subject:(Health Policy)

1. Prakash, Shivaani. The Relationship between Mental Health Capital and Labor Market Outcomes: Evidence from the U.S. and Chile.

Degree: PhD, Health Services Research, 2014, Brown University

URL: https://repository.library.brown.edu/studio/item/bdr:386213/

► The prevalence of mental illness has been rising rapidly in the United States and abroad in the last two decades. Common mental disorders take a… (more)

▼ The prevalence of mental illness has been rising rapidly in the United States and abroad in the last two decades. Common mental disorders take a heavy toll on sufferers both directly, in terms of high medical costs; and indirectly, in terms of reduced labor supply and decreased mental health status. In addition, there is a high rate of unmet need for mental health services among sufferers of mental disorders. To address these issues, policymakers require a strong understanding of: 1) the scope of the societal costs attributable to mental disorders, and 2) the expected benefits of expanding access to mental health services through health policy. In the first two chapters, I use a quasi-experimental design and nationally representative data to examine the impact of U.S. state mental health parity laws on labor outcomes in the adult population and mental health service utilization outcomes in the child population from 1988 and 2008. Our findings suggest that among privately insured adults, labor outcomes were largely unaffected by the passage of strong parity laws, but adults who suffered from likely depression saw a significant increase in their odds of being employed. Within the population of privately insured children, the passage of mental health parity laws led to a significant increase in the odds of children seeing a mental health provider and receiving insurance coverage for the visit. Strikingly, there was also a dramatic increase in the odds that children took a prescription medication for a behavioral or mental problem when a strong parity law was passed. Taken together, these findings suggest that employers did not pass the costs of complying with mental health parity laws onto their employees and these laws were specifically active in increasing access to certain services. In the third chapter, I studied the individual, household and societal lost income associated with mental disorders using a nationally representative epidemiological dataset from Chile. My results suggest that anxiety disorders are associated with the greatest disease burden in terms of lost income, and this “income gap” is particularly pronounced at both the personal and household level among male sufferers. Advisors/Committee Members: Galarraga, Omar (Director), Trivedi, Amal (Reader), Bentkover, Judith (Reader), Kohn, Robert (Reader).

Subjects/Keywords: health policy

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APA (6^th Edition):

Prakash, S. (2014). The Relationship between Mental Health Capital and Labor Market Outcomes: Evidence from the U.S. and Chile. (Doctoral Dissertation). Brown University. Retrieved from https://repository.library.brown.edu/studio/item/bdr:386213/

Chicago Manual of Style (16^th Edition):

Prakash, Shivaani. “The Relationship between Mental Health Capital and Labor Market Outcomes: Evidence from the U.S. and Chile.” 2014. Doctoral Dissertation, Brown University. Accessed March 02, 2021. https://repository.library.brown.edu/studio/item/bdr:386213/.

MLA Handbook (7^th Edition):

Prakash, Shivaani. “The Relationship between Mental Health Capital and Labor Market Outcomes: Evidence from the U.S. and Chile.” 2014. Web. 02 Mar 2021.

Vancouver:

Prakash S. The Relationship between Mental Health Capital and Labor Market Outcomes: Evidence from the U.S. and Chile. [Internet] [Doctoral dissertation]. Brown University; 2014. [cited 2021 Mar 02]. Available from: https://repository.library.brown.edu/studio/item/bdr:386213/.

Council of Science Editors:

Prakash S. The Relationship between Mental Health Capital and Labor Market Outcomes: Evidence from the U.S. and Chile. [Doctoral Dissertation]. Brown University; 2014. Available from: https://repository.library.brown.edu/studio/item/bdr:386213/

University of Central Florida

2. Lin, Yi-Ling. The Diffusion and Performance of the Accountable Care Organization Model.

Degree: 2016, University of Central Florida

URL: https://stars.library.ucf.edu/etd/5185

► Background: Unity in pursuit of the Triple Aim: better health, better care, and lower per capita cost, can be achieved through a well-designed health care… (more)

▼ Background: Unity in pursuit of the Triple Aim: better health, better care, and lower per capita cost, can be achieved through a well-designed health care delivery system. The accountable care organizations (ACOs) model is considered a key component of health care delivery system improvement because the model fosters better coordination of care through clinical integration and financial accountability. Within the six Centers for Medicaid & Medicare Services (CMS) ACO programs, the Medicare Shared Savings Program (MSSP) ACO has the largest size with a total of 432 ACOs formed; the service subjects of the MSSP ACO are the fee-for-service beneficiaries. Recently, academicians and researchers have been attracted to exploring ACOs' formation and performance. However, most of the early ACO research types are either descriptive or case study. Also, early researchers had limited access to ACO data sets, so they could utilize only regional and demographic factors to identify the predictors of ACO formation. Purpose: An integrative theoretical framework, Rogers' diffusion of innovation theory and Duncan's POET model, was used to examine ACO formation and performance. The first purpose of this study was to determine the relative influences of contextual variables and ACO characteristic variables on how early an ACO model was adopted. The second purpose was to examine how executives' perceptions of ACO performance and the ACO first-year performance are influenced by the contextual variables, ACO characteristic variables, and timing of the adoption of an ACO model. Methods: A cross-sectional design was formulated to gather data from a survey supplemented by secondary data with the analysis unit at the organization level. Study participants in the ACO survey included 2012, 2013, 2014, and 2015 ACO cohorts. Logistic regression was performed to examine the effects of POET and Rogers' five core characteristics in the early adoption of an ACO model (dichotomous). Additionally, multiple linear regression analysis was used to examine the effects of POET and the timing of adoption of an ACO model in the perceptions of ACO performance. ACO first-year performance dataset consisted only of ACO cohorts from 2012 through 2014. Finally, confirmatory factor analysis and structural equation modeling were conducted to examine the measurement model of the ACO first-year performance and a full latent variable model, respectively. Major Findings: A survey of ACO executives/managers between October 2015 and February 2016 was conducted. The 447 MSSP ACOs in my mailing list yielded a response rate of 13.65 % (n=61). Of the 61 MSSP ACOs, 42 (52.5%) were late adopters whose contractual agreement with CMS started in 2014 or 2015, and 36 (59.0%) were with hospital-based composition. Among ACOs that participated in my survey, their current degree of IT adoption in functionalities (62.27 vs. 52.50 points), usage levels (65.19 vs. 49.49 points), and integration levels (62.24 vs. 53.37 points) were better than their initial years. The multiple logistic… Advisors/Committee Members: Wan, Thomas T. H..

Subjects/Keywords: Health Policy

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APA (6^th Edition):

Lin, Y. (2016). The Diffusion and Performance of the Accountable Care Organization Model. (Doctoral Dissertation). University of Central Florida. Retrieved from https://stars.library.ucf.edu/etd/5185

Chicago Manual of Style (16^th Edition):

Lin, Yi-Ling. “The Diffusion and Performance of the Accountable Care Organization Model.” 2016. Doctoral Dissertation, University of Central Florida. Accessed March 02, 2021. https://stars.library.ucf.edu/etd/5185.

MLA Handbook (7^th Edition):

Lin, Yi-Ling. “The Diffusion and Performance of the Accountable Care Organization Model.” 2016. Web. 02 Mar 2021.

Vancouver:

Lin Y. The Diffusion and Performance of the Accountable Care Organization Model. [Internet] [Doctoral dissertation]. University of Central Florida; 2016. [cited 2021 Mar 02]. Available from: https://stars.library.ucf.edu/etd/5185.

Council of Science Editors:

Lin Y. The Diffusion and Performance of the Accountable Care Organization Model. [Doctoral Dissertation]. University of Central Florida; 2016. Available from: https://stars.library.ucf.edu/etd/5185

University of Central Florida

3. Mustonen, Rachel. Social Media as a Healthcare Tool: Case Study Analysis of Factors Influencing Pediatric Clinicians' Behavioral Intent to Adopt Social Media for Patient Communication and Engagement.

Degree: 2018, University of Central Florida

URL: https://stars.library.ucf.edu/etd/5898

► Social media aids communication among users worldwide. However, a notable gap exist among social media users, healthcare professionals utilizing social media in the work place.… (more)

▼ Social media aids communication among users worldwide. However, a notable gap exist among social media users, healthcare professionals utilizing social media in the work place. While the concept of harnessing social media as a professional tool is not novel, healthcare professionals have yet to embrace the practice as standard workflow. This study identifies factors influencing clinicians' behavioral intent to adopt social media for patient engagement and communication. A new framework, the Healthcare Social Media Adoption Framework (HSMA), guided this mixed-method approach to assess 7 factors identified by theory and literature as adoption influencers. A custom, web-based survey collected data from 60 full-time, pediatric clinicians (47 quantitative) at the case institution (a pediatric hospital). Additionally, individual interviews of 6 participants provided their prospective on using social media for patient communications and engagement. Results: Privacy concerns were the only statically significant factor; with an inverse relationship to positive adoption intent, indicating higher privacy concerns influence lower behavioral intent to adopt social media for patient engagement and communication. The qualitative analysis revealed privacy concerns encompass two themes, personal privacy for patient and providers (boundaries), and cybersecurity. The qualitative inputs also uncovered perceived unprofessionalism as a new factor influencing clinician adoption. The implications for these findings indicate a need for both healthcare organizations and healthcare regulators to establish cyber-security defenses for security and use protocols for privacy to aid the diffusion and adoption acceptance of social media use by pediatric healthcare professionals. This research has contributed in four areas: 1) fill a knowledge gap by identifying new factors that influence the behavioral intent of pediatric clinicians to adopt social media; 2) confirm/reject behavioral intent influences found in the literature; 3) formulated a new HSMA framework that measures functional, cognitive, and social aspects of social media adoption; and 4) prioritizes policies and global standard focus. Advisors/Committee Members: Hou, Su-I.

Subjects/Keywords: Health Policy

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APA (6^th Edition):

Mustonen, R. (2018). Social Media as a Healthcare Tool: Case Study Analysis of Factors Influencing Pediatric Clinicians' Behavioral Intent to Adopt Social Media for Patient Communication and Engagement. (Doctoral Dissertation). University of Central Florida. Retrieved from https://stars.library.ucf.edu/etd/5898

Chicago Manual of Style (16^th Edition):

Mustonen, Rachel. “Social Media as a Healthcare Tool: Case Study Analysis of Factors Influencing Pediatric Clinicians' Behavioral Intent to Adopt Social Media for Patient Communication and Engagement.” 2018. Doctoral Dissertation, University of Central Florida. Accessed March 02, 2021. https://stars.library.ucf.edu/etd/5898.

MLA Handbook (7^th Edition):

Mustonen, Rachel. “Social Media as a Healthcare Tool: Case Study Analysis of Factors Influencing Pediatric Clinicians' Behavioral Intent to Adopt Social Media for Patient Communication and Engagement.” 2018. Web. 02 Mar 2021.

Vancouver:

Mustonen R. Social Media as a Healthcare Tool: Case Study Analysis of Factors Influencing Pediatric Clinicians' Behavioral Intent to Adopt Social Media for Patient Communication and Engagement. [Internet] [Doctoral dissertation]. University of Central Florida; 2018. [cited 2021 Mar 02]. Available from: https://stars.library.ucf.edu/etd/5898.

