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The impact of firm, individual, and government choice on health outcomes
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The impact of firm, individual, and government choice on health outcomes
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Bowblis
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John R.
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John R. Bowblis
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Klein
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Roger
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Roger W. Klein
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chair
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Perry
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Martin
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Martin K. Perry
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internal member
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Moehling
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Carolyn
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Carolyn M. Moehling
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Andrew
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Andrew E. Abere
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Rutgers University
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Graduate School - New Brunswick
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theses
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2008
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2008-05
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English
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electronic
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vii, 90 pages
Abstract
This dissertation is comprised of three essays that consider how choices made by firms, individuals, and governments have impacts on health outcomes. In the first essay, a legislative policy shock is used to determine why nursing home facilities converted to a new ownership type and how these conversions subsequently lead to changes in the quality of care provided between 1999 and 2004. As a result of a legislative change in reimbursement policy, nearly five percent of nursing homes converted. Conversions from a not-for-profit to for-profit was found to be associated with a decrease in the use of physical restraints while the proportion of residents with pressure ulcers in facilities that converted from for-profit to not-for-profit increased.
The second essay analyzes how promotion of sickness insurance by the government contributed to the reduction in the infant mortality rate in six European countries between the Franco-Prussian War and the Great War. The results suggest that for every additional percentage point of the adult population that is covered by sickness insurance infant death rates declined by additional 0.39 to 1.11 deaths per 1000 live births in this period.
The final essay studies how individual choice to purchase insurance affects out-of-pocket expenditures on antidepressant medications by elderly Medicare recipients. This essay discusses the econometric problems faced in the estimation of medical expenditures and finds that the average out-of-pocket expenditure on antidepressants decreases with supplemental insurance.
The second essay analyzes how promotion of sickness insurance by the government contributed to the reduction in the infant mortality rate in six European countries between the Franco-Prussian War and the Great War. The results suggest that for every additional percentage point of the adult population that is covered by sickness insurance infant death rates declined by additional 0.39 to 1.11 deaths per 1000 live births in this period.
The final essay studies how individual choice to purchase insurance affects out-of-pocket expenditures on antidepressant medications by elderly Medicare recipients. This essay discusses the econometric problems faced in the estimation of medical expenditures and finds that the average out-of-pocket expenditure on antidepressants decreases with supplemental insurance.
Note
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Ph.D.
Note
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Includes bibliographical references (p. 81-89).
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Economics
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Medical economics
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Public health administration
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Health planning--Citizen participation
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Graduate School - New Brunswick Electronic Theses and Dissertations
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http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.17277
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doi:10.7282/T3JH3MJ0
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ETD doctoral
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John Bowblis
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Rutgers University. Graduate School - New Brunswick
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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