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Health care expenditures in the United States and five industrialized economies: A pooled time-series cross-section model
Title
Health care expenditures in the United States and five industrialized economies: A pooled time-series cross-section model.
Creator
Shah, Sandhya K., Florida Atlantic University, Manage, Neela D., College of Business, Department of Economics
Abstract/Description
This thesis empirically analyzes the determinants of national health care expenditures in the United States and five other industrialized economies. A reduced-form model for national health care expenditures, based upon a partial-adjustment mechanism, is specified as a function of supply and demand factors in interrelated markets in the medical sector and estimated for the United States for the period 1960 to 1990. A pooled model is also estimated for a cross-section of six industrialized...
Show moreThis thesis empirically analyzes the determinants of national health care expenditures in the United States and five other industrialized economies. A reduced-form model for national health care expenditures, based upon a partial-adjustment mechanism, is specified as a function of supply and demand factors in interrelated markets in the medical sector and estimated for the United States for the period 1960 to 1990. A pooled model is also estimated for a cross-section of six industrialized economies based upon time series data from 1976 to 1990 for each country. The results suggest that income, technological change, and inflation have a significant impact on national health care expenditures.
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Date Issued
1994
PURL
http://purl.flvc.org/fcla/dt/15109
Subject Headings
Medical care, Cost of, Medical care--Cost control, Medical economics
Format
Document (PDF)
impact of satisfaction with care and empowerment on glycemic control among older African American adults with diabetes
Title
The impact of satisfaction with care and empowerment on glycemic control among older African American adults with diabetes.
Creator
Johnson, Bridgette M., Christine E. Lynn College of Nursing
Abstract/Description
atisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the...
Show moreatisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the Patient Satisfaction Questionnaire-18 (PSQ-18), which measured how satisfied the participants were with their medical care; the Diabetes Empowerment Scale-Short Form (DES-SF), which measured attitudes towards diabetes and self-management of diabetes; and a demographic form, which collected data on the demographics of each participant. The most recent hemoglobin A1c (HbA1c) of each participant was obtained from the medical records. The correlations between HbA1c, DES, and the PSQ-18 subscales were exam ined. The study data indicated all correlations were statistically significant and negative with one exception. There was no correlation between HbA1c and time spent, a satisfaction subscale. Approximately half the participants were high school graduates, married, and reported being born in the Caribbean. Most had primary care physicians, but less than half reported attending a diabetes education program. The average BMI was 33.0. The findings of this study indicated older African adults who reported higher satisfaction with the care provided by their health care provider reported feeling more empowered to participate in diabetes self-care and reported lower HbA1c levels, suggesting better glycemic control (R2 = .39; P=<.001)., The implications of this study are that feeling empowered to participate in diabetes self-care management may result in improved glycemic control. Positive diabetes outcomes have been linked in the literature with persons feeling empowered to participate in diabetes self-care. The significance of the findings from this study is that given the relationship between empowerment and glycemic control, nurses should support the empowerment model of diabetes teaching. Diabetes education should provide written materials that are culturally sensitive for African American elders.
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Date Issued
2012
PURL
http://purl.flvc.org/FAU/3342114
Subject Headings
Outcome assessment (Medical care), Nursing, Quality control, Medical economics, Patient satisfaction, Evaluation, African Americans, Health and hygiene, Sociological aspects
Format
Document (PDF)