Council of Science Editors:

Mustonen R. Social Media as a Healthcare Tool: Case Study Analysis of Factors Influencing Pediatric Clinicians' Behavioral Intent to Adopt Social Media for Patient Communication and Engagement. [Doctoral Dissertation]. University of Central Florida; 2018. Available from: https://stars.library.ucf.edu/etd/5898

University of Central Lancashire

4. Sweity, Samaher. What influences the rise and fall of health research disciplines? : insights from a mixed-method investigation of occupational epidemiological research in the UK.

Degree: PhD, 2016, University of Central Lancashire

URL: http://clok.uclan.ac.uk/18614/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.721751

► Introduction Occupational Epidemiology (OE) has played a vital role in producing improvements in the working population’s health. Nonetheless, anecdotal evidence indicates that OE in the… (more)

▼ Introduction Occupational Epidemiology (OE) has played a vital role in producing improvements in the working population’s health. Nonetheless, anecdotal evidence indicates that OE in the UK is facing many challenges and the research workforce, funding, and output in this area are declining. This study aims to: investigate the nature and evolution of these key contributors to success; identify the external social, political, economic and any other factors which frame and contextualise these challenges and the facilitators; use this contextualisation to explain and evaluate how and why the identified challenges and facilitators influenced the OE field development compared to other similar fields; and explore how far they may explain the ebb and flow of research activity in OE in comparison with other health disciplines. Methods A sequential, mixed-method approach was undertaken in four phases. These included interviews with key UK-based OE researchers; a survey of UK-based OE researchers to test out themes that emerged from the first phase; a bibliometric analysis comparing trends and characteristics of UK-based OE published studies with those in public health epidemiology (PHE); and a documentary review of annual reports of three health research funding bodies including: the Medical Research Council, the Cancer Research Campaign, and the Health and Safety Commission. Results The lack of human and financial resources was found to be of utmost concern to the OE community, which increased over time and negatively affected researchers’ abilities to conduct further and higher quality studies. The bibliometric study revealed that the number of PHE publications and researchers increased substantially while the numbers for OE remained fairly constant. Furthermore, it was found that in PHE much higher levels of collaboration and adoption of newer methods such as the use of molecular and genetic techniques were applied. Widening research collaboration and the adoption of newer methods were encouraged by funding bodies because both are perceived to contribute to research efficiency and commercialisation of research ideas. These have been adopted more widely by other fields, thus helping them to develop and improve their status, which was not the case for OE. Furthermore, fewer influential representatives from the field of OE were found within funding bodies, which had played a major role in directing resources to research within health fields and hence influencing their development. Conclusions Social, economic, and political factors such as the exclusion of occupational health (OH) from the National Health Service, deindustrialisation, and neoliberal government policies within public and higher education institutions particularly that focus on economic contribution of science, and research auditing and efficiency, most likely, have the greatest influence on funding decisions of research in OH and other health disciplines. These issues have significantly instigated obscurity of OH and hence OE within the agendas of both the…

Subjects/Keywords: 362.1; Public policy; Health policy

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APA (6^th Edition):

Sweity, S. (2016). What influences the rise and fall of health research disciplines? : insights from a mixed-method investigation of occupational epidemiological research in the UK. (Doctoral Dissertation). University of Central Lancashire. Retrieved from http://clok.uclan.ac.uk/18614/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.721751

Chicago Manual of Style (16^th Edition):

Sweity, Samaher. “What influences the rise and fall of health research disciplines? : insights from a mixed-method investigation of occupational epidemiological research in the UK.” 2016. Doctoral Dissertation, University of Central Lancashire. Accessed March 02, 2021. http://clok.uclan.ac.uk/18614/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.721751.

MLA Handbook (7^th Edition):

Sweity, Samaher. “What influences the rise and fall of health research disciplines? : insights from a mixed-method investigation of occupational epidemiological research in the UK.” 2016. Web. 02 Mar 2021.

Vancouver:

Sweity S. What influences the rise and fall of health research disciplines? : insights from a mixed-method investigation of occupational epidemiological research in the UK. [Internet] [Doctoral dissertation]. University of Central Lancashire; 2016. [cited 2021 Mar 02]. Available from: http://clok.uclan.ac.uk/18614/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.721751.

Council of Science Editors:

Sweity S. What influences the rise and fall of health research disciplines? : insights from a mixed-method investigation of occupational epidemiological research in the UK. [Doctoral Dissertation]. University of Central Lancashire; 2016. Available from: http://clok.uclan.ac.uk/18614/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.721751

Cornell University

5. Choi, Anna. Three Essays In Health Economics.

Degree: PhD, Policy Analysis and Management, 2015, Cornell University

URL: http://hdl.handle.net/1813/41059

► This dissertation contains three essays in the field of health economics and health policy. The first essay studies the effects of legalizing medical use of… (more)

▼ This dissertation contains three essays in the field of health economics and health policy. The first essay studies the effects of legalizing medical use of marijuana on marijuana use and other risky health behaviors. I examine the restricted-use data from the National Survey of Drug Use and Health (NSDUH), which is a repeated cross sectional data set with state identifiers from 2004 to 2012. During this period, 9 states and Washington D.C. allowed patients with medical conditions to use marijuana. I estimate difference-in-differences (DID) models to examine the impacts of these policy changes on risky health behaviors. Allowing medical use of marijuana does not lead to higher marijuana use among the overall population and the youth. However, I find that medical marijuana laws (MMLs) are positively and significantly associated with marijuana use among males and heavy pain reliever users. The second essay is a joint work with John Cawley and tests a novel hypothesis: that these health disparities across education are to some extent due to differences in reporting error across education. We use data from the pooled National Health and Nutrition Examination Survey (NHANES) Continuous for 1999-2012, which include both self-reports and objective verification for an extensive set of health behaviors and conditions, including smoking, obesity, high blood pressure, high cholesterol and diabetes. We find that better educated individuals report their health behaviors more accurately. This is true for a wide range of behaviors and conditions, even socially stigmatized ones like smoking and obesity. We show that the differential reporting error across education leads to underestimates of the true health disparities across education that average 19.3%. The third essay is a joint work with Rachel Dunifon and studies how state regulations related to the quality of child care centers-such as teachers' education and degree requirements, staff to child ratios, maximum group size, and unannounced inspection compliance requirement-are predictive of children's health, developmental and cognitive outcomes. State level policies that are related to improving the productivity of child care center teachers by having a higher staff to child ratios and advanced schooling requirement are predictive of child's weight related outcomes and cognitive outcomes. Advisors/Committee Members: Cawley,John H. (chair), Dunifon,Rachel E. (committee member), Kenkel,Donald S. (committee member).

Subjects/Keywords: Health economics; Health policy; Policy analysis

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APA (6^th Edition):

Choi, A. (2015). Three Essays In Health Economics. (Doctoral Dissertation). Cornell University. Retrieved from http://hdl.handle.net/1813/41059

Chicago Manual of Style (16^th Edition):

Choi, Anna. “Three Essays In Health Economics.” 2015. Doctoral Dissertation, Cornell University. Accessed March 02, 2021. http://hdl.handle.net/1813/41059.

MLA Handbook (7^th Edition):

Choi, Anna. “Three Essays In Health Economics.” 2015. Web. 02 Mar 2021.

Vancouver:

Choi A. Three Essays In Health Economics. [Internet] [Doctoral dissertation]. Cornell University; 2015. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/1813/41059.

Council of Science Editors:

Choi A. Three Essays In Health Economics. [Doctoral Dissertation]. Cornell University; 2015. Available from: http://hdl.handle.net/1813/41059

University of Minnesota

6. Gonzales, Gilbert. The Impact of Same-Sex Marriage Laws on Health Insurance Coverage in Same-Sex Households.

Degree: PhD, Health Services Research, Policy and Administration, 2015, University of Minnesota

URL: http://hdl.handle.net/11299/175698

► The purpose of this dissertation is to document the relationship between state-level same-sex marriage laws on health insurance coverage in same-sex households. Using data from… (more)

Subjects/Keywords: Health policy; LGBT health; State policy

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APA (6^th Edition):

Gonzales, G. (2015). The Impact of Same-Sex Marriage Laws on Health Insurance Coverage in Same-Sex Households. (Doctoral Dissertation). University of Minnesota. Retrieved from http://hdl.handle.net/11299/175698

Chicago Manual of Style (16^th Edition):

Gonzales, Gilbert. “The Impact of Same-Sex Marriage Laws on Health Insurance Coverage in Same-Sex Households.” 2015. Doctoral Dissertation, University of Minnesota. Accessed March 02, 2021. http://hdl.handle.net/11299/175698.

MLA Handbook (7^th Edition):

Gonzales, Gilbert. “The Impact of Same-Sex Marriage Laws on Health Insurance Coverage in Same-Sex Households.” 2015. Web. 02 Mar 2021.

Vancouver:

Gonzales G. The Impact of Same-Sex Marriage Laws on Health Insurance Coverage in Same-Sex Households. [Internet] [Doctoral dissertation]. University of Minnesota; 2015. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/11299/175698.

Council of Science Editors:

Gonzales G. The Impact of Same-Sex Marriage Laws on Health Insurance Coverage in Same-Sex Households. [Doctoral Dissertation]. University of Minnesota; 2015. Available from: http://hdl.handle.net/11299/175698

University of Central Lancashire

7. Mcmahon, Naoimh. Working 'upstream' to reduce health inequalities : a Foucauldian discourse analysis.

Degree: PhD, 2019, University of Central Lancashire

URL: http://clok.uclan.ac.uk/30815/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.797892

► There has been a long-standing concern to reduce health inequalities between different social groups. While primarily understood as arising from the inequitable distribution of power,… (more)

Subjects/Keywords: 610; Health policy

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APA (6^th Edition):

Mcmahon, N. (2019). Working 'upstream' to reduce health inequalities : a Foucauldian discourse analysis. (Doctoral Dissertation). University of Central Lancashire. Retrieved from http://clok.uclan.ac.uk/30815/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.797892

Chicago Manual of Style (16^th Edition):

Mcmahon, Naoimh. “Working 'upstream' to reduce health inequalities : a Foucauldian discourse analysis.” 2019. Doctoral Dissertation, University of Central Lancashire. Accessed March 02, 2021. http://clok.uclan.ac.uk/30815/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.797892.

MLA Handbook (7^th Edition):

Mcmahon, Naoimh. “Working 'upstream' to reduce health inequalities : a Foucauldian discourse analysis.” 2019. Web. 02 Mar 2021.

Vancouver:

Mcmahon N. Working 'upstream' to reduce health inequalities : a Foucauldian discourse analysis. [Internet] [Doctoral dissertation]. University of Central Lancashire; 2019. [cited 2021 Mar 02]. Available from: http://clok.uclan.ac.uk/30815/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.797892.

