東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back to Search results for [ null ]

Switch To: Labeled | MARC Mode | ISBD

The Effect of Affordable Care Act Me...

Lee, Hyunjung.

Linked to FindBook

Google Book

Amazon

博客來

The Effect of Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Effect of Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status./
Author:	Lee, Hyunjung.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2018,
Description:	344 p.
Notes:	Source: Dissertations Abstracts International, Volume: 80-07, Section: A.
Contained By:	Dissertations Abstracts International80-07A.
Subject:	Law. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10977549
ISBN:	9780438807518

The Effect of Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status.
Lee, Hyunjung.

The Effect of Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status. - Ann Arbor : ProQuest Dissertations & Theses, 2018 - 344 p.

Source: Dissertations Abstracts International, Volume: 80-07, Section: A.

Thesis (Ph.D.)--University of Massachusetts Boston, 2018.

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

Medicaid has assisted the poor by paying for health care since 1965. In 2014, the Affordable Care Act (ACA) replaced states' varying existing income eligibility thresholds with a uniform standard, 138 % of the Federal Poverty Line, applied to all states that chose to expand access to Medicaid. Furthermore, low-income, nonelderly childless adults in these 'expansion states' were newly eligible for Medicaid while they were not eligible in most states regardless of income level. Andersen's Health Behavioral Model provides the theoretical framework to analyze the role of Medicaid expansion on individual access and health outcomes. This dissertation answers two questions: 'What is the effect of the ACA Medicaid expansion on insurance status, access to care, and health outcomes for nonelderly low-income adults and a subset of these population without children?' and second, 'Does the ACA Medicaid expansion reduce disparities in these outcomes among racial/ethnic subgroups?' I estimated difference in differences models on the National Health Interview Survey data (2010-2016) using multiple outcome measures. My estimates of the effects of the ACA Medicaid expansion on racial/ethnic disparities used the Institute of Medicine and the Residual Direct Effect definitions of health care disparities. This dissertation adds new findings on racial/ethnic health care disparities to the existing ACA literature. I identify significant decreases in uninsured rates and increases in Medicaid coverage among all racial/ethnic subgroups. Moreover, I find evidence that the ACA Medicaid expansion has more favorable impacts on racial/ethnic minorities for unmet needs of care due to cost but not for visiting doctors and health status. The findings suggest that policymakers should consider financial and other aspects together since financial resources such as Medicaid directly help to access to care, there still remain other individual-and contextual-level contributors to access to care and health outcomes.

ISBN: 9780438807518Subjects--Topical Terms:

600858
Law.

The Effect of Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status.
LDR:03145nmm a2200337 4500 001 2208479
005 20191021073446.5
008 201008s2018 ||||||||||||||||| ||eng d
020 $a 9780438807518
035 $a (MiAaPQ)AAI10977549
035 $a (MiAaPQ)umb:11096
035 $a AAI10977549
040 $a MiAaPQ $c MiAaPQ
100 1 $a Lee, Hyunjung. $3 1020985
245 1 4 $a The Effect of Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2018
300 $a 344 p.
500 $a Source: Dissertations Abstracts International, Volume: 80-07, Section: A.
500 $a Publisher info.: Dissertation/Thesis.
500 $a Advisor: Johnson, Michael P.
502 $a Thesis (Ph.D.)--University of Massachusetts Boston, 2018.
506 $a This item must not be sold to any third party vendors.
520 $a Medicaid has assisted the poor by paying for health care since 1965. In 2014, the Affordable Care Act (ACA) replaced states' varying existing income eligibility thresholds with a uniform standard, 138 % of the Federal Poverty Line, applied to all states that chose to expand access to Medicaid. Furthermore, low-income, nonelderly childless adults in these 'expansion states' were newly eligible for Medicaid while they were not eligible in most states regardless of income level. Andersen's Health Behavioral Model provides the theoretical framework to analyze the role of Medicaid expansion on individual access and health outcomes. This dissertation answers two questions: 'What is the effect of the ACA Medicaid expansion on insurance status, access to care, and health outcomes for nonelderly low-income adults and a subset of these population without children?' and second, 'Does the ACA Medicaid expansion reduce disparities in these outcomes among racial/ethnic subgroups?' I estimated difference in differences models on the National Health Interview Survey data (2010-2016) using multiple outcome measures. My estimates of the effects of the ACA Medicaid expansion on racial/ethnic disparities used the Institute of Medicine and the Residual Direct Effect definitions of health care disparities. This dissertation adds new findings on racial/ethnic health care disparities to the existing ACA literature. I identify significant decreases in uninsured rates and increases in Medicaid coverage among all racial/ethnic subgroups. Moreover, I find evidence that the ACA Medicaid expansion has more favorable impacts on racial/ethnic minorities for unmet needs of care due to cost but not for visiting doctors and health status. The findings suggest that policymakers should consider financial and other aspects together since financial resources such as Medicaid directly help to access to care, there still remain other individual-and contextual-level contributors to access to care and health outcomes.
590 $a School code: 1074.
650 4 $a Law. $3 600858
650 4 $a Public policy. $3 532803
650 4 $a Health care management. $3 2122906
690 $a 0398
690 $a 0630
690 $a 0769
710 2 $a University of Massachusetts Boston. $b Public Policy. $3 3342196
773 0 $t Dissertations Abstracts International $g 80-07A.
790 $a 1074
791 $a Ph.D.
792 $a 2018
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10977549