A critical component in diabetes management is diabetes self-management education (DSME). Additionally, poor self-management behavior and negative health outcomes are associated with participants that do not complete diabetes education (Gurdiacci et al., 2007). Despite the widespread use of DSME, many do not obtain the wide range of benefits these programs...
The enactment of the Patient Protection and Affordable Care Act (ACA) can be considered an important policy intervention in the context of the U.S. health care. The ACA supported non-elderly adults to obtain health insurance coverage. While Medicare provided health insurance to almost all elderly-adults (persons over 65), the ACA...
In 2012, Oregon began it enrolling its Medicaid beneficiaries in an accountable care model called Coordinated Care Organizations (CCOs). As one of the of the earliest state-wide efforts to implement this type of healthcare reform among Medicaid enrollees, and thus one of the most mature, Oregon’s CCO implementation provided a...
In August 2012, Oregon began enrolling Medicaid beneficiaries in coordinated care organizations (CCOs), a unique mandatory-enrollment accountable care organization (ACO) model with payment methods strongly tied to preventive care; care coordination; and integration of physical, mental and dental health care through patient-centered medical homes. This dissertation, consisting of two studies,...
Drug policies in the United States are rapidly changing at the state and national level paralleling a shift in drug culture from a societal perspective. This dissertation addresses current public health policy topics with a focus on three recent drug policies. As of 2015, medical cannabis is legal in 23...
Background:
The number of people diagnosed with chronic physical conditions is increasing in the United States. Chronic mental illnesses are also common in the country. Low-income women and those on Medicaid bear a disproportionate burden of chronic conditions and these conditions significantly contribute to obstetric morbidity. Prioritizing preventive measures and...
Implementation climate is the most proximal organizational predictor of implementation success. First-level supervisors are in a pivotal position to influence implementation climate, as they directly oversee frontline staff who deliver evidence-based interventions (EBIs). First-level supervisors who exhibit strong leadership and utilize best practices in supervision may be able to establish...