Council of Science Editors:

Mcmahon N. Working 'upstream' to reduce health inequalities : a Foucauldian discourse analysis. [Doctoral Dissertation]. University of Central Lancashire; 2019. Available from: http://clok.uclan.ac.uk/30815/ ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.797892

8. Kim, Daeho. Essays in Health Economics.

Degree: PhD, Economics, 2012, Brown University

URL: https://repository.library.brown.edu/studio/item/bdr:297624/

► This dissertation examines the effects of health care policy on access to health care and health outcomes, use of medical technology, and educational attainment. The… (more)

▼ This dissertation examines the effects of health care policy on access to health care and health outcomes, use of medical technology, and educational attainment. The first chapter, co-authored with Kenneth Chay and Shailender Swaminathan, examines the impact of Medicare’s introduction on hospital insurance, utilization, and mortality rates. The analysis applies an “age discontinuity” design to data both before and after Medicare’s introduction. We find that Medicare: i) increased hospital utilization and costs among the elderly, but at a lower rate than previously found; and ii) significantly increased life expectancy in the eligible population. We estimate that Medicare’s introduction had a cost-per-life year ratio below $200 (in 1982-84 dollars). In addition, we present evidence that the benefit-cost ratios of Medicare fell during the 1980s, partly due to changes in Medicare’s reimbursement formula. The second chapter examines the impact of Medicare payment reform on hospital costs. Medicare’s Prospective Payment System (PPS) reform in 1983 tied hospital payments to the national average cost of each medical technology with the expectation of reducing health care costs. I show that an unintended consequence of PPS was to generate financial incentives for hospitals to expand treatments that had average costs greater than marginal costs due to sizable fixed investments. In the context of cardiac treatments, coronary artery bypass graft (CABG) surgery has a greater average-to-marginal cost ratio than angioplasty. Exploiting the discontinuity in Medicare eligibility, I find a discontinuous change in CABG use at age-65 after the reform that implies an increase of 50 to 60 percent. Nearly all of the increase is driven by CABG use expanded to relatively healthier patients. I also present evidence that the increased CABG use was not cost effective. The third chapter explores the role of hospital desegregation on educational attainment. The racial integration of Southern hospitals during the mid- or late-1960s provided increased access to hospital care for Southern blacks who previously had limited access. Using a difference-in-difference-in-differences approach, I document that the black-white gap in educational attainment decreased significantly more in the South than in the North among cohorts born after hospital desegregation. Advisors/Committee Members: Chay, Kenneth (Director), Aizer, Anna (Reader), Knight, Brian (Reader).

Subjects/Keywords: Health Care Policy

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APA (6^th Edition):

Kim, D. (2012). Essays in Health Economics. (Doctoral Dissertation). Brown University. Retrieved from https://repository.library.brown.edu/studio/item/bdr:297624/

Chicago Manual of Style (16^th Edition):

Kim, Daeho. “Essays in Health Economics.” 2012. Doctoral Dissertation, Brown University. Accessed March 02, 2021. https://repository.library.brown.edu/studio/item/bdr:297624/.

MLA Handbook (7^th Edition):

Kim, Daeho. “Essays in Health Economics.” 2012. Web. 02 Mar 2021.

Vancouver:

Kim D. Essays in Health Economics. [Internet] [Doctoral dissertation]. Brown University; 2012. [cited 2021 Mar 02]. Available from: https://repository.library.brown.edu/studio/item/bdr:297624/.

Council of Science Editors:

Kim D. Essays in Health Economics. [Doctoral Dissertation]. Brown University; 2012. Available from: https://repository.library.brown.edu/studio/item/bdr:297624/

Boston University

9. Abrahams-Gessel, Shafika. An examination of the ability of community health workers to effectively conduct community-based screening for cardiovascular disease in South Africa, Guatemala, and Mexico.

Degree: Doctor of Public Health, Public Health, 2016, Boston University

URL: http://hdl.handle.net/2144/19526

► BACKGROUND: This study explored training effectiveness for community health workers (CHWs) in a successful intervention in which they conducted primary screening for cardiovascular disease (CVD)… (more)

▼ BACKGROUND: This study explored training effectiveness for community health workers (CHWs) in a successful intervention in which they conducted primary screening for cardiovascular disease (CVD) in low resource settings. Implementation challenges related to scaling were explored with key informants. METHODS: A multiple methods assessment was conducted to: (1) quantitatively assess training effectiveness; (2) qualitatively capture the CHWs’ experience of training; (3) gather feedback from key stakeholders about factors anticipated to impact scaling the intervention to the population level. Change in knowledge levels at three different time points was determined through comparison of group means (ANOVA). The Consolidated Framework for Implementation Research (CFIR) guided the qualitative data collection and analyses, using nVIVO® and Atlas.ti® software, combined with manual coding. RESULTS: Training was effective at increasing content knowledge of CVD and the effect persisted for 3-6 months after completion of field work. CHWs felt empowered by the training and the acquisition of new skills but some expressed their reservations about written tests being used to accurately capture their capabilities. Some supervisors (nurses) perceived CHW training as a threat to their own professional standing while also acknowledging the value CHWs added to health services through their expert community knowledge and connections. CHWs remained frustrated by inadequate and irregular compensation, disrespect from formally trained health professionals, lack of career development pathways, and failure to account for the influence environmental factors – safety, extreme weather, and infrastructure – in workload planning. Key informants raised additional concerns about the negative impact of ineffective government communication regarding CHW programs and policies to communities and key actors in the health care system, including failure to consult key stakeholders, lack of clear role definitions, setting standards for training and performance evaluation, and lack of supervisory mechanisms. The issue of financing for CHW programs was not raised by key informants. CONCLUSIONS: Scaling strategies for successful interventions using CHWs need to be guided by well-designed implementation plans that include proactive, multi-level engagement with communities and health systems, and appropriate evaluation measures tied to health outcomes. Training effectiveness should be evaluated and linked to well-defined outcome measures in CHW’s programs that involve task-shifting.

Subjects/Keywords: Public health; Policy

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APA (6^th Edition):

Abrahams-Gessel, S. (2016). An examination of the ability of community health workers to effectively conduct community-based screening for cardiovascular disease in South Africa, Guatemala, and Mexico. (Doctoral Dissertation). Boston University. Retrieved from http://hdl.handle.net/2144/19526

Chicago Manual of Style (16^th Edition):

Abrahams-Gessel, Shafika. “An examination of the ability of community health workers to effectively conduct community-based screening for cardiovascular disease in South Africa, Guatemala, and Mexico.” 2016. Doctoral Dissertation, Boston University. Accessed March 02, 2021. http://hdl.handle.net/2144/19526.

MLA Handbook (7^th Edition):

Abrahams-Gessel, Shafika. “An examination of the ability of community health workers to effectively conduct community-based screening for cardiovascular disease in South Africa, Guatemala, and Mexico.” 2016. Web. 02 Mar 2021.

Vancouver:

Abrahams-Gessel S. An examination of the ability of community health workers to effectively conduct community-based screening for cardiovascular disease in South Africa, Guatemala, and Mexico. [Internet] [Doctoral dissertation]. Boston University; 2016. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/2144/19526.

Council of Science Editors:

Abrahams-Gessel S. An examination of the ability of community health workers to effectively conduct community-based screening for cardiovascular disease in South Africa, Guatemala, and Mexico. [Doctoral Dissertation]. Boston University; 2016. Available from: http://hdl.handle.net/2144/19526

University of Illinois – Chicago

10. Thornton, Michele. The Role of External Support in Health Insurance Decision-Making Under the Affordable Care Act.

Degree: 2018, University of Illinois – Chicago

URL: http://hdl.handle.net/10027/22603

► Health insurance decision-making in the United States is a challenging process plagued by complex eligibility guidelines, unfamiliar product choices, increasing financial burdens, and an ever-changing… (more)

▼ Health insurance decision-making in the United States is a challenging process plagued by complex eligibility guidelines, unfamiliar product choices, increasing financial burdens, and an ever-changing regulatory environment. The Affordable Care Act (ACA) attempted to increase access to healthcare, in part by alleviating some of the barriers to gaining health insurance coverage. However, complexities persist in health insurance decision-making and enrollment and as a result, many Americans remain uninsured. Further, under a new administration in 2017 we can expect to see yet another revised health insurance landscape for individuals to navigate. This study broadens this growing body of knowledge on the role and mechanisms by which both ACA Navigators and Health Insurance Brokers provide external decision making support in health insurance enrollment and offerings. The key contributions include: the development of a large new primary dataset on ACA Navigators in Illinois and the types of Outreach work they conduct; leverages this complete set of multi-year data by combining it with longitudinal census data to determine Navigator's association with declining uninsurance rates at the community zip code level; and, finally adds the usage of a mixed methods approach to better understand these results and the underlying mechanisms by which health insurance decision support workforces like Navigators and Health Insurance Brokers harness their social capital to improve the uptake of new policy decisions intended to expand insurance coverage. This framework examines the links in the relationship between two core theories often used separately to explain phenomenon in health promotion - Social Capital Theory (Coleman, 1988) and Diffusion of Innovations (Rogers, 1995). The core aims of this study are: 1. Describe the ACA Navigator program funding (nationally), workforce distribution, and outreach activities (Illinois), measured by a newly constructed Navigator Outreach Activity Index. 2. Evaluate the association of the ACA Navigator program funding, workforce distribution and outreach activities with the rate of uninsurance in Illinois and nationally from 2013-2015. 3. Describe and compare a health insurance broker's (the historic health insurance outreach and enrollment workforce) approach to policy and product innovations to that of ACA Navigators. We find that navigator programs are associated with related geographic decreases in uninsurance rates, and it is observed at an even greater magnitude among key sub-populations of interest. Further, we find that both navigators and brokers leverage the three core dimensions of social capital (Cognitive, Relational and Structural) but each, in a way that magnifies their own unique strengths. Further, it appears that to some extent, this ability to leverage social capital on behalf of a client, has a potentially positive relationship with the desired end result - health insurance enrollment by the uninsured in the case of the ACA Navigator; and adoption of employee health… Advisors/Committee Members: Powell, Lisa M (advisor), Calhoun, Elizabeth (committee member), Stiehl, Emily (committee member), Hebert-Beirne, Jennifer (committee member), Brosseau, Lisa (committee member), Powell, Lisa M (chair).

Subjects/Keywords: Health Policy; Health Insurance

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APA (6^th Edition):

Thornton, M. (2018). The Role of External Support in Health Insurance Decision-Making Under the Affordable Care Act. (Thesis). University of Illinois – Chicago. Retrieved from http://hdl.handle.net/10027/22603

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Thornton, Michele. “The Role of External Support in Health Insurance Decision-Making Under the Affordable Care Act.” 2018. Thesis, University of Illinois – Chicago. Accessed March 02, 2021. http://hdl.handle.net/10027/22603.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Thornton, Michele. “The Role of External Support in Health Insurance Decision-Making Under the Affordable Care Act.” 2018. Web. 02 Mar 2021.

