Managed care plans purport to improve the health of their members with chronic diseases. How has the growing adoption of Medicare Advantage (MA), the managed care program for Medicare beneficiaries, affected the progression of chronic disease? The literature is rich with articles focusing on managed care organizations' impacts on quality...
Healthcare discrimination is associated with various health-related attitudes, behaviors, intentions, and outcomes including provider avoidance, underutilization or increased use of healthcare services, use of alternative means of healthcare, delays in medical care, less satisfaction with care, poor health behaviors, and poorer health outcomes. Since 2001, Muslims and Arabs in the...
The purpose of this study was to examine the impact of having a child with a
chrome illness or handicapping condition on marital quality and perceived marital
stability. The subject is important because the belief that marriages in parents of
chronically ill or handicapped children are uniformly less happy and...
“A Monument to Jim Crow’: Post-War Racial Liberalism and the Battle Over the Booker T. Washington Black Veterans Hospital” examines the proposed Congressional bill to build a segregated black veterans hospital as a memorial to Booker T. Washington in Franklin County, Virginia. This paper examines the developing ideology of racial...
As researchers, policymakers and employers begin focusing
on consumer driven health plan models and medical savings
accounts (MSAs), a better understanding of the political
viability of such reform initiatives is necessary. The
purpose of this study was to survey state legislators'
knowledge and perceptions of medical savings accounts
(MSAs) and...
This study was unique in that it focused on the rural elderly of both Black and White ethnicity's, explored differences between groups by comparing use and knowledge of health services, and controlled for gender, income, educational attainment, health status, age, and health beliefs - the independent variables of the study....
Breast cancer statistics in the United States are staggering. As the number of women diagnosed grows, so does the number of women who are writing about their experiences. This thesis is a multi-textual work which includes both the stories of women with breast cancer as well as the thesis author's...
Since the late 1990s accelerated growth in health care spending coupled with a cost shift of health insurance from employers to employees has created an increased financial burden for many families. Past research suggests that financial burden due to out-of-pocket (OOP) health care costs limits access to health care and...
The study evaluates the effectiveness of a pregnancy intervention model (PIM) developed to improve first trimester prenatal care utilization in a population of 2,694 low-income Medicaid women. Engagement in prenatal care is critical before prenatal care can occur. Early initiation of prenatal care is important for low income pregnant women...
American Indians and Alaska Natives have disproportionately high rates of diabetes, and it is not known if perceived medical discrimination is associated with diabetes health measures and poorer health for this population. This study examined the
effect of perceived medical discrimination (PMD) in American Indian women on health care decisions,...