Social and Behavioral Sciences Commons^™

The Sixty-Six Percent, Natalie Abruzzo

Capstones

The Sixty-Six Percent represent the percentage of women in the U.S. who are overweight. They are regarded as full-figured or “plus” size in the world of women’s apparel. Even though more than half of American women wear a “plus” size - size 14 and up - designs for these women account for a fraction of women’s apparel - Only 37% of women's wear is plus-size.

The Sixty-Six Percent is coming at an important time in a broader conversation about de-stigmatizing what it means to be a plus-size woman in America. Fat shaming has become taboo and mainstream media as well …

Developing Inter-Professional Oral Health Education: An Evaluation Of Educational Resources, Jordan A. Jew

Master's Projects and Capstones

As healthcare continues to evolve, providers will need to uphold the quality of patient care provided to patients. Traditional healthcare holds many gaps that do not recognize the unmet needs that exist within today’s society. To maximize the abilities of healthcare services, inter-professional education introduces a collaborative approach that develops a network of shared knowledge and clinical skills beyond the primary scope of practice.

In this project, oral health learning modules developed for family practice residents were introduced to first-year dental students at the Dugoni School of Dentistry to improve their knowledge and confidence to both educate and practice with …

Improving Process And Enhancing Parent And Therapist Satisfaction Through A Coordinated Intake Approach, Sharla Piecowye, Devona Gibson, Janis Carscadden, Kayla Ueland, Gregory Wells, Scott Oddie

Patient Experience Journal

Recent research indicates that, in Canada, approximately one in five children entering school are not meeting age appropriate milestones in physical, social, language, or cognitive development. Even where support services are available families often face barriers in accessing these. With the goals of improving access to programs, reducing barriers and increasing consistency and efficiency, a new Coordinated Intake Approach (CIA) was developed for families accessing Children’s Rehabilitation Services. It was expected that the CIA would result in 1) parents finding the intake process more satisfactory and easier to complete, 2) therapists feeling more supported and satisfied and 3) a decrease …

The State Of Patient Experience, Jason A. Wolf Phd

Patient Experience Journal

As the patient experience movement continues to flourish, there is greater alignment that experience encompasses all we do in healthcare – not simply a customer encounter, but how we engage people in mind, body and spirit, how we integrate the critical aspects of care from quality to safety to service and how we link the very complexities of our healthcare systems globally to provide for easy journeys for those receiving care. In sharing data from the latest study for The Beryl Institute on patient experience, the trends of this growing movement are seen as positive and a set of clear …

Reproductive Rights In Latin America: A Case Study Of Guatemala And Nicaragua, Katherine W. Bogen

Scholarly Undergraduate Research Journal at Clark (SURJ)

A lack of access to contraceptives and legal abortion for women throughout the nations of Nicaragua and Guatemala creates critical health care problems. Moreover, rural and underprivileged women in Guatemala and Nicaragua are facing greater limitations to birth control access, demonstrating a classist aspect in the global struggle for female reproductive rights. Although some efforts have been made over the past half-century to initiate a dialogue on the failure of medical care in these nations to adequately address issues of maternal mortality and reproductive rights, the women's reproductive health movements of Nicaragua and Guatemala have struggled to reach an effective …

Impact Of Laws Aimed At Healthcare-Associated Infection Reduction: A Qualitative Study, Patrica W. Stone, Monika Pogorzelska-Maziarz, Julie Reagan, Jacqueline A. Merrill, Brad Sperber, Catherine Cairns, Matthew Penn, Tara Ramanathan, Elizabeth Mothershed, Elizabeth Skillen

Health Policy and Management Faculty Publications

Background: Healthcare-associated infections (HAIs) are preventable. Globally, laws aimed at reducing HAIs have been implemented. In the USA, these laws are at the federal and state levels. It is not known whether the state interventions are more effective than the federal incentives alone.

Objective: The aims of this study were to explore the impact federal and state HAI laws have on state departments of health and hospital stakeholders in the USA and to explore similarities and differences in perceptions across states.