Vancouver:

Thornton M. The Role of External Support in Health Insurance Decision-Making Under the Affordable Care Act. [Internet] [Thesis]. University of Illinois – Chicago; 2018. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/10027/22603.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Thornton M. The Role of External Support in Health Insurance Decision-Making Under the Affordable Care Act. [Thesis]. University of Illinois – Chicago; 2018. Available from: http://hdl.handle.net/10027/22603

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Central Florida

11. Rutherford, Ashley. Political, Economic, and Health Determinants of Tuberculosis Incidence.

Degree: 2016, University of Central Florida

URL: https://stars.library.ucf.edu/etd/5645

► The epidemiologic transition has shifted major causes of mortality from infectious disease to chronic disease; however, infectious diseases are again re-emerging as a major global… (more)

Subjects/Keywords: Health Policy; Health Services Administration

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APA (6^th Edition):

Rutherford, A. (2016). Political, Economic, and Health Determinants of Tuberculosis Incidence. (Doctoral Dissertation). University of Central Florida. Retrieved from https://stars.library.ucf.edu/etd/5645

Chicago Manual of Style (16^th Edition):

Rutherford, Ashley. “Political, Economic, and Health Determinants of Tuberculosis Incidence.” 2016. Doctoral Dissertation, University of Central Florida. Accessed March 02, 2021. https://stars.library.ucf.edu/etd/5645.

MLA Handbook (7^th Edition):

Rutherford, Ashley. “Political, Economic, and Health Determinants of Tuberculosis Incidence.” 2016. Web. 02 Mar 2021.

Vancouver:

Rutherford A. Political, Economic, and Health Determinants of Tuberculosis Incidence. [Internet] [Doctoral dissertation]. University of Central Florida; 2016. [cited 2021 Mar 02]. Available from: https://stars.library.ucf.edu/etd/5645.

Council of Science Editors:

Rutherford A. Political, Economic, and Health Determinants of Tuberculosis Incidence. [Doctoral Dissertation]. University of Central Florida; 2016. Available from: https://stars.library.ucf.edu/etd/5645

University of Central Florida

12. Ashley West, Atalie. Interaction Between Income, Health Insurance, and Self-rated Health: A Path Analysis.

Degree: 2018, University of Central Florida

URL: https://stars.library.ucf.edu/etd/6269

► The political focus of equitable health outcomes in the United States have long centered on access to medical care. However, there is compelling evidence that… (more)

Subjects/Keywords: Health Policy; Health Services Administration

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APA (6^th Edition):

Ashley West, A. (2018). Interaction Between Income, Health Insurance, and Self-rated Health: A Path Analysis. (Doctoral Dissertation). University of Central Florida. Retrieved from https://stars.library.ucf.edu/etd/6269

Chicago Manual of Style (16^th Edition):

Ashley West, Atalie. “Interaction Between Income, Health Insurance, and Self-rated Health: A Path Analysis.” 2018. Doctoral Dissertation, University of Central Florida. Accessed March 02, 2021. https://stars.library.ucf.edu/etd/6269.

MLA Handbook (7^th Edition):

Ashley West, Atalie. “Interaction Between Income, Health Insurance, and Self-rated Health: A Path Analysis.” 2018. Web. 02 Mar 2021.

Vancouver:

Ashley West A. Interaction Between Income, Health Insurance, and Self-rated Health: A Path Analysis. [Internet] [Doctoral dissertation]. University of Central Florida; 2018. [cited 2021 Mar 02]. Available from: https://stars.library.ucf.edu/etd/6269.

Council of Science Editors:

Ashley West A. Interaction Between Income, Health Insurance, and Self-rated Health: A Path Analysis. [Doctoral Dissertation]. University of Central Florida; 2018. Available from: https://stars.library.ucf.edu/etd/6269

Portland State University

13. Walker, Elizaveta. Aligning Food Environments with Institutional Values: A Mixed Methods Study of Oregon Health Care Organizations.

Degree: PhD, Health Systems and Policy, 2020, Portland State University

URL: https://pdxscholar.library.pdx.edu/open_access_etds/5621

► A major driver of the obesity epidemic is obesogenic food environments, characterized by nutrient-poor and energy-dense foods that saturate the collective physical, economic and… (more)

▼ A major driver of the obesity epidemic is obesogenic food environments, characterized by nutrient-poor and energy-dense foods that saturate the collective physical, economic and sociocultural conditions that influence nutritional status. Food environments in organizations such as hospitals and public health agencies warrant special consideration given their health-focused mission. Improving food environments within health care settings has been highlighted by the Centers for Disease Control and Prevention (CDC) as one of seven key strategies to prevent obesity. However, most of the refereed literature examining healthy food environment policies (HFEPs) within hospitals focuses on the inpatient dietary environment, leaving a paucity of information on facilitators of or barriers to implementation.This dissertation study sought to examine the relationship between organizational characteristics and the selection, implementation, and outcomes of HFEPs within six health care organizations. The overarching research question was: How does the organizational context of health care organizations affect the implementation process and economic outcomes of healthy food environment policies? Aim 1 sought to qualitatively describe the barriers to and facilitators of implementing HFEPs among two levels of leadership: operational managers and executive leaders. Semi-structured key informant interviews revealed 27 facilitators and 30 barriers cited among ten respondents. Examining leadership perceptions, operational and executive leaders overlapped 44-75% when identifying facilitators but only 33-58% when identifying barriers to HFEP implementation. Aim 2 sought to evaluate the revenue and consumer behavior outcomes of a sugar-sweetened beverage (SSB) ban established within a non-profit regional health care system. Utilizing an interrupted time-series analysis, findings demonstrated no statistically significant decrease in gross monthly sales 6, 12, and 18 months after the ban. Increases in water, juice, coffee and sports drinks sales after the ban indicate that consumer purchasing shifted from SSBs toward healthier options. Despite the continued availability of diet SSBs offered post-ban, monthly SSB sales decreased by a mean of 44.7%. Finally, Aim 3 sought to describe the relationship between organizational contexts and HFEP selection. Findings showcased the spectrum of HFEPs adopted and how organizational contexts presented distinct opportunities and challenges during the implementation process. For example, centralized governance models were effective for HFEP development when coupled with resource commitments but not effective when adverse stakeholders created roadblocks for HFEP opportunities. Sustainability commitments drove HFEP development when coupled with an executive champion; otherwise, such commitments led to staff apathy. Contextual recommendations synthesized the experiences of each organization, noting similarities and differences. Examined together, these three papers provide meaningful theoretical and practical… Advisors/Committee Members: Julia Marie Goodman.

Subjects/Keywords: Health Policy; Public Health

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APA (6^th Edition):

Walker, E. (2020). Aligning Food Environments with Institutional Values: A Mixed Methods Study of Oregon Health Care Organizations. (Doctoral Dissertation). Portland State University. Retrieved from https://pdxscholar.library.pdx.edu/open_access_etds/5621

Chicago Manual of Style (16^th Edition):

Walker, Elizaveta. “Aligning Food Environments with Institutional Values: A Mixed Methods Study of Oregon Health Care Organizations.” 2020. Doctoral Dissertation, Portland State University. Accessed March 02, 2021. https://pdxscholar.library.pdx.edu/open_access_etds/5621.

MLA Handbook (7^th Edition):

Walker, Elizaveta. “Aligning Food Environments with Institutional Values: A Mixed Methods Study of Oregon Health Care Organizations.” 2020. Web. 02 Mar 2021.

Vancouver:

Walker E. Aligning Food Environments with Institutional Values: A Mixed Methods Study of Oregon Health Care Organizations. [Internet] [Doctoral dissertation]. Portland State University; 2020. [cited 2021 Mar 02]. Available from: https://pdxscholar.library.pdx.edu/open_access_etds/5621.

Council of Science Editors:

Walker E. Aligning Food Environments with Institutional Values: A Mixed Methods Study of Oregon Health Care Organizations. [Doctoral Dissertation]. Portland State University; 2020. Available from: https://pdxscholar.library.pdx.edu/open_access_etds/5621

McMaster University

14. Vania, Diana. Feasibility of the Development and Implementation of an Organ Donor Registry in Mumbai, India.

Degree: MSc, 2014, McMaster University

URL: http://hdl.handle.net/11375/14048

►

Background: Organ donation in India is a complex issue due to the country’s large population, diverse religious beliefs and myths surrounding organ donation, varying… (more)

▼

Background: Organ donation in India is a complex issue due to the country’s large population, diverse religious beliefs and myths surrounding organ donation, varying literacy rates, nation-wide focus on disease control, and the commercialization of organs. India has only made marginal steps to address the significant obstacles in order to ensure adequate supplies of organs are available to meet the demand. Purpose: The purpose of this study is to analyze the feasibility of implementing an organ donor registry in Mumbai, India. This is achieved by reviewing current organ donation policies and processes in Mumbai, exploring perceptions of key informants about Indian government health priorities, and identifying possible reasons why the Indian government has not made efforts to increase the deceased donor rate. Methods: This qualitative policy analysis employs semi-structured interviews with physicians, transplant coordinators, and representatives of organ donation advocacy groups in Mumbai to explore key informants’ perceptions about the feasibility of developing and implementing an organ donor registry. The 3-I framework (ideas, interests, and institutions) is used to analyze the results and frame the discussion and their implications. Results: Key informants cite various barriers to the implementation of an organ donor registry in Mumbai, including public misconceptions about organ donation, competing health priorities on the government agenda, and limited hospital infrastructure. Conclusion: In the absence of a focusing event or a policy entrepreneur who is able to push the issue of organ donation onto the health policy agenda, both central and state governments may have little incentive to aggressively pursue the implementation of a donor registry in more than a superficial way. Moreover, even if the issue reached the government’s policy agenda, current barriers may be too overwhelming to overcome. This suggests that implementing an organ donor registry in Mumbai as a means of enhancing organ availability is not feasible in the current environment. Instead, efforts to enhance the transplant system should focus on alternate strategies, such as public education, until the policy environment becomes more amenable to change.

Master of Science (MSc)

Advisors/Committee Members: Randall, Glen, Dobbins, Maureen, Mulvale, Gillian, Global Health.

Subjects/Keywords: organ donation; India; health policy; Health Policy; Health Policy

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APA (6^th Edition):

Vania, D. (2014). Feasibility of the Development and Implementation of an Organ Donor Registry in Mumbai, India. (Masters Thesis). McMaster University. Retrieved from http://hdl.handle.net/11375/14048

Chicago Manual of Style (16^th Edition):

Vania, Diana. “Feasibility of the Development and Implementation of an Organ Donor Registry in Mumbai, India.” 2014. Masters Thesis, McMaster University. Accessed March 02, 2021. http://hdl.handle.net/11375/14048.

MLA Handbook (7^th Edition):

Vania, Diana. “Feasibility of the Development and Implementation of an Organ Donor Registry in Mumbai, India.” 2014. Web. 02 Mar 2021.

Vancouver:

Vania D. Feasibility of the Development and Implementation of an Organ Donor Registry in Mumbai, India. [Internet] [Masters thesis]. McMaster University; 2014. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/11375/14048.

Council of Science Editors:

Vania D. Feasibility of the Development and Implementation of an Organ Donor Registry in Mumbai, India. [Masters Thesis]. McMaster University; 2014. Available from: http://hdl.handle.net/11375/14048

University of Arizona

15. Alsaid, Nimer. Ex Ante Economic Evaluations of Arg389 Genetic Testing and Bucindolol Treatment Decisions in Heart Failure Stage III/IV .

