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(1 - 9 of 9)
- Title
- Wealth Over Health? An Analysis of Macro-Level Factors That Influence Public Opinion on Health Care Policy.
- Creator
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Reiss, Jacquelyn, Hinojosa, Ramon, Hinojosa, Melanie, Huff-Corzine, Lin, University of Central Florida
- Abstract / Description
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Currently, the U.S. reports some of the worst health outcomes while spending the most money on health care when compared to other developed countries in the Organization for Economic Co-operation and Development (OECD). In 2018, Americans took out $88 billion in debt to cover the cost of medical care and approximately 28.5 million individuals remained uninsured. Despite poor health outcomes across the country, health care reform is a highly controversial issue and has been for the last...
Show moreCurrently, the U.S. reports some of the worst health outcomes while spending the most money on health care when compared to other developed countries in the Organization for Economic Co-operation and Development (OECD). In 2018, Americans took out $88 billion in debt to cover the cost of medical care and approximately 28.5 million individuals remained uninsured. Despite poor health outcomes across the country, health care reform is a highly controversial issue and has been for the last century. Historically, elites in the Republican party have aligned themselves with New Right political philosophies, which stand for a privatized health care system with minimal government involvement. Elites in the Democratic party have aligned with Pluralist political philosophies, which is an orientation that encourages government oversight to protect the health of its citizens. Recently there has been a rise in political polarization that has stemmed from the asymmetric movement of the Republican Party further to the right escalating the controversy around health care reform. In addition to growing polarization, recent studies have found that politicians are more responsive to the affluent classes while concurrently accumulating an influx of wealth. When neglecting to vote with the majority of their constituents, politicians have tried to change public opinion rather than address it. These short-term manipulation strategies have been found to confuse constituents more than mobilize them, contributing to the controversy around health care reform today. This project aims to understand how macro level structures affect public opinion on government funding of health care utilizing the thermostatic model and the works of Nicos Poulantzas and Michel Foucault as theoretical frameworks to understand how political structures influence public opinion and how political structures are shaped within Capitalistic societies. Specifically, the current study examines how the political leaning of Congress and the Presidency, total lobbying dollars contributed by the top five medical industries, and the number of health care bills passed per year affects public opinion on government funding of health care between 1986 and 2018. The data were accumulated from multiple sources including the General Social Survey, OpenSecrets.org, GovTrack.us, and the Senate, House, and White House websites. After completing bi-variate and multi-variate autoregressive integrated moving average (ARIMA) models the only variable that was found to impact public opinion was the political party of the Presidency.
Show less - Date Issued
- 2019
- Identifier
- CFE0007713, ucf:52453
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007713
- Title
- Local Health Department Adoption of Health Information Technology and Its Impact on Population Health.
- Creator
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Yeung, Tina, Wan, Thomas, Cortelyou-Ward, Kendall, Liu, Albert Xinliang, Dziegielewski, Sophia, University of Central Florida
- Abstract / Description
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Since the enactment of the HITECH Act in 2009, the US has invested billions in building a robust health information technology (HIT) infrastructure that is secure, capable of the electronic transfer of data and allows for real-time access of patient medical data, among others. This empirical study explored the driving forces (coercive, mimetic, and normative) in the adoption of HIT (i.e. EHRs and HIEs) by local health departments (LHDs) and how it has impacted the population health of...
Show moreSince the enactment of the HITECH Act in 2009, the US has invested billions in building a robust health information technology (HIT) infrastructure that is secure, capable of the electronic transfer of data and allows for real-time access of patient medical data, among others. This empirical study explored the driving forces (coercive, mimetic, and normative) in the adoption of HIT (i.e. EHRs and HIEs) by local health departments (LHDs) and how it has impacted the population health of counties in the US. The researcher conducted a cross-sectional, quantitative study using secondary data sources. The study included data on 505 local health departments and 433 counties' population health data. Institutional theory guided this research and generalized estimating equations, logistic regression, and multiple linear regression were utilized to analyze health IT adoption by LHDs and its impact on county-level health outcomes. Results showed that normative forces, measured by the employment of IS specialists was most impactful in the adoption of both EHRs and HIEs. Mimetic forces, measured by the completion of a CHA and coercive forces measured by the implementation of the HITECH Act were not found to be statistically significant in the adoption of EHRs or HIEs. Finally, EHR adoption was statistically significant at improving population health at the county level. This research study has contributed in three areas: 1) to fill a knowledge gap on the impact of health IT adoption by LHDs on health outcomes; 2) to formulate a theoretically grounded framework to study population health and its variability; and 3) to identify target areas for public health interventions. In conclusion, a substantial amount of resources dedicated in creating a robust health IT infrastructure requires close analysis of the impact health IT has on the population health of our nation.
