東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

The Impact of the 2010 Affordable Ca...

Nava, Adrianna .

FindBook

Google Book

Amazon

博客來

The Impact of the 2010 Affordable Care Act on Reducing Racial/Ethnic Disparties in Primary Care Acess and the Delivery of Diabetes Preventive Care in the United States.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The Impact of the 2010 Affordable Care Act on Reducing Racial/Ethnic Disparties in Primary Care Acess and the Delivery of Diabetes Preventive Care in the United States./
作者:	Nava, Adrianna .
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
面頁冊數:	505 p.
附註:	Source: Dissertations Abstracts International, Volume: 81-07, Section: A.
Contained By:	Dissertations Abstracts International81-07A.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27544658
ISBN:	9781392538241

The Impact of the 2010 Affordable Care Act on Reducing Racial/Ethnic Disparties in Primary Care Acess and the Delivery of Diabetes Preventive Care in the United States.
Nava, Adrianna .

The Impact of the 2010 Affordable Care Act on Reducing Racial/Ethnic Disparties in Primary Care Acess and the Delivery of Diabetes Preventive Care in the United States. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 505 p.

Source: Dissertations Abstracts International, Volume: 81-07, Section: A.

Thesis (Ph.D.)--University of Massachusetts Boston, 2019.

This item must not be sold to any third party vendors.

A key focus of the 2010 Patient Protection and Affordable Care Act (ACA) was to improve access to healthcare services in the United States (U.S.) (Stolberg & Pear, 2010). The research purpose was to assess the impact of the ACA's Medicaid expansion and insurance subsidies on reducing racial/ethnic disparities in coverage, access and the delivery of primary care services, specifically diabetes prevention. Diabetes disproportionately affects minority populations, with inequities reported in the delivery of diabetes care to minorities (Chow, Foster, Gonzalez & McIver, 2012). The Modified Quality Health Outcomes Model was used to guide this research. Statistical analyses were conducted by separately analyzing the 2012-2017 Behavioral Risk Factor Surveillance System (BRFSS) and the 2012-2015 National Ambulatory Medical Care Survey (NAMCS). Multivariate logistic regression models found that the lowest income groups (< 138% FPL) continued to have the lowest levels of insurance post-ACA. In addition, there was an overall 1% gain in having a PCP, with narrowing of racial/ethnic disparities occurring post-ACA. Of interest, whites experienced declines in having a provider, despite gains in insurance. Hispanics continued to have the lowest levels of having a provider post-ACA. High-risk Hispanics were 4 times more likely to be screened than high-risk whites and high-risk adults were 96% more likely to receive diabetes prevention education than the low risk post-ACA. These results lay the groundwork for future research to address policy strategies to improve access to primary care providers and health system strategies to increase consumer awareness of their high-risk for diabetes status.

ISBN: 9781392538241Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Affordable Care Act

The Impact of the 2010 Affordable Care Act on Reducing Racial/Ethnic Disparties in Primary Care Acess and the Delivery of Diabetes Preventive Care in the United States.
LDR:03007nmm a2200385 4500 001 2271031
005 20201008063046.5
008 220629s2019 ||||||||||||||||| ||eng d
020 $a 9781392538241
035 $a (MiAaPQ)AAI27544658
035 $a AAI27544658
040 $a MiAaPQ $c MiAaPQ
100 1 $a Nava, Adrianna . $3 3548431
245 1 4 $a The Impact of the 2010 Affordable Care Act on Reducing Racial/Ethnic Disparties in Primary Care Acess and the Delivery of Diabetes Preventive Care in the United States.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2019
300 $a 505 p.
500 $a Source: Dissertations Abstracts International, Volume: 81-07, Section: A.
500 $a Advisor: Leveille, Suzanne.
502 $a Thesis (Ph.D.)--University of Massachusetts Boston, 2019.
506 $a This item must not be sold to any third party vendors.
520 $a A key focus of the 2010 Patient Protection and Affordable Care Act (ACA) was to improve access to healthcare services in the United States (U.S.) (Stolberg & Pear, 2010). The research purpose was to assess the impact of the ACA's Medicaid expansion and insurance subsidies on reducing racial/ethnic disparities in coverage, access and the delivery of primary care services, specifically diabetes prevention. Diabetes disproportionately affects minority populations, with inequities reported in the delivery of diabetes care to minorities (Chow, Foster, Gonzalez & McIver, 2012). The Modified Quality Health Outcomes Model was used to guide this research. Statistical analyses were conducted by separately analyzing the 2012-2017 Behavioral Risk Factor Surveillance System (BRFSS) and the 2012-2015 National Ambulatory Medical Care Survey (NAMCS). Multivariate logistic regression models found that the lowest income groups (< 138% FPL) continued to have the lowest levels of insurance post-ACA. In addition, there was an overall 1% gain in having a PCP, with narrowing of racial/ethnic disparities occurring post-ACA. Of interest, whites experienced declines in having a provider, despite gains in insurance. Hispanics continued to have the lowest levels of having a provider post-ACA. High-risk Hispanics were 4 times more likely to be screened than high-risk whites and high-risk adults were 96% more likely to receive diabetes prevention education than the low risk post-ACA. These results lay the groundwork for future research to address policy strategies to improve access to primary care providers and health system strategies to increase consumer awareness of their high-risk for diabetes status.
590 $a School code: 1074.
650 4 $a Nursing. $3 528444
650 4 $a Health care management. $3 2122906
650 4 $a Ethnic studies. $2 bicssc $3 1556779
650 4 $a Nutrition. $3 517777
653 $a Affordable Care Act
653 $a Diabetes prevention
653 $a Health care quality
653 $a Health disparities
653 $a Medicaid expansion
690 $a 0569
690 $a 0769
690 $a 0631
690 $a 0570
710 2 $a University of Massachusetts Boston. $b Nursing/Health Policy (PhD). $3 3434259
773 0 $t Dissertations Abstracts International $g 81-07A.
790 $a 1074
791 $a Ph.D.
792 $a 2019
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27544658