Degree: 2017, University of Arizona

URL: http://hdl.handle.net/10150/626340

► Introduction: Beta-Blocker Evaluation Survival Trial (BEST) sub-analyses indicated a likely interaction between bucindolol and race disadvantaging black heart failure (HF) patients (Domanski J Cardiac Fail… (more)

▼ Introduction: Beta-Blocker Evaluation Survival Trial (BEST) sub-analyses indicated a likely interaction between bucindolol and race disadvantaging black heart failure (HF) patients (Domanski J Cardiac Fail 2003); Arg389 homozygotes having adjusted reductions of 38% in mortality and 34% in mortality/hospitalization over other genotypes (Liggett PNAS 2006). Bucindolol is being evaluated in Arg389 genotype patients in the GENETIC-AF trial (NCT01970501). Objective: To conduct parallel (using Domanski et al and Liggett et al) ex ante economic evaluations of Arg389 genetic testing in stage III/IV HF to support bucindolol treatment decisions (if Arg389-positive) and carvedilol (if Arg389-negative) treatment versus no such testing and empirical bucindolol; using Domanski et al and Liggett et al BEST sub-analyses. Methods: In both Domanski et al and Liggett et al analyses, we used a decision tree model with time horizon of 18 months divided into 3 six-month cycles to estimate the cost-effectiveness and cost-utility of Arg389 genetic testing, considering overall survival (OS) from Domanski et al and Liggett et al BEST sub-analyses. Costs and utilities were retrieved from literature except for assumed cost for bucindolol treatment (1.5x cost of carvedilol) and genetic testing (250). Discount rate was set at 3%/yr. Weibull distributions were fitted to OS data. Life-years (LY) and quality-adjusted life-years (QALY) were used to estimate incremental cost-effectiveness (ICER) and cost-utility ratios (ICUR), and results were validated using probabilistic sensitivity analyses (PSA). Results: In the Domanski et-based analysis, Arg389 genetic testing versus no testing was associated with incremental gains of 0.29LYs and 0.27QALYs at incremental cost of 726; yielding ICER of US2,503/LY and ICUR of US2,688/QALY gained. In the Liggett et al-based analysis, Arg-389 genetic testing versus no testing was associated with incremental gains of 0.35LYs and 0.32QALYs at savings of -1.081; for ICER of -US3,089/LY and ICUR of -US3,378/QALY gained. Both analyses were confirmed in PSAs. Conclusion: Arg389 genetic testing to support bucindolol treatment in stage III/IV HF patients prevails economically over bucindolol treatment without genetic testing due to superior OS. If bucindolol is priced at 1.5x the cost of carvedilol. this economic benefit is likely to disappear if bucindolol and/ or genetic testing are priced higher. The clinical and economic benefits of bucindolol treatment with versus without Arg389 genetic testing versus empiric carvedilol remains to be assessed. Advisors/Committee Members: Abraham, Ivo (advisor), Abraham, Ivo (committeemember), Slack, Marion (committeemember), Sweitzer, Nancy (committeemember), Ramos, Kenneth (committeemember), Erstad, Brian (committeemember).

Subjects/Keywords: Health economics; health outcomes; Health policy

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APA (6^th Edition):

Alsaid, N. (2017). Ex Ante Economic Evaluations of Arg389 Genetic Testing and Bucindolol Treatment Decisions in Heart Failure Stage III/IV . (Masters Thesis). University of Arizona. Retrieved from http://hdl.handle.net/10150/626340

Chicago Manual of Style (16^th Edition):

Alsaid, Nimer. “Ex Ante Economic Evaluations of Arg389 Genetic Testing and Bucindolol Treatment Decisions in Heart Failure Stage III/IV .” 2017. Masters Thesis, University of Arizona. Accessed March 02, 2021. http://hdl.handle.net/10150/626340.

MLA Handbook (7^th Edition):

Alsaid, Nimer. “Ex Ante Economic Evaluations of Arg389 Genetic Testing and Bucindolol Treatment Decisions in Heart Failure Stage III/IV .” 2017. Web. 02 Mar 2021.

Vancouver:

Alsaid N. Ex Ante Economic Evaluations of Arg389 Genetic Testing and Bucindolol Treatment Decisions in Heart Failure Stage III/IV . [Internet] [Masters thesis]. University of Arizona; 2017. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/10150/626340.

Council of Science Editors:

Alsaid N. Ex Ante Economic Evaluations of Arg389 Genetic Testing and Bucindolol Treatment Decisions in Heart Failure Stage III/IV . [Masters Thesis]. University of Arizona; 2017. Available from: http://hdl.handle.net/10150/626340

McMaster University

16. Shearer, Jessica C. Social Networks, Research Evidence, and Innovation in Health Policymaking in Burkina Faso.

Degree: PhD, 2014, McMaster University

URL: http://hdl.handle.net/11375/14094

►

This thesis was successfully defended on January 15, 2014 at McMaster University.

Understanding why policies change is an important pursuit for researchers and… (more)

Subjects/Keywords: Health policy; social network analysis; knowledge translation; evidence-informed health policy; low-income country; policy network; Health Policy; Health Policy

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APA (6^th Edition):

Shearer, J. C. (2014). Social Networks, Research Evidence, and Innovation in Health Policymaking in Burkina Faso. (Doctoral Dissertation). McMaster University. Retrieved from http://hdl.handle.net/11375/14094

Chicago Manual of Style (16^th Edition):

Shearer, Jessica C. “Social Networks, Research Evidence, and Innovation in Health Policymaking in Burkina Faso.” 2014. Doctoral Dissertation, McMaster University. Accessed March 02, 2021. http://hdl.handle.net/11375/14094.

MLA Handbook (7^th Edition):

Shearer, Jessica C. “Social Networks, Research Evidence, and Innovation in Health Policymaking in Burkina Faso.” 2014. Web. 02 Mar 2021.

Vancouver:

Shearer JC. Social Networks, Research Evidence, and Innovation in Health Policymaking in Burkina Faso. [Internet] [Doctoral dissertation]. McMaster University; 2014. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/11375/14094.

Council of Science Editors:

Shearer JC. Social Networks, Research Evidence, and Innovation in Health Policymaking in Burkina Faso. [Doctoral Dissertation]. McMaster University; 2014. Available from: http://hdl.handle.net/11375/14094

Vanderbilt University

17. Ward, Benjamin Charles. Essays on Prescription Drug Policy and Education as Determinants of Health.

Degree: PhD, Economics, 2018, Vanderbilt University

URL: http://hdl.handle.net/1803/12751

► Education and access to legal drugs are two key issues that are influenced by public policy and that may have effects on population health among… (more)

Subjects/Keywords: opioid policy; health policy; education and health; health economics

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APA (6^th Edition):

Ward, B. C. (2018). Essays on Prescription Drug Policy and Education as Determinants of Health. (Doctoral Dissertation). Vanderbilt University. Retrieved from http://hdl.handle.net/1803/12751

Chicago Manual of Style (16^th Edition):

Ward, Benjamin Charles. “Essays on Prescription Drug Policy and Education as Determinants of Health.” 2018. Doctoral Dissertation, Vanderbilt University. Accessed March 02, 2021. http://hdl.handle.net/1803/12751.

MLA Handbook (7^th Edition):

Ward, Benjamin Charles. “Essays on Prescription Drug Policy and Education as Determinants of Health.” 2018. Web. 02 Mar 2021.

Vancouver:

Ward BC. Essays on Prescription Drug Policy and Education as Determinants of Health. [Internet] [Doctoral dissertation]. Vanderbilt University; 2018. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/1803/12751.

Council of Science Editors:

Ward BC. Essays on Prescription Drug Policy and Education as Determinants of Health. [Doctoral Dissertation]. Vanderbilt University; 2018. Available from: http://hdl.handle.net/1803/12751

University of Saskatchewan

18. Wireko, Ishmael. Explaining Radical Change in Ghanaian Health Care Policy.

Degree: 2015, University of Saskatchewan

URL: http://hdl.handle.net/10388/ETD-2015-11-2298

► The existing literature about the causes of welfare state change, including health care reform, emphasizes stability, yet there is evidence of remarkable changes taking place… (more)

▼ The existing literature about the causes of welfare state change, including health care reform, emphasizes stability, yet there is evidence of remarkable changes taking place in welfare systems in much of the developing world. This study analyzes health care reform in Ghana, a country which has experienced significant path-departing changes in just four decades (1957-2003). These changes – the establishment of a National Health Service system with deep (first-dollar) coverage, the introduction of a user-fee system, and the transition to a social health insurance scheme – have been pursued despite key countervailing factors, especially the high political costs associated with them. The study argues that to adequately account for these changes, the policy process should be given special consideration, particularly through the examination of how new policy proposals moved onto the agenda; how they were formulated, adopted, implemented and sustained; and how the reformers managed the entire reform process over time. Based on this analysis, I identified three main interconnected contextual and agential explanatory factors: (a) conjunctural factors, which created windows of opportunity for the changes to occur; (b) policy entrepreneurs, whose leadership, commitment and strategies helped in taking advantage of these opportunities to propel, sponsor, design, adopt, implement and sustain the policy changes; and (c) the concentrated institutional configuration of Ghana, which limited the number and scope of the veto points available to interest groups opposed to the proposed changes. While these three factors contributed to why and how the changes occurred, I identified policy entrepreneurs’ commitment, leadership and strategies, including the feedback effects of those strategies, as the most crucial factors. The study contributes to existing health policy literature by showing how perspectives such as the window of opportunity thesis, the dynamic political process model, the historical institutionalist approach to radical policy change and, finally, the ideational scholarship on framing processes can be combined to enrich our understanding of radical policy change. The study also introduces additional mechanisms of policy change that involve the use of repressive strategies before suggesting some modifications to a number of widely-shared assumptions within the welfare state literature focusing on path dependency, globalization, partisan ideology and vested interests. Advisors/Committee Members: Béland, Daniel, Marchildon, Gregory P., Mou, Haizhen, Newenham-Kahindi, Newenham-Kahindi.

Subjects/Keywords: Policy change; health policy; health politics; Ghana health

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APA (6^th Edition):

Wireko, I. (2015). Explaining Radical Change in Ghanaian Health Care Policy. (Thesis). University of Saskatchewan. Retrieved from http://hdl.handle.net/10388/ETD-2015-11-2298

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Wireko, Ishmael. “Explaining Radical Change in Ghanaian Health Care Policy.” 2015. Thesis, University of Saskatchewan. Accessed March 02, 2021. http://hdl.handle.net/10388/ETD-2015-11-2298.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Wireko, Ishmael. “Explaining Radical Change in Ghanaian Health Care Policy.” 2015. Web. 02 Mar 2021.

