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Articles 1 - 9 of 9
Full-Text Articles in Public Administration
Right Size Me : Policy Responses To The Obesity Eidemic And Behavioral Change, Wenhui Feng
Right Size Me : Policy Responses To The Obesity Eidemic And Behavioral Change, Wenhui Feng
Legacy Theses & Dissertations (2009 - 2024)
Obesity is a critical health and social concern. Almost 40% of American adults are obese, creating more than $300 billion dollars in annual medical costs. While obesity is a public concern that has been on the policy agenda for some time, obesity policies have proven difficult to formulate, adopt and implement in practice. In this dissertation, I explore three obesity-related policies – adoption of obesity prevention policies by local health department, calorie labeling on restaurant menus and food assistance benefits – and find the importance of ideological and political considerations for obesity policies at different stages in the policy process …
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.
Exploring Three Strategies For The Prevention Of Hospital-Acquired Clostridium Difficile Infection In Nys Acute Care Hospitals-- : Structure-Process-Outcome Model Of Quality Improvement, Danielle Jane Durant
Exploring Three Strategies For The Prevention Of Hospital-Acquired Clostridium Difficile Infection In Nys Acute Care Hospitals-- : Structure-Process-Outcome Model Of Quality Improvement, Danielle Jane Durant
Legacy Theses & Dissertations (2009 - 2024)
Those receiving medical care are at risk for developing serious hospital-acquired conditions (HACs), which include infections (HAIs) and other harm while receiving medical care. Pay for performance programs initiated by the Centers for Medicare and Medicaid Services (CMS), and private payers, linking reimbursements to quality of care, have created financial incentives for hospitals to address these HACs. The most common HAI in the United States, causing almost half a million infections, with 29,000 deaths within 30 days of diagnosis, results from Clostridium difficile. Infection with this bacterium leads to deadly diarrhea, and disproportionately impacts patients 65 and older, representing 80% …
For Better Or Worse? : Exploring How Decentralization Shapes Local Expenditures And Health Service Utilizations In Indonesia, Adenantera Dwicaksono
For Better Or Worse? : Exploring How Decentralization Shapes Local Expenditures And Health Service Utilizations In Indonesia, Adenantera Dwicaksono
Legacy Theses & Dissertations (2009 - 2024)
Decentralization has become one of the most important public-sector reform programs globally since the 1990s with mixed results. In this four-paper dissertation, I explored how decentralization reforms affect public goods and services delivery, by analyzing how post-decentralization institutional changes shape local expenditure decisions and health service utilizations in Indonesia. The main goal of this dissertation was to improve understanding on a better approach to studying public goods and services delivery under a decentralized governance. I used primarily quantitative methods in this dissertation. I started with a systematic review of quantitative studies on the impacts of decentralization reforms and health system …
Three Perspectives On Social Equity And Public Health Emergency Preparedness And Response Policy, Lucila M. Zamboni
Three Perspectives On Social Equity And Public Health Emergency Preparedness And Response Policy, Lucila M. Zamboni
Legacy Theses & Dissertations (2009 - 2024)
In the past 20 years, large-scale disasters have generated economic loss of $660 billion in the United States. Research has identified that low income individuals and economically vulnerable communities are at heightened risk and often experience disadvantages in access to public services during emergencies. Public administration literature has claimed that social equity should be included as a consideration together with economic and efficiency principles when formulating and implementing public policy. Yet there has been limited empirical research that follows this premise. The three studies that comprise this dissertation are guided by one overarching research question: which socioeconomic characteristics at the …
The Patient Experience At Hiv/Aids Outpatient Clinics In New York State, Terence Meehan
The Patient Experience At Hiv/Aids Outpatient Clinics In New York State, Terence Meehan
Legacy Theses & Dissertations (2009 - 2024)
People with chronic conditions such as HIV/AIDS become experts through their extensive experience with healthcare organizations and so have valuable patient-centered insight into the organization of healthcare delivery services. The AIDS model of care, largely funded by the federal Ryan White Care Act, is a long-standing, yet understudied innovation with many similarities to “new” models such as the PCMH. This dissertation is designed to uncover the voices of patients on the patient experience at three HIV/AIDS outpatient clinics in New York State and to offer lessons for policymakers and healthcare leaders. Data was collected through in depth, semi-structured interviews of …
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 …
Stakeholder, Organizational And Environmental Influences On Nursing Home Regulatory Enforcement : A New Perspective, Tamika R. Black
Stakeholder, Organizational And Environmental Influences On Nursing Home Regulatory Enforcement : A New Perspective, Tamika R. Black
Legacy Theses & Dissertations (2009 - 2024)
This dissertation proposes a conceptual framework that integrates stakeholder and compliance theory and employs a multi-method approach to examine the influence of stakeholders, bureaucratic discretion and external environment on nursing home inspections and enforcement. Negative binomial regression analysis was conducted on a population of 655 nursing homes in New York to identify determinants of variation in compliance and enforcement (as measured by deficiency citations). As hypothesized, organizational characteristics (i.e., nursing home bed capacity, sponsorship, occupancy rates and Medicaid revenue) were significant predictors of regulatory compliance and quality of care. Nursing home complaints, the presence of family councils, political party of …
Organizational Learning And Nursing Home Quality Of Care In New York State, Ting-Wei Chiang
Organizational Learning And Nursing Home Quality Of Care In New York State, Ting-Wei Chiang
Legacy Theses & Dissertations (2009 - 2024)
The primary purpose of the present study is to examine the relationship between organizational learning (OL) and nursing home quality of care (NHQC). The present study addresses OL through both descriptive and prescriptive approaches. The descriptive approach proposes a prism model that defines OL from psychological perspectives, structural perspectives, and cultural perspectives. The prescriptive approach illustrates how each dimension of OL can be improved by its corresponding organizational learning mechanisms (OLMs).