Methods: A qualitative study was conducted. In 2012, we conducted semistructured interviews with key stakeholders from states with and …

Goddesses Versus Gynecologists: An Analysis Of The History Of Women’S Healthcare, Marion A. Mckenzie

Student Publications

Starting from the downfall of Goddess cultures in Europe, women's health care has been negatively impacted for generations. The rise of the white, male Indo-European "dominator model" along with the witch craze, caused the end of widespread wise women traditions and pharmacopeia methods. After women's traditional voice was silenced, medical colleges were established to pronounce new, "professional" knowledge. Only those who attended these universities were allowed to legally practice medicine; however, during this time, medical research and treatments for women primarily included mutilation and painful, nonsensical regimens. The horrifying state of women's healthcare has since improved, but was originally a …

Treatment Of Drug Addiction Within Brazil’S Penitentiary System A Qualitative Investigation, Samantha Jain

Independent Study Project (ISP) Collection

Illicit drug use remains a significant public health issue within in Brazil, and is only magnified in the state penitentiary system, where there is excessive over-crowding and a lack of resources to address this issue. The purpose of this investigation is to understand the context of drug use within the prison system as well as how is drug abuse treated by the professionals that work in Penitenciaria Lemos Brito and Cadeia Publica. Treating drug addiction is an important aspect of the inmate’s well-being as well as it’s impact on his re-integration back into society after his punishment is served. Therefore, …

A Socio-Ecological Model Of Affordable Care Act Acceptance, Pratiksha Vaghela

USF Tampa Graduate Theses and Dissertations

Background: Since 1965, there have not been any major revisions of the healthcare laws in the United States, until the recent implementation of the Affordable Care Act (ACA). However, ACA is not well understood and is often controversial. The purpose of this study is to: (1) evaluate the relationship between the employers’ and the employees’ perceptions regarding the ACA mandates for small businesses, (2) evaluate the relationship between the self-reported and the tested knowledge of individuals regarding the ACA mandates for small businesses, and (3) determine if socio-demographic factors influence individual’s perception of the law. Based on the gathered information, …

Medicare At Fifty Needs To Grow, William H. Lane

English Faculty Publications

In America everybody has a healthcare story. A bill impossible to read, an inscrutable "additional" charge, trouble getting insurance, trouble keeping it, a friend or family member who's fallen between the coverage "cracks." [excerpt]

Hispanics' Under-Utilization Of Hospice Care Services, Ian M. Montoya

Electronic Theses, Projects, and Dissertations

The purpose of this project was to learn about Hispanics’ utilization of hospice care and to increase knowledge about under-utilization of hospice services by the Hispanic community. Research in hospice services indicates that the Hispanic community underutilizes end-of-life resources when compared to their majority counterparts, European Americans. Research that has controlled for variables such as socio-demographic characteristics, medical history, prognosis, and access to health care demonstrate Hispanics significantly under-utilizing hospice services. This project was conducted within Southern California in the cities of Riverside and Anaheim which are predominantly Hispanic communities. A quantitative design was used to explore the perspectives of …

Moving The Needle: How Transparency Could Lower Costs And Improve Quality In United States Hospitals, Anna "Nina" Russell

Harvey M. Applebaum ’59 Award

This thesis shows the limitations of price and quality information for improving the value of healthcare delivery in the United States. First, in four survey experiments to determine the impact of information on decision-making, consumers were more likely to choose the lower cost or higher quality option when relevant information was presented in straightforward ways with a minimized risk of information overload (n = 224, t = -3.7065, p = 0.0002). Second, hospitals on the U.S. News Best Hospital list between 2008 and 2011 were shown to be significantly more likely to be found in wealthy, highly populated areas, while …

Syncing Umbanda And Science (Sus): Using Umbanda’S Holistic Healing Methods To Increase Access To Healthcare, Alex E. Rosenthal

Undergraduate Theses—Unrestricted

In 1988, after the 1985 termination of the military dictatorship in Brazil, the constitution was rewritten to guarantee individual rights to all citizens of Brazil. Among the various other rights that the new constitution protected, anyone in Brazil was granted the right to government-funded healthcare under the regulation of the Unified Healthcare System, SUS. Because of structural inequalities in Brazil as well as the rise of privatized healthcare, equal access to healthcare is not a reality in modern-day Brazil. Many citizens who live in the periphery are limited to understaffed and underfunded primary health centers.

This monograph explores the healing …

The Effects Of Social Status On The Quality And Affordability Of Healthcare, Robert O. Burns

Honors College Theses

Access to healthcare is very important in today's society, as is the quality of said healthcare. The socioeconomic status (SES) of an individual is the most important factor when it comes to determining both the accessibility and quality of said care, and as such has been studied extensively. Across different countries, lower SES has been linked to the decreased affordability and success rates of medical treatments such as coronary heart disease medication or health risk prevention regimes. In many cases, low SES patients were found to be less likely to seek treatment than higher SES patients as the debt they …

An Exploratory Study Of Social Media Use Among Nonprofit Hospitals, Demitra C. Calivas

