita use, and subsequent crowding, of the emergency department since the 1990’s, evidenced by longer wait times and the institution of ambulance diversions. Emergency departments are but one element of a complex system, with difficulties which persist despite policy efforts.
The Relationship Between Hospital Safety Culture And Variation In Adverse Events : What Is The Evidence From Nys Hospitals?, Kathleen Ciccone
The Relationship Between Hospital Safety Culture And Variation In Adverse Events : What Is The Evidence From Nys Hospitals?, Kathleen Ciccone
Legacy Theses & Dissertations (2009 - 2024)
Background: There is widespread acknowledgement that patients often suffer from adverse events that occur in the provision of medical care (Leape et al., 1991; Kohn et al., 2000). A notable percentage of these events stem from poor practices and unreliable hospital safety systems (Leape et al., 1991; Kohn et al., 2000; Chassin, 2013). Although the literature has been mixed regarding the association between perception of safety culture in hospitals and rates of adverse events, policy makers and healthcare thought-leaders have called on hospital leadership to improve safety culture as one strategy for decreasing harm to patients.
Breastfeeding Initiation, Duration And Exclusivity In New York State : Impact Of Hospital Maternity Care Practices, Hospital Characteristics And Individual/Socio-Demographic Factors, Eileen Mary Fitzpatrick
Breastfeeding Initiation, Duration And Exclusivity In New York State : Impact Of Hospital Maternity Care Practices, Hospital Characteristics And Individual/Socio-Demographic Factors, Eileen Mary Fitzpatrick
Legacy Theses & Dissertations (2009 - 2024)
Prevalence of breastfeeding initiation in New York State (NYS) nearly meets Healthy People 2020 goals. Improvements in breastfeeding duration and exclusive breastfeeding (EBF) have lagged behind those achieved for initiation. Implementation of Ten Steps to Successful Breastfeeding in hospital maternity care has improved breastfeeding initiation, duration and exclusivity; but data on the independent association with specific Steps have been equivocal. Utilizing NYS-linked data from the Maternity Practices in Infant Nutrition and Care (mPINC) and the Pregnancy Risk Assessment Monitoring System (PRAMS), the associations of individual maternity care practices/Steps with breastfeeding behaviors were evaluated. Analyses included mothers who participated in PRAMS …
Physician Density And Location Of Physician Training : The Impact On Avoidable Hospitalizations, Robert Martiniano
Physician Density And Location Of Physician Training : The Impact On Avoidable Hospitalizations, Robert Martiniano
Legacy Theses & Dissertations (2009 - 2024)
Avoidable hospitalizations are those hospitalizations that could have been avoided had there been appropriate levels of primary care, and higher levels of avoidable hospitalizations have been linked to higher rates of poverty and of race/ethnicity and to individuals who are on Medicaid or who are uninsured. The association with physician density has, however, been inconsistent, with research linking both better and worse physician density to higher rates of avoidable hospitalizations. Very little research, however, has been conducted on other physician characteristics and the rate of avoidable hospitalizations.
Predictors Of Emergency Room And Hospital Utilization Among Adults With Intellectual And Developmental Disabilities (Idd) In New York City, Meghan G. Blaskowitz
Predictors Of Emergency Room And Hospital Utilization Among Adults With Intellectual And Developmental Disabilities (Idd) In New York City, Meghan G. Blaskowitz
Legacy Theses & Dissertations (2009 - 2024)
Background. Avoidable emergency room (ER) visits and hospital admissions among people with intellectual and developmental disabilities (IDD) contribute significantly to rising Medicaid costs. The Affordable Care Act (ACA) and New York State (NYS) Medicaid Redesign Team have identified a critical need to reduce ER and hospital utilization in an effort to contain healthcare costs and improve quality of care. Study Objective. This study identifies independent predictors of medical and behavioral/psychiatric ER and hospital utilization for a cohort of individuals with IDD (n=597) residing in supported living arrangements in New York City, the most Medicaid-dense region of NYS. Methods. A retrospective …
30-Day Readmission And Emergency Department Visits : Experience Of Diabetes And Abdominal Surgery Patients, Andrea Jane Mathis
30-Day Readmission And Emergency Department Visits : Experience Of Diabetes And Abdominal Surgery Patients, Andrea Jane Mathis
Legacy Theses & Dissertations (2009 - 2024)
Nearly one-fifth of Medicare beneficiaries are readmitted within 30 days of a hospital stay. Readmissions contribute to the rising health care costs and they serve as a proxy for overall inpatient quality of care. Policy makers and payers interested in the efficacy of strategies to improve care coordination have scrutinized readmission rates for some time, yet this analysis attends to several remaining gaps in the literature. First, the rising prevalence of diabetes may be an underappreciated driver for readmissions. Second, many abdominal surgery patients require post-operative care, yet the point of care delivery and level of care needed has not …