Vancouver:

Wireko I. Explaining Radical Change in Ghanaian Health Care Policy. [Internet] [Thesis]. University of Saskatchewan; 2015. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/10388/ETD-2015-11-2298.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Wireko I. Explaining Radical Change in Ghanaian Health Care Policy. [Thesis]. University of Saskatchewan; 2015. Available from: http://hdl.handle.net/10388/ETD-2015-11-2298

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

19. Lucero, Luisa M. Obesity Policy Stringency Over Time: A Four State Policy Design.

Degree: PhD, School of Public Service, 2017, Old Dominion University

URL: 9780355409260 ; https://digitalcommons.odu.edu/publicservice_etds/6

► Over the past several decades obesity rates in the United States have increased exponentially, reaching epidemic proportions and placing heavy financial and health-related burdens… (more)

Subjects/Keywords: Obesity policy stringency; Policy design; State-level policy; Health Policy; Public Administration; Public Policy

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APA (6^th Edition):

Lucero, L. M. (2017). Obesity Policy Stringency Over Time: A Four State Policy Design. (Doctoral Dissertation). Old Dominion University. Retrieved from 9780355409260 ; https://digitalcommons.odu.edu/publicservice_etds/6

Chicago Manual of Style (16^th Edition):

Lucero, Luisa M. “Obesity Policy Stringency Over Time: A Four State Policy Design.” 2017. Doctoral Dissertation, Old Dominion University. Accessed March 02, 2021. 9780355409260 ; https://digitalcommons.odu.edu/publicservice_etds/6.

MLA Handbook (7^th Edition):

Lucero, Luisa M. “Obesity Policy Stringency Over Time: A Four State Policy Design.” 2017. Web. 02 Mar 2021.

Vancouver:

Lucero LM. Obesity Policy Stringency Over Time: A Four State Policy Design. [Internet] [Doctoral dissertation]. Old Dominion University; 2017. [cited 2021 Mar 02]. Available from: 9780355409260 ; https://digitalcommons.odu.edu/publicservice_etds/6.

Council of Science Editors:

Lucero LM. Obesity Policy Stringency Over Time: A Four State Policy Design. [Doctoral Dissertation]. Old Dominion University; 2017. Available from: 9780355409260 ; https://digitalcommons.odu.edu/publicservice_etds/6

McMaster University

20. Li, Kathy K. The Use of Public Involvement in Canadian Health Policy Decision-Making.

Degree: PhD, 2013, McMaster University

URL: http://hdl.handle.net/11375/13454

►

In this age of accountability, responsiveness, and transparency, governments are increasingly pressured to develop ways to demonstrate the value of public involvement in policy… (more)

▼

In this age of accountability, responsiveness, and transparency, governments are increasingly pressured to develop ways to demonstrate the value of public involvement in policy decision-making. Yet the extent to which policy decisions actually reflect citizens’ views and input from public involvement processes remains relatively unknown. The main purpose of my dissertation is to examine the internal dynamics of how public involvement is used in the health policy decision-making process. It is guided by two research questions: i) How is public involvement used in the health policy decision-making process; and ii) What factors influence the use of public involvement in the health policy decision-making process? These questions are explored through three independent but complementary studies: i) through a concept analysis, to clarify the concept of public involvement use in health policy decision-making; ii) through a document analysis, to examine the values and assumptions that underpin current and proposed relationships between publics and government, how these have evolved over time, and the meaning of public involvement itself; and iii) through a literature review and key informant interviews, to identify the range of factors influencing the nature of how public involvement is used. The concept of public involvement use, as presented in this thesis, is a complex concept that may be understood, interpreted and operationalized through three interrelated questions: What is the meaning of use in relation to other similar concepts? What is public involvement used for? And, how do we know public involvement was used in health policy decision-making? The results of this dissertation also reveal numerous tensions that characterize the dynamics of how public involvement is used in policy decision-making. Taken together, the three studies provide insights into ways in which public administrators and policy decision-makers could respond to calls for greater accountability and transparency regarding the use of public involvement in policy decision-making.

Doctor of Philosophy (PhD)

Advisors/Committee Members: Abelson, Julia, Mita Giacomini and Damien Contandriopoulos, Health Policy.

Subjects/Keywords: public involvement; use; health policy; decision-making; accountability; Canada; Health Policy; Health Policy

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Li, K. K. (2013). The Use of Public Involvement in Canadian Health Policy Decision-Making. (Doctoral Dissertation). McMaster University. Retrieved from http://hdl.handle.net/11375/13454

Chicago Manual of Style (16^th Edition):

Li, Kathy K. “The Use of Public Involvement in Canadian Health Policy Decision-Making.” 2013. Doctoral Dissertation, McMaster University. Accessed March 02, 2021. http://hdl.handle.net/11375/13454.

MLA Handbook (7^th Edition):

Li, Kathy K. “The Use of Public Involvement in Canadian Health Policy Decision-Making.” 2013. Web. 02 Mar 2021.

Vancouver:

Li KK. The Use of Public Involvement in Canadian Health Policy Decision-Making. [Internet] [Doctoral dissertation]. McMaster University; 2013. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/11375/13454.

Council of Science Editors:

Li KK. The Use of Public Involvement in Canadian Health Policy Decision-Making. [Doctoral Dissertation]. McMaster University; 2013. Available from: http://hdl.handle.net/11375/13454

Universiteit Utrecht

21. Cairoli, E. Medicalisation of childbirth in maternity health policies: Ethical evaluation of the use of medicalisation in the Dutch and British maternity policies.

Degree: 2010, Universiteit Utrecht

URL: http://dspace.library.uu.nl:8080/handle/1874/40306

► This thesis explores the ethical justifiability of medicalisation of childbirth in maternity health policies. This is done by setting a case study on the Dutch… (more)

Subjects/Keywords: Wijsbegeerte; Medicalisation, childbirth, health policy

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APA (6^th Edition):

Cairoli, E. (2010). Medicalisation of childbirth in maternity health policies: Ethical evaluation of the use of medicalisation in the Dutch and British maternity policies. (Masters Thesis). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/40306

Chicago Manual of Style (16^th Edition):

Cairoli, E. “Medicalisation of childbirth in maternity health policies: Ethical evaluation of the use of medicalisation in the Dutch and British maternity policies.” 2010. Masters Thesis, Universiteit Utrecht. Accessed March 02, 2021. http://dspace.library.uu.nl:8080/handle/1874/40306.

MLA Handbook (7^th Edition):

Cairoli, E. “Medicalisation of childbirth in maternity health policies: Ethical evaluation of the use of medicalisation in the Dutch and British maternity policies.” 2010. Web. 02 Mar 2021.

Vancouver:

Cairoli E. Medicalisation of childbirth in maternity health policies: Ethical evaluation of the use of medicalisation in the Dutch and British maternity policies. [Internet] [Masters thesis]. Universiteit Utrecht; 2010. [cited 2021 Mar 02]. Available from: http://dspace.library.uu.nl:8080/handle/1874/40306.

Council of Science Editors:

Cairoli E. Medicalisation of childbirth in maternity health policies: Ethical evaluation of the use of medicalisation in the Dutch and British maternity policies. [Masters Thesis]. Universiteit Utrecht; 2010. Available from: http://dspace.library.uu.nl:8080/handle/1874/40306

The George Washington University

22. Kurtzman, Ellen T. Delivery of High Quality Primary Care in Community Health Centers| The Role of Nurse Practitioners and State Scope of Practice Restrictions.

Degree: 2016, The George Washington University

URL: http://pqdtopen.proquest.com/#viewpdf?dispub=3746006

► In response to the increased demand for primary care in the United States—a byproduct of a growing elderly population and insurance expansion under the… (more)

Subjects/Keywords: Nursing; Public health; Public policy

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APA (6^th Edition):

Kurtzman, E. T. (2016). Delivery of High Quality Primary Care in Community Health Centers| The Role of Nurse Practitioners and State Scope of Practice Restrictions. (Thesis). The George Washington University. Retrieved from http://pqdtopen.proquest.com/#viewpdf?dispub=3746006

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Kurtzman, Ellen T. “Delivery of High Quality Primary Care in Community Health Centers| The Role of Nurse Practitioners and State Scope of Practice Restrictions.” 2016. Thesis, The George Washington University. Accessed March 02, 2021. http://pqdtopen.proquest.com/#viewpdf?dispub=3746006.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Kurtzman, Ellen T. “Delivery of High Quality Primary Care in Community Health Centers| The Role of Nurse Practitioners and State Scope of Practice Restrictions.” 2016. Web. 02 Mar 2021.

Vancouver:

Kurtzman ET. Delivery of High Quality Primary Care in Community Health Centers| The Role of Nurse Practitioners and State Scope of Practice Restrictions. [Internet] [Thesis]. The George Washington University; 2016. [cited 2021 Mar 02]. Available from: http://pqdtopen.proquest.com/#viewpdf?dispub=3746006.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Kurtzman ET. Delivery of High Quality Primary Care in Community Health Centers| The Role of Nurse Practitioners and State Scope of Practice Restrictions. [Thesis]. The George Washington University; 2016. Available from: http://pqdtopen.proquest.com/#viewpdf?dispub=3746006

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

The George Washington University

23. Levant, Shaleah. Essays on Community Characteristics Associated with Potentially Preventable Hospitalizations.

Degree: 2016, The George Washington University

URL: http://pqdtopen.proquest.com/#viewpdf?dispub=10001626

► Adequate access to primary care is an integral part of any health care system. One indicator for access outcomes is potentially preventable hospitalizations (PPH),… (more)

▼ Adequate access to primary care is an integral part of any health care system. One indicator for access outcomes is potentially preventable hospitalizations (PPH), i.e., a hospitalization that occurs when a patient is hospitalized for an ambulatory care sensitive condition (ACSC). PPHs are of interest because the additional costs of caring for a patient in a hospital with an ACSC, as opposed to in a primary care setting, are substantial, for patients, payers, and hospitals. Identifying the factors associated with PPH will aid in policymaking, improve access to care, and reduce the burden on the health care system. To address the gaps in the literature, I analyze how community-level access to care resources and state policies are associated with PPH using nationally representative data, while controlling for individual patient characteristics and community-level demographics. Multiple publicly available and restricted use data sources are linked to create a comprehensive data set that is used to investigate the relationship between PPH rates and community access to care factors. The dissertation addresses the following three objectives: (1) To determine the association between state Medicaid policies and the odds of a potentially preventable hospitalization; (2) To assess how primary care capacity and the odds of a potentially preventable hospitalization varies across the urbanization spectrum; and (3) To assess how primary care capacity and the odds of PPH varies for chronic and acute ACSCs. The findings are summarized below: - An analysis of state Medicaid policies does not find any significant associations between the odds of PPH and Medicaid generosity index and managed care penetration. - Primary care physician supply and the presence of a federally qualified health center are associated with a lower odds of PPH across the urbanization spectrum. - Physician supply, primary care and specialist, is associated with a lower odds of PPH for chronic ACSCs, while nurse practitioner and physician assistant supply is associated with a lower odds of PPH for acute ACSCs. The presence of a federally qualified health center is associated with lower odds of PPH for both chronic and acute ACSCs.

Subjects/Keywords: Public health; Public policy

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Levant, S. (2016). Essays on Community Characteristics Associated with Potentially Preventable Hospitalizations. (Thesis). The George Washington University. Retrieved from http://pqdtopen.proquest.com/#viewpdf?dispub=10001626

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Levant, Shaleah. “Essays on Community Characteristics Associated with Potentially Preventable Hospitalizations.” 2016. Thesis, The George Washington University. Accessed March 02, 2021. http://pqdtopen.proquest.com/#viewpdf?dispub=10001626.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Levant, Shaleah. “Essays on Community Characteristics Associated with Potentially Preventable Hospitalizations.” 2016. Web. 02 Mar 2021.