Show less - Date Issued
- 2017
- Identifier
- CFE0006825, ucf:51801
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006825
- Title
- SCIENTIFIC MOTHERHOOD: A POSITIVIST APPROACH TO PATRIARCHY IN FIN-DE-SIÈCLE ARGENTINA.
- Creator
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Kuperman, Aubrey, Pineda, Yovanna, University of Central Florida
- Abstract / Description
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In late nineteenth and early twentieth century Argentina underwent large-scale immigration and fast-paced urban changes commonly associated with the coming of modernity. These changes led to elite fears of potential social instability. They turned to the French philosophy of Positivism, which advocated the view that all social problems could be systematically solved through scientific observation in order to "civilize" the Argentine nation. As a result, the government implemented numerous...
Show moreIn late nineteenth and early twentieth century Argentina underwent large-scale immigration and fast-paced urban changes commonly associated with the coming of modernity. These changes led to elite fears of potential social instability. They turned to the French philosophy of Positivism, which advocated the view that all social problems could be systematically solved through scientific observation in order to "civilize" the Argentine nation. As a result, the government implemented numerous policies that catered to upholding traditional family structures. The purpose of this thesis is to understand the ways in which these policies affected women of different social classes. In developing my arguments, I use secondary literature from prominent scholars in Argentine history, gender studies, and intellectual history, as well as primary sources, including essays written by prominent officials and elite women, government reports, laws and penal codes. This thesis examines the impact of scientific motherhood on Argentine society. Elite men and women viewed their role in society as that of fathers and mothers to the poor and the working classes. This study permits a broader understanding of the impact of Positivism and European influence on Argentine society and policymaking.
Show less - Date Issued
- 2013
- Identifier
- CFH0004355, ucf:44979
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004355
- Title
- Knowledge and Attitudes Regarding the Recent Zika Outbreak Among a Sample of South Florida Residents.
- Creator
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Elakkari, Mohamed, Naser, Saleh, Parks, Griffith, Samsam, Mohtashem, University of Central Florida
- Abstract / Description
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South Florida has had the largest number of U.S. Zika infection cases during the recent outbreak. This study aimed at assessing South Floridians' basic knowledge, perceptions of the seriousness and susceptibility to Zika infection, their information sources and needs, as well as their attitudes towards the protective measures proposed by the CDC. We also wanted to assess whether any of those factors have affected the frequency of participants' undertaking of the protective behaviors. To this...
Show moreSouth Florida has had the largest number of U.S. Zika infection cases during the recent outbreak. This study aimed at assessing South Floridians' basic knowledge, perceptions of the seriousness and susceptibility to Zika infection, their information sources and needs, as well as their attitudes towards the protective measures proposed by the CDC. We also wanted to assess whether any of those factors have affected the frequency of participants' undertaking of the protective behaviors. To this end, we designed an online questionnaire and surveyed the responses of five hundred South Floridians (Age=18-78 years). We found significant gaps in participants' knowledge about the risk groups, routes of transmission, treatment, and complications of Zika infection. Older age and college education were associated with significantly higher knowledge scores, while the presence of pregnant women in the household was associated with lower scores. About half of the participants perceived Zika to be a profoundly severe health problem, but less than one-third believed that their susceptibility to the infection is high.Most participants agreed that undertaking the measures that limit exposure to mosquito bites would be effective in preventing infections and that they would be able to carry-out these measures if recommended by the CDC, but a significantly lower proportion had similar responses to the items regarding protection against sexual transmission.There was a significant association between the frequency of protective behavior undertaking and respondents' beliefs about the seriousness and personal susceptibility to the infection, as well as their beliefs regarding the efficacy of the protective behaviors.Finally, most participants reported media platforms as their sources of information about Zika, while a minority of them received their information directly from healthcare professionals.These findings suggest that more targeted risk communication efforts are needed to increase South Floridians' awareness about Zika's public health threat.
Show less - Date Issued
- 2018
- Identifier
- CFE0006998, ucf:51622
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006998
- Title
- LOW-INCOME HEALTH CARE NETWORKS: INITIAL CONDITIONS, EXTENT, AND INTENSITY RELEVANT TO COUNTY GOVERNMENT PARTICIPATION.
- Creator
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Knepper, Hillary, Feldheim, Mary Ann, University of Central Florida
- Abstract / Description
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Contemporary health care systems in the United States are not equitable. Indeed, as the literature indicates, there are substantial differences in the variety and scope of service delivery based on age, income, and other socio-economic indicators. The recent passage of health care reform in the United States illustrates that Americans are seeking to bring balance and equity to health care. However, as learned in this study, county governments across the country have been working in their...