Theses, Dissertations and Culminating Projects

Healthcare is a multi-faceted and complex organizational and social issue that affects many stakeholders (e.g., the ill, family, care taker, health institutions, etc.). Little research has examined how healthcare providers engaged with their targeted audiences on various social media. This thesis examined how nonprofit organizations (NPOs) in the healthcare industry use social media as a dialogic means to strategically engage with their stakeholders. This study conducted content analysis of the social media messages by four nonprofit research hospitals: Dana-Farber Cancer Institute, the Mayo Clinic, Memorial Sloan-Kettering Cancer Center, and St. Jude Children’s Research Hospital. The Lovejoy and Saxton’s (2012) “Information, …

Reducing Unwarranted Variation In Healthcare Service Delivery Systems: Key Issues, Research Challenges And Potential Solutions, Nagesh Shukla, Senevi Kiridena, Nishikant Mishra

Nagesh Shukla

There is a growing need worldwide to increase the quality and productivity of healthcare services delivery. To this end, analysing and reducing unwarranted variations in healthcare has attracted much attention in recent times. However, current modelling and simulation approaches to reduce unwarranted variations suffer from numerous limitations. Consequently, service improvement efforts have often failed to deliver expected results. This paper discusses the key issues associated with reducing unwarranted variations in hospital service delivery systems, and proposes a research framework that aims at overcoming these issues. In doing so, it highlights the need for: accurately and efficiently modelling complex service delivery …

A Constructivist Study Of Graduate Assistants' Healthcare Experiences In A Research University, Uttam Gaulee, Brenda Lee, Douglas Whitaker, Natalie Khoury Ridgewell, Mirka Koro-Ljungberg, Dayna M. Watson, Colleen Butcher

The Qualitative Report

This constructivist study explores 16 graduate assistants’ (GAs) healthcare experiences and uses grounded theory to create a model of graduate assistants’ experiences with university-provided healthcare in a large research university. The model is composed of four broad components: (a) systems; (b) access, care and coverage; (c) knowledge, quality and cost; and (d) self. Graduate assistants’ needs and expectations constantly negotiate various systems in the model. Expanding upon the limited research regarding graduate student healthcare, this study provides implications for higher education administrators and policy makers. Based on our study findings we argue that it is not sufficient for university administrations …

Is Healthcare A Right?, Ben Ader, Kelly Patterson

Journal of Undergraduate Research

This project was an experiment to help understand the views of Utahns on healthcare and whether or not healthcare can be included in a list of basic rights. We also assessed the many dimensions of healthcare and where Utahns lie on a graph measuring the intrinsic motivations for or against healthcare as a basic right.

The Plight Of The Lucluc: Examining The Deadly Mystery Of Nodding Syndrome, Ethan K. Mcgann

Senior Honors Theses

Nodding syndrome (NS) is an emerging epidemic neurological disease that is shrouded in mystery. It is currently only found in the post-conflict regions of South Sudan, northern Uganda, and Tanzania. NS occurs in children from the ages of five to fifteen and is characterized by a loss of motor control in the neck muscles. Seizure episodes can range in intensity from atonic to tonic-clonic, and the onset of the first episode generally marks the beginning of a decline in the child’s physical and mental health. NS is a progressive disease that generally results in physical wasting, stunted growth, behavioral difficulties, …

Le Mieux? French Healthcare's Toll On Nutritional Decisions, Mehdi Hami

Collection of Engaged Learning

This project involves interviewing French taxpayers in an attempt to see if there is a connection between nutritional decisions and the amount of taxes in France. France has the best healthcare system in the world but also some of the highest taxes. This study takes into consideration the quantitative but also the qualitative data from participants so as to understand the personal effects of taxes upon nutritional decisions.

State Healthcare And Yanomami Transformations: A Symmetrical Ethnography, Alejandro Reig

Tipití: Journal of the Society for the Anthropology of Lowland South America

No abstract provided.

Muslim Women And United States Healthcare: Challenges To Access And Navigation, Dayna M. Seeger

What All Americans Should Know About Women in the Muslim World

This paper offers an analysis of the interactions of Muslim women in the US healthcare system in order to unpack challenges and propose potential accommodations. Islam may inform values or considerations in the context of other cultural factors or present Muslim women with specific challenges in seeking healthcare based on Islamic teachings or social constructs. This paper examines these factors by elaborating on an overview of Muslim interpretations of healthcare using religious authorities, text from the Qur’an, and social norms. It then delves into challenges faced by Muslim women in the US healthcare system and the implications of those challenges …