Vancouver:

Levant S. Essays on Community Characteristics Associated with Potentially Preventable Hospitalizations. [Internet] [Thesis]. The George Washington University; 2016. [cited 2021 Mar 02]. Available from: http://pqdtopen.proquest.com/#viewpdf?dispub=10001626.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Levant S. Essays on Community Characteristics Associated with Potentially Preventable Hospitalizations. [Thesis]. The George Washington University; 2016. Available from: http://pqdtopen.proquest.com/#viewpdf?dispub=10001626

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

24. Buker, Macey. Relationship Between Health Care Costs and Type of Insurance.

Degree: 2017, Walden University

URL: http://pqdtopen.proquest.com/#viewpdf?dispub=10634995

► Continued escalation in health care expenditures in the United States has led to an unsustainable model that consumes almost 20% of GDP. Policymakers have… (more)

Subjects/Keywords: Public policy; Health care management

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Buker, M. (2017). Relationship Between Health Care Costs and Type of Insurance. (Thesis). Walden University. Retrieved from http://pqdtopen.proquest.com/#viewpdf?dispub=10634995

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Buker, Macey. “Relationship Between Health Care Costs and Type of Insurance.” 2017. Thesis, Walden University. Accessed March 02, 2021. http://pqdtopen.proquest.com/#viewpdf?dispub=10634995.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Buker, Macey. “Relationship Between Health Care Costs and Type of Insurance.” 2017. Web. 02 Mar 2021.

Vancouver:

Buker M. Relationship Between Health Care Costs and Type of Insurance. [Internet] [Thesis]. Walden University; 2017. [cited 2021 Mar 02]. Available from: http://pqdtopen.proquest.com/#viewpdf?dispub=10634995.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Buker M. Relationship Between Health Care Costs and Type of Insurance. [Thesis]. Walden University; 2017. Available from: http://pqdtopen.proquest.com/#viewpdf?dispub=10634995

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Rochester Institute of Technology

25. Gatley, Samuel. The Impact of Prescription Drug Monitoring Programs on the Dynamics of the Opioid Epidemic.

Degree: 2017, Rochester Institute of Technology

URL: http://pqdtopen.proquest.com/#viewpdf?dispub=10261352

► The forces driving the prescription opioid epidemic currently raging across the United States include aggressive marketing, weak regulation, addiction, freely prescribing doctors, a glut… (more)

Subjects/Keywords: Public health; Public policy; Epidemiology

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APA (6^th Edition):

Gatley, S. (2017). The Impact of Prescription Drug Monitoring Programs on the Dynamics of the Opioid Epidemic. (Thesis). Rochester Institute of Technology. Retrieved from http://pqdtopen.proquest.com/#viewpdf?dispub=10261352

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Gatley, Samuel. “The Impact of Prescription Drug Monitoring Programs on the Dynamics of the Opioid Epidemic.” 2017. Thesis, Rochester Institute of Technology. Accessed March 02, 2021. http://pqdtopen.proquest.com/#viewpdf?dispub=10261352.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Gatley, Samuel. “The Impact of Prescription Drug Monitoring Programs on the Dynamics of the Opioid Epidemic.” 2017. Web. 02 Mar 2021.

Vancouver:

Gatley S. The Impact of Prescription Drug Monitoring Programs on the Dynamics of the Opioid Epidemic. [Internet] [Thesis]. Rochester Institute of Technology; 2017. [cited 2021 Mar 02]. Available from: http://pqdtopen.proquest.com/#viewpdf?dispub=10261352.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Gatley S. The Impact of Prescription Drug Monitoring Programs on the Dynamics of the Opioid Epidemic. [Thesis]. Rochester Institute of Technology; 2017. Available from: http://pqdtopen.proquest.com/#viewpdf?dispub=10261352

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universidade Estadual de Campinas

26. Bugês, Andréa Ferreira Caria, 1966-. Estudo quantitativo e qualitativo do fluxo de acesso à assistência a saúde através da central de regulação de leitos de macrorregional do norte do Estado do Paraná: Quantitative and qualitative study of the influx of access to health assistance through the hospital beds center of the macro region of the State of Paraná.

Degree: 2014, Universidade Estadual de Campinas

URL: http://repositorio.unicamp.br/jspui/handle/REPOSIP/290111

► Abstract: The Unified Health System (SUS) aims to provide universal access, effective care and quality in health care services and to meet the health needs… (more)

▼ Abstract: The Unified Health System (SUS) aims to provide universal access, effective care and quality in health care services and to meet the health needs of the Brazilian population. To this end, mechanisms are operated, such as public health regulation, which controls the balance between the supply of services and the demand of users, with the purpose of correcting market failures and promoting social welfare. The present study identified, through a quantitative and qualitative analysis, obstructions to the access in hospital assistance of medium and high complexity, by investigating macro-regional Macro Norte's hospital beds center, and was conducted in two stages. In the first stage (quantitative), data were collected from the hospital beds center of Macro-Norte, with soliciting municipality, performing municipality and executing region, used accommodations and performed access. By analysing quantitative data, the second stage of the study (qualitative) was carried out, which consisted of interviews with municipal and state supervisors of Macro Norte, based on two semi-structured questions, in which the obstacles in promoting access were indicated. In the first part, it was verified that 11% of registered cases had not been regulated and that the access had been denied by providers to 36%. It was confirmed that performance and bed accommodation were different in each health regulation's region. In the qualitative stage of the research, failures were pointed out, such as deficient attendance infrastructure, frailty in contracts between providers and with supervisors, vulnerability of health assistance networks, the role of regulation in promoting access and interference in regulatory actions. In conclusion, Macro North has been serving the purposes of meeting demand spontaneously by providing access to users at emergency times, despite not being able to deliver maximum and optimized performance for being obstructed by organizational and structural problems Advisors/Committee Members: UNIVERSIDADE ESTADUAL DE CAMPINAS (CRUESP), Pereira, Antonio Carlos, 1967- (advisor), Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba (institution), Programa de Pós-Graduação em Odontologia em Saúde Coletiva (nameofprogram), Harmitt, Débora Dias da Silva (committee member), Peres, Sílvia Helena de Carvalho Sales (committee member).

Subjects/Keywords: Política de saúde; Health policy

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Bugês, Andréa Ferreira Caria, 1. (2014). Estudo quantitativo e qualitativo do fluxo de acesso à assistência a saúde através da central de regulação de leitos de macrorregional do norte do Estado do Paraná: Quantitative and qualitative study of the influx of access to health assistance through the hospital beds center of the macro region of the State of Paraná. (Thesis). Universidade Estadual de Campinas. Retrieved from http://repositorio.unicamp.br/jspui/handle/REPOSIP/290111

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Bugês, Andréa Ferreira Caria, 1966-. “Estudo quantitativo e qualitativo do fluxo de acesso à assistência a saúde através da central de regulação de leitos de macrorregional do norte do Estado do Paraná: Quantitative and qualitative study of the influx of access to health assistance through the hospital beds center of the macro region of the State of Paraná.” 2014. Thesis, Universidade Estadual de Campinas. Accessed March 02, 2021. http://repositorio.unicamp.br/jspui/handle/REPOSIP/290111.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Bugês, Andréa Ferreira Caria, 1966-. “Estudo quantitativo e qualitativo do fluxo de acesso à assistência a saúde através da central de regulação de leitos de macrorregional do norte do Estado do Paraná: Quantitative and qualitative study of the influx of access to health assistance through the hospital beds center of the macro region of the State of Paraná.” 2014. Web. 02 Mar 2021.

Vancouver:

Bugês, Andréa Ferreira Caria 1. Estudo quantitativo e qualitativo do fluxo de acesso à assistência a saúde através da central de regulação de leitos de macrorregional do norte do Estado do Paraná: Quantitative and qualitative study of the influx of access to health assistance through the hospital beds center of the macro region of the State of Paraná. [Internet] [Thesis]. Universidade Estadual de Campinas; 2014. [cited 2021 Mar 02]. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/290111.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Bugês, Andréa Ferreira Caria 1. Estudo quantitativo e qualitativo do fluxo de acesso à assistência a saúde através da central de regulação de leitos de macrorregional do norte do Estado do Paraná: Quantitative and qualitative study of the influx of access to health assistance through the hospital beds center of the macro region of the State of Paraná. [Thesis]. Universidade Estadual de Campinas; 2014. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/290111

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Saskatchewan

27. Deutscher, Mary Kathleen 1985-. Clear Policy, Clear Conscience.

Degree: 2016, University of Saskatchewan

URL: http://hdl.handle.net/10388/7481

► The creation of policies to mediate conscientious disagreements between healthcare professionals and those they serve presents a unique challenge for Canadian policy makers. As policies… (more)

Subjects/Keywords: Conscience; Palliative Care; Health Policy

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APA (6^th Edition):

Deutscher, M. K. 1. (2016). Clear Policy, Clear Conscience. (Thesis). University of Saskatchewan. Retrieved from http://hdl.handle.net/10388/7481

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Deutscher, Mary Kathleen 1985-. “Clear Policy, Clear Conscience.” 2016. Thesis, University of Saskatchewan. Accessed March 02, 2021. http://hdl.handle.net/10388/7481.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Deutscher, Mary Kathleen 1985-. “Clear Policy, Clear Conscience.” 2016. Web. 02 Mar 2021.

Vancouver:

Deutscher MK1. Clear Policy, Clear Conscience. [Internet] [Thesis]. University of Saskatchewan; 2016. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/10388/7481.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Deutscher MK1. Clear Policy, Clear Conscience. [Thesis]. University of Saskatchewan; 2016. Available from: http://hdl.handle.net/10388/7481

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

McMaster University

28. Moat, Kaelan A. EVIDENCE BRIEFS AS A MECHANISM FOR KNOWLEDGE TRANSFER AND EXCHANGE: ASSESSING VIEWS ABOUT, EXPERIENCES WITH, AND INFLUENCES OF POLICY-RELEVANT RESEARCH SYNTHESES IN LOW- AND MIDDLE-INCOME COUNTRIES.

Degree: PhD, 2014, McMaster University

URL: http://hdl.handle.net/11375/13903

►

Evidence briefs are an innovative and promising approach to synthesizing the best available research evidence to support evidence-informed health policymaking in low- and middle-income… (more)

▼

Evidence briefs are an innovative and promising approach to synthesizing the best available research evidence to support evidence-informed health policymaking in low- and middle-income countries. Unfortunately, despite their increased use, little work has been undertaken to understand how the contexts in which briefs are prepared and the issues that they address influence the ways in which policymakers and stakeholders view them. Furthermore, there have been few efforts to determine whether and how evidence briefs influence the policy processes related to the priority policy issues for which they are prepared. This thesis begins to address these issues through four manuscripts that use a range of methods and approaches to develop a deeper understanding of briefs and their use, as well as the ways in which they can be evaluated in low- and middle-income countries. Taken together the chapters present: 1) the development of a theoretical framework through a systematic review that highlights how factors related to contexts and issues can influence policymakers’ and stakeholders’ views about evidence briefs and their design features; 2) results from a survey conducted across six countries that provide insights into how policymakers, stakeholders and researchers who have read evidence briefs view them and their design features; 3) an approach to operationalizing factors related to contexts and issues as variables for use in quantitative analyses of evidence briefs; and 4) four case studies that explain how evidence briefs prepared for priority policy issues in low- and middle-income countries influenced the policy processes related to these issues. These chapters constitute substantive, methodological and disciplinary contributions to the field of health systems research, and in particular about how to support its use in efforts to strengthen health systems. They also support the continued use and evaluation of evidence briefs in efforts to strengthen health systems in low- and middle-income countries.