Show moreContemporary health care systems in the United States are not equitable. Indeed, as the literature indicates, there are substantial differences in the variety and scope of service delivery based on age, income, and other socio-economic indicators. The recent passage of health care reform in the United States illustrates that Americans are seeking to bring balance and equity to health care. However, as learned in this study, county governments across the country have been working in their communities to ensure some balance and equity, by making a safety net available for those citizens who are unable to access health care. Perhaps this is because health care quickly becomes a local government problem. In this current economic climate, county governments are being pinched between declining revenues and rising demands for services (Eaton, 2009; Phaup, 2009). The Orange County Primary Care Access Network is one example studied here that provides clear evidence of how organizations can work together to develop and maintain a sustainable health care safety net for the underinsured and uninsured. This study is the first of its kind to examine county government influences, environmental pressures, and community resources in the context of health care network performance. The methodological research question for this study is what determinants (exogenous constructs) contribute to a health care network and its performance (endogenous construct) within the framework of county government participation? Further, is the model supported by the data and can prediction, direction, and strength of relationships among the variables be identified? The simple answer is yes. For this study, the responses from 123 counties were analyzed with a variety of statistical techniques, culminating in structural equation modeling. The outcome of these analyses provided a reasonable explanation for the variation among the variables leading to network performance improvement in meeting the health care needs of uninsured and underinsured people. These quantitative data were also supported in their results with the inclusion of a case study analysis of a particular health care safety-net, the Orange County Primary Care Access Network in Orange County, Florida. Ultimately, this study learned three valuable lessons that can be used by county government decision-makers and health care providers alike. First, county involvement in community based health care networks results in a benefit that reverberates during economic stress- the leveraging of resources. Second, public-private initiatives are fundamental to reducing disparities in health care access. Third, health care networks improve access to health care for uninsured and underinsured people. Ultimately, county government participation is the largest predictor of network performance in this study.
Show less - Date Issued
- 2010
- Identifier
- CFE0003341, ucf:48475
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003341
- Title
- UCF STUDENT PERCEPTIONS OF A SMOKE-FREE CAMPUS POLICY.
- Creator
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Roman, Alyssa, Ford, Jason, University of Central Florida
- Abstract / Description
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Within the last few decades, the prevalence of cigarette smoking has decreased because of the vast amount of research which indicates that smoking leads to health problems many of which are potentially fatal. Also, smoking harms not only those whom choose to smoke but non-smokers in the area are affected by even low levels of cigarette smoke. Thus, cigarette smoking has become a public health concern. Around the globe, countries are passing smoke-free laws in public areas such as businesses,...
Show moreWithin the last few decades, the prevalence of cigarette smoking has decreased because of the vast amount of research which indicates that smoking leads to health problems many of which are potentially fatal. Also, smoking harms not only those whom choose to smoke but non-smokers in the area are affected by even low levels of cigarette smoke. Thus, cigarette smoking has become a public health concern. Around the globe, countries are passing smoke-free laws in public areas such as businesses, restaurants, and bars. In the United States, many universities have enacted smoke-free campus policies to ensure the health of all their students in all places on campus. The purpose of this research is to identify the support or opposition for a smoke-free campus policy at the University of Central Florida by UCF students. A survey was distributed to undergraduate students at UCF which asks whether they would support such a policy along with characterizing questions about their smoking habits, lifestyle, history, and opinion. The analysis of the data shows that the majority of UCF student would support a smoke-free campus policy.
Show less - Date Issued
- 2011
- Identifier
- CFH0003706, ucf:44716
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0003706
- Title
- CLAIMS OF MISTAKEN IDENTITY:AN EXAMINATION OF U.S. TELEVISION FOOD COMMERCIALS AND THE ADULT OBESITY ISSUE.
- Creator
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Delgado, Cristina, DeLorme, Denise, University of Central Florida
- Abstract / Description
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Obesity is one of the major public health issues in the United States, often regarded as part of a global crisis. Companies invest billions of dollars each year towards television advertising campaigns aimed at convincing audiences how their ground-breaking discovery 'battles the bulge' or somehow offers an increased health benefit. This study examined how advertisers presented health-related claims, including health and nutrient-content claims, in U.S. adult-targeted television food...
Show moreObesity is one of the major public health issues in the United States, often regarded as part of a global crisis. Companies invest billions of dollars each year towards television advertising campaigns aimed at convincing audiences how their ground-breaking discovery 'battles the bulge' or somehow offers an increased health benefit. This study examined how advertisers presented health-related claims, including health and nutrient-content claims, in U.S. adult-targeted television food commercials. The claims were compared to FTC, FDA, and USDA laws, regulations, and recommendations. A content analysis of food advertising was conducted of commercials from major and cable network programs broadcast during prime-time in the first quarter of 2009. The majority of claims match current regulations when compared to Federal references. The results show that Nutrient and Wellness claims were the most frequently cited. The type of benefit, Healthy Eating, emerged almost 3 times more than any other benefit type. This is also similar to those results which suggest advertisers' intentions were to promote overall wellness in their content delivery. As such, the Wellness Approach was identified and conceptualized, leading towards full development of a Wellness Effect theory. Implications and future research opportunities are discussed on both a theoretical and practical level.