The Effects Of Mental Models And Expertise On Running Memory And Clinical Handoff Effectiveness, Brittany Lee Anderson-Montoya

Psychology Theses & Dissertations

The goal of the present study was to examine the effects of mental models and expertise on the ability to process handoffs of information. In addition, the role of active or passive processing was examined. Three groups of participants participated, differing in their level of clinical expertise to represent a novice, intermediate, and expert population. Participants performed an abstract running memory span task and two tasks resembling real world activities, an air traffic control (ATC) handoff task, and a clinical handoff task. For all tasks list length and the amount of information to be recalled was manipulated. Further, in the …

Accessing Healthcare: The Experience Of Individuals With Asd In Maine Report Summary, Alan Kurtz, Nancy Cronin

Health and Well-Being

A summary of report findings from the published research report, Accessing Healthcare: The Experience of Individuals with Autism Spectrum Disorders in Maine (2014).

Institutional Entrepreneurship, Governance And Poverty: Insights From Emergency Medical Response Services In India, Gerard George, Rekha Rao-Nicholson, Christopher Corbishley, Rahul Bansal

Research Collection Lee Kong Chian School Of Business

We present an in-depth case study of GVK Emergency Management and Research Institute, an Indian public–private partnership (PPP), which successfully brought emergency medical response to remote and urban settings. Drawing insights from the case, we investigate how the organization established itself through institutional entrepreneurship using a process conceptualized as opportunity framing, entrenchment, and propagation. The case and context highlight the need for innovation in organizational design and governance modes to create a new opportunity that connects state actors, private healthcare providers, and the public at large. We consider the role of open innovation and novel business models in creating these …

Martin Luther King & Montana Medicaid Expansion, Evan Barrett

Highlands College

A Montana Public Radio Commentary by Evan Barrett.

Published newspaper columns written by Evan Barrett on this topic, which vary somewhat in content from this commentary, appeared in the following publications:

Montana Standard, January 21, 2015

Missoulian, January 23, 2015

Independent Record, January 23, 2015

Billings Gazette, January 26, 2015

Se Habla Español: The Health Disparity Among The Latino Population, Karen Paz

The Corinthian

Latinos are considered the fastest growing and the largest ethnic minority group in the United States. It is estimated that by 2050, 24% of the U.S. population will be Latino. According to Census data, approximately 18% of the U.S. population age five or older speaks a language other than English at home, and current projections continue to show increases in U.S. immigrant and second-language groups nationwide. About half of that population self-reported that they speak English less than “very well.” Members of this population are referred to as individuals with limited English proficiency (LEP). As the largest ethnic minority, 28 …

Examining The Impact Of A Fatigue Intervention On Job Performance: A Longitudinal Study Across United States Hospitals, Megan Gregory

Electronic Theses and Dissertations

Fatigue in healthcare providers has been linked to dangerous outcomes for patients, including medical errors, surgical complications, and accidents. Resident physicians, who traditionally work long hours on minimal sleep, are among the most fatigued. In attempt to mitigate the impact of fatigue on resident physician performance and improve patient safety, the Accreditation Council for Graduate Medical Education (ACGME) implemented a fatigue intervention program in 2011 for medical residency programs in the United States. This caused a significant decrease in the number of hours that first-year residents were permitted to work, compared with hours worked by first-year residents in prior years. …

A Comparison Of Regional Health Care Structures For Emergency Preparedness, Leslie Porth

Walden Dissertations and Doctoral Studies

Since 2001, increased policy attention and federal funding mechanisms have required more effective disaster response by government actors and private sector organizations, including the health care system. However, there is limited scholarly evidence documenting which structural elements have been associated with efficacious regional coalitions. This study addressed the gap by examining whether the number of different participating disciplines (a proxy for coalition roles), community setting, and prior weather-related disaster declaration influenced the number of activities (a proxy for coalition responsibilities) conducted by the health care coalition. Social network theory was the theoretical lens with which the study results were used …

Independent Retail Business Owners' Perceptions Of The Patient Protection And Affordable Care Act., Bradley A. Hall

Walden Dissertations and Doctoral Studies

Passage of the Patient Protection and Affordable Care Act (PPACA) in 2010 prompted the question of how independent businesses may react to the employer mandate in the PPACA. The law is based on the theory of managed competition and it is more likely to affect businesses with fewer employees than to affect larger businesses that already offer health insurance. The purpose of this quantitative, pre-experimental study was to examine the strategic responses of independent retail business owners in Hillsborough County, Florida, regarding their perceptions of the employer mandate in the PPACA. Before 2014, there was a great deal of non-peer-reviewed …