Doctor of Philosophy (PhD)

Advisors/Committee Members: Lavis, John N., Clinical Epidemiology/Clinical Epidemiology & Biostatistics.

Subjects/Keywords: health policy; health systems; policy analysis; knowledge translation; Health Policy; Knowledge Translation; Other Political Science; Health Policy

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APA (6^th Edition):

Moat, K. A. (2014). EVIDENCE BRIEFS AS A MECHANISM FOR KNOWLEDGE TRANSFER AND EXCHANGE: ASSESSING VIEWS ABOUT, EXPERIENCES WITH, AND INFLUENCES OF POLICY-RELEVANT RESEARCH SYNTHESES IN LOW- AND MIDDLE-INCOME COUNTRIES. (Doctoral Dissertation). McMaster University. Retrieved from http://hdl.handle.net/11375/13903

Chicago Manual of Style (16^th Edition):

Moat, Kaelan A. “EVIDENCE BRIEFS AS A MECHANISM FOR KNOWLEDGE TRANSFER AND EXCHANGE: ASSESSING VIEWS ABOUT, EXPERIENCES WITH, AND INFLUENCES OF POLICY-RELEVANT RESEARCH SYNTHESES IN LOW- AND MIDDLE-INCOME COUNTRIES.” 2014. Doctoral Dissertation, McMaster University. Accessed March 02, 2021. http://hdl.handle.net/11375/13903.

MLA Handbook (7^th Edition):

Moat, Kaelan A. “EVIDENCE BRIEFS AS A MECHANISM FOR KNOWLEDGE TRANSFER AND EXCHANGE: ASSESSING VIEWS ABOUT, EXPERIENCES WITH, AND INFLUENCES OF POLICY-RELEVANT RESEARCH SYNTHESES IN LOW- AND MIDDLE-INCOME COUNTRIES.” 2014. Web. 02 Mar 2021.

Vancouver:

Moat KA. EVIDENCE BRIEFS AS A MECHANISM FOR KNOWLEDGE TRANSFER AND EXCHANGE: ASSESSING VIEWS ABOUT, EXPERIENCES WITH, AND INFLUENCES OF POLICY-RELEVANT RESEARCH SYNTHESES IN LOW- AND MIDDLE-INCOME COUNTRIES. [Internet] [Doctoral dissertation]. McMaster University; 2014. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/11375/13903.

Council of Science Editors:

Moat KA. EVIDENCE BRIEFS AS A MECHANISM FOR KNOWLEDGE TRANSFER AND EXCHANGE: ASSESSING VIEWS ABOUT, EXPERIENCES WITH, AND INFLUENCES OF POLICY-RELEVANT RESEARCH SYNTHESES IN LOW- AND MIDDLE-INCOME COUNTRIES. [Doctoral Dissertation]. McMaster University; 2014. Available from: http://hdl.handle.net/11375/13903

McMaster University

29. Bullock, Heather L. How do systems achieve their goals? The role of implementation in mental health systems improvement.

Degree: PhD, 2019, McMaster University

URL: http://hdl.handle.net/11375/24820

►

Effectively addressing mental health and substance use problems are important challenges faced globally. People experiencing such problems encounter many societal barriers that can affect their… (more)

▼

Effectively addressing mental health and substance use problems are important challenges faced globally. People experiencing such problems encounter many societal barriers that can affect their ability to participate as full members of society and have life expectancies much shorter than the general population. Policies to address mental health and substance use problems require the mobilization of multiple sectors, such as health, education, and justice. While there is strong evidence for programs and services that work, and there are policy directions aimed at achieving better service experiences and improved health and social outcomes, there is a lack of knowledge about how to get these policies and programs embedded effectively into daily practice – a process called implementation. The objective of this dissertation is to advance the understanding of implementation strategies for addressing such complex challenges through five original scientific contributions. The first is a critical interpretive synthesis of existing literature to generate a theoretical framework of the implementation process from the perspective of a policy goal by integrating findings from the public policy, implementation science and knowledge translation fields. Next is a two-part comparative case study exploring how policy implementation was structured and the strategies used in large, well-developed mental health systems. Last is a two-part in-depth examination of mental health policy implementation efforts in Ontario, Canada, beginning with an analysis of the development and implementation of the province’s mental health strategy, followed by an examination of the role that citizens and other stakeholder groups played in its implementation. Together these studies contribute theoretical, substantive and methodological insights toward understanding the effective implementation of policy directions for complex social challenges. Better implementation means more citizens can benefit from effective policies and programs that are needed across populations.

Thesis

Doctor of Philosophy (PhD)

People with mental health and substance use problems face many barriers that can affect their ability to participate in society. In order to make a positive impact on mental health, changes need to be made in a number of different areas such as health, education and justice. There is now research evidence about programs and policies that are effective, but there is a lack of understanding of how to get those changes into policy and practice so that people can benefit from them – a process called implementation. This thesis answers questions about implementation in mental health systems to help fill this gap. It contributes: 1) a new theory of implementation from the perspective of a policy goal; 2) insights about the infrastructure needed to support large-scale implementation; and 3) an understanding of how citizens and other stakeholders contribute to implementation by examining Ontario’s mental health and addictions strategy.

Advisors/Committee Members: Lavis, John N, Health Policy.

Subjects/Keywords: implementation; mental health; policy

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Bullock, H. L. (2019). How do systems achieve their goals? The role of implementation in mental health systems improvement. (Doctoral Dissertation). McMaster University. Retrieved from http://hdl.handle.net/11375/24820

Chicago Manual of Style (16^th Edition):

Bullock, Heather L. “How do systems achieve their goals? The role of implementation in mental health systems improvement.” 2019. Doctoral Dissertation, McMaster University. Accessed March 02, 2021. http://hdl.handle.net/11375/24820.

MLA Handbook (7^th Edition):

Bullock, Heather L. “How do systems achieve their goals? The role of implementation in mental health systems improvement.” 2019. Web. 02 Mar 2021.

Vancouver:

Bullock HL. How do systems achieve their goals? The role of implementation in mental health systems improvement. [Internet] [Doctoral dissertation]. McMaster University; 2019. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/11375/24820.

Council of Science Editors:

Bullock HL. How do systems achieve their goals? The role of implementation in mental health systems improvement. [Doctoral Dissertation]. McMaster University; 2019. Available from: http://hdl.handle.net/11375/24820

McMaster University

30. Yu, Ellie. ASSESSING IMPACTS OF SOCIALLY-MIXED PUBLIC HOUSING REVITALIZATION ON CHILDREN AND FAMILIES.

Degree: PhD, 2019, McMaster University

URL: http://hdl.handle.net/11375/25066

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The negative social and health impacts of living in areas of concentrated poverty have been demonstrated in numerous studies. Residents of old public housing estates… (more)

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The negative social and health impacts of living in areas of concentrated poverty have been demonstrated in numerous studies. Residents of old public housing estates experience higher levels of delinquent behaviour and health risks. As a remedy to the challenges associated with living in concentrated poverty, initiatives have been undertaken to ‘revitalize’ such neighbourhoods and at the same time change the population composition to achieve greater social mix. Socially-mixed public housing revitalization initiatives have been widely implemented in the United States, the United Kingdom, the Netherlands, and Australia to improve the living conditions in public housing estates and the well-being of public housing residents. Despite its wide implementation, empirical results on the effect of such initiatives have been inconsistent. Further, very few research efforts have been dedicated to looking at outcomes of children and families. This dissertation consists of three unique mixed-method studies to investigate whether socially-mixed public housing revitalization, through the process of physical and social reconstruction, could improve the health and wellbeing of disadvantaged children and families. The first study is a quantitative analysis on the effect of the Regent Park Revitalization Project – a socially-mixed public housing revitalization initiative – on child mental health outcomes. The second study is a qualitative analysis to investigate the scholarly consensus on the purported mechanisms of socially-mixed public housing revitalization initiatives and their expert opinion on contextual factors and program components that trigger these mechanisms through stakeholder interviews. The third study is a realist synthesis that systematically reviewed the evidence regarding effects of socially-mixed public housing revitalization initiatives on the health and well-being of low-income children and families. Together, these three studies contributed new knowledge on how socially-mixed public housing revitalizations, through changes to the social and the physical environments of the neighbourhood, reduce health inequalities and improve the life trajectories of low-income children and families.

Dissertation

Doctor of Philosophy (PhD)

Public housing developments built in the middle of the 20th century created large spatially-concentrated pockets of poverty in hundreds of cities worldwide. Over the past 20 years, cities in several countries have sought to redevelop, or revitalize public housing by demolishing the existing housing and building mixed income communities. These mixed communities are built to deliberately promote, sustain, and manage, social inclusion in a community of social integration for disadvantaged groups within society. The goal of this dissertation is to better understand how socially-mixed public housing revitalization operate and produce results for disadvantaged children and families. Three original studies were conducted, which provided unique empirical analyses on: 1) the impact of the…

Advisors/Committee Members: Dunn, James, Health Policy.

Subjects/Keywords: health policy; social mix

Record Details Similar Records Cite « Share

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Yu, E. (2019). ASSESSING IMPACTS OF SOCIALLY-MIXED PUBLIC HOUSING REVITALIZATION ON CHILDREN AND FAMILIES. (Doctoral Dissertation). McMaster University. Retrieved from http://hdl.handle.net/11375/25066

Chicago Manual of Style (16^th Edition):

Yu, Ellie. “ASSESSING IMPACTS OF SOCIALLY-MIXED PUBLIC HOUSING REVITALIZATION ON CHILDREN AND FAMILIES.” 2019. Doctoral Dissertation, McMaster University. Accessed March 02, 2021. http://hdl.handle.net/11375/25066.

MLA Handbook (7^th Edition):

Yu, Ellie. “ASSESSING IMPACTS OF SOCIALLY-MIXED PUBLIC HOUSING REVITALIZATION ON CHILDREN AND FAMILIES.” 2019. Web. 02 Mar 2021.

Vancouver:

Yu E. ASSESSING IMPACTS OF SOCIALLY-MIXED PUBLIC HOUSING REVITALIZATION ON CHILDREN AND FAMILIES. [Internet] [Doctoral dissertation]. McMaster University; 2019. [cited 2021 Mar 02]. Available from: http://hdl.handle.net/11375/25066.

Council of Science Editors:

Yu E. ASSESSING IMPACTS OF SOCIALLY-MIXED PUBLIC HOUSING REVITALIZATION ON CHILDREN AND FAMILIES. [Doctoral Dissertation]. McMaster University; 2019. Available from: http://hdl.handle.net/11375/25066

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Open Access Theses and Dissertations