Show less - Date Issued
- 2009
- Identifier
- CFE0002565, ucf:48260
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0002565
- Title
- A CONSTRUCTIONIST ANALYSIS OF SAME-SEX MARRIAGE.
- Creator
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Nead, Sandra, Lynxwiler, John, University of Central Florida
- Abstract / Description
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Same-sex marriage has been heavily debated in academics and in the public sphere. During the 2004 Presidential election same-sex marriage became an issue that polarized the candidates. It has become a lightning rod for public debate. Due to the increasing attention to the controversy of legalizing same-sex marriage, it is an important topic for research. This paper seeks to contribute to the research of same-sex marriage by providing insight into claims-making efforts to define same-sex...
Show moreSame-sex marriage has been heavily debated in academics and in the public sphere. During the 2004 Presidential election same-sex marriage became an issue that polarized the candidates. It has become a lightning rod for public debate. Due to the increasing attention to the controversy of legalizing same-sex marriage, it is an important topic for research. This paper seeks to contribute to the research of same-sex marriage by providing insight into claims-making efforts to define same-sex marriage as a social problem. My findings shed light on this topic from a social constructionist perspective by examining the use of rhetorical idioms of the claims made by opposing parties in the debate over same-sex marriage as it relates to the court ruling in Goodridge v. Department of Public Health.
Show less - Date Issued
- 2005
- Identifier
- CFE0000662, ucf:46552
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0000662
- Title
- Infectious Disease Risks in Developing Countries: A Non-Market Valuation Exercise.
- Creator
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Samajpati, Shreejata, Gerking, Shelby, Dickie, Mark, Caputo, Michael, Roy, Joyashree, University of Central Florida
- Abstract / Description
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This dissertation focuses on the non-market valuation of health-risks of malaria, an infectious disease that imposes a substantive public health burden across the globe, hitting particularly hard the tropical developing nations of Africa and Asia. The United Nations Millennium Development Goals include malaria control as a priority and large investments are underway to promote effective prevention and treatment. Despite such concerted supply-side efforts, malaria-related mortality and...
Show moreThis dissertation focuses on the non-market valuation of health-risks of malaria, an infectious disease that imposes a substantive public health burden across the globe, hitting particularly hard the tropical developing nations of Africa and Asia. The United Nations Millennium Development Goals include malaria control as a priority and large investments are underway to promote effective prevention and treatment. Despite such concerted supply-side efforts, malaria-related mortality and morbidity still abound due to a complex interface of factors like climate-change, poverty, inadequate control behavior, infection and prevention externalities, parasite resistance etc. This research project digs into the demand-side of the health problem, considers the "externality" dimension to prevention, and primarily asks the question: how do individuals in developing countries view competing disease-control (prevention) measures, viz. a publicly-administered community-level malaria control measure as against private preventive choices. A theoretical model is developed to help explore the public-private interplay of health risks of malaria. The malaria-endemic regions of Kolkata (India) and its rural fringes comprise the site for an empirical investigation. A field survey (Malaria Risk and Prevention Survey, October-December, 2011) incorporating a mix of stated and revealed preference techniques of health valuation is implemented. Risk-perceptions of respondents are elicited using a measurable visual-aid and individuals' perceived valuations of health-risk reductions, randomly offered with the public and private health treatments, are empirically ascertained. Using a Likelihood Ratio Test on the structural risk parameters, it is seen that individuals' valuations of health risk reductions are the same across the private and public treatments. The comparative valuation exercise, thus, corroborates the externality dimension to malaria control, calling for greater public action to combat malaria. The viability of such a scaled-up public malaria program, in the context of Kolkata, is discussed by comparing the public treatment willingness to pay estimates with the annual estimated costs that the Kolkata Municipal Corporation, the civic body in the city of Kolkata, maintains on account of vector control. Results from the comparative valuation exercises also support the idea that private prevention is generally responsive to prevention costs, indicating the importance of price incentives to induce greater prevention. The issues of health valuation and price sensitivity are further explored across various split-samples differentiated on the basis of socio-economic attributes, disease exposure, actual prevention efforts and perceived malaria risks of survey respondents. Such auxiliary exercises help analyze the valuation question in greater depth, and generate policy insights into the potential factors that shape private prevention behavior.
Show less - Date Issued
- 2012
- Identifier
- CFE0004594, ucf:49195
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004594
