國立虎尾科技大學 |

Essays in Health Economics.

紀錄類型:	書目-語言資料,手稿 : Monograph/item
正題名/作者:	Essays in Health Economics./
作者:	Liu, Chuxin.
面頁冊數:	1 online resource (92 pages)
附註:	Source: Dissertations Abstracts International, Volume: 85-04, Section: B.
Contained By:	Dissertations Abstracts International85-04B.
標題:	Obstetrics. -
電子資源:	click for full text (PQDT)
ISBN:	9798380417457

Essays in Health Economics.
Liu, Chuxin.

Essays in Health Economics. - 1 online resource (92 pages)

Source: Dissertations Abstracts International, Volume: 85-04, Section: B.

Thesis (Ph.D.)--City University of New York, 2023.

Includes bibliographical references

Chapter 1: Financial Incentive and New Technology Adoption in Hospitals In this chapter, I investigate the effect of a financial incentive from the Centers for Medicare and Medicaid Services (CMS) on new medical procedure technology diffusion. I examine how the incentive affects diffusion among Medicare patients, for whom hospitals receive the incentives, and non-Medicare patients for whom there are no incentives. I answer these two questions by studying the New Technology Add-on Payment (NTAP) program offered by Medicare (Part A). It is unknown whether its incentive is enough to encourage diffusion under the prospective payment system and it also remains unknown whether it spills over to non-Medicare patients or crowds them out. Using the State Inpatient Database (SID) provided by Healthcare Cost and Utilization Program (HCUP), I show that the NTAP program increases new medical procedure technology adoption in hospitals, which is mainly picked up by large hospitals, medical-school affiliated hospitals, and public hospitals. The policy also has a positive spillover effect on non-Medicare patients, despite in a smaller scale. As the NTAP program becomes more expensive, this research is helpful in future policy making.Chapter 2: Social determinants of the rates and trends in severe maternal morbidity and blood transfusions during hospitalization for childbirths In this chapter, my coauthor and I examine the issue of racial disparities in severe maternal morbidity (SMM) and blood transfusion events during inpatient delivery in the United States. Our findings indicate that SMM and blood transfusion events continue to be prevalent and slowly but steadily increasing. Beneath this trend, substantial disparities based on race are observed. Black women who are hospitalized for births have a significantly higher likelihood of experiencing SMM or requiring blood transfusion compared to their White peers. To understand the role of environmental factors in these disparities, we employ a machine learning technique to select measures of social determinants of health with predictive power and Oaxaca-Blinder decompositions to evaluate the explanatory power of these measures. The results show that environmental factors explain only a small portion of racial disparities.Chapter 3: Extreme Temperatures during Pregnancy and Severe Maternal Morbidity In this chapter, I study the effect of exposure to extreme temperatures during pregnancy on severe maternal morbidity (SMM). Using the State Inpatient Database (SID) from 2010 to 2018, I link maternal health outcomes during delivery to historical weather data during the entire pregnancy. I find that exposure to extremely cold weather during pregnancy increases the risk of severe maternal morbidity (SMM), especially the risk of blood transfusion. I also find that exposure to extremely hot weather during pregnancy increases the probability of a cesarean delivery. These effects are racially unequal, which exacerbates existing racial disparities in maternal health. My findings provide the first estimates of the impacts of prenatal exposure to extreme temperatures on severe maternal morbidity during delivery, while the literature has studied the impact of exposure to weather on pregnancy health and infant health. My findings are relevant to growing interest in understanding climate-related health risk. They are also crucial in understanding the widening racial disparities in maternal health.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798380417457Subjects--Topical Terms:

674110
Obstetrics.
Subjects--Index Terms:

Maternal healthIndex Terms--Genre/Form:

554714
Electronic books.

Essays in Health Economics.
LDR:04805ntm a22003977 4500 001 1142853
005 20240429063849.5
006 m o d
007 cr mn ---uuuuu
008 250605s2023 xx obm 000 0 eng d
020 $a 9798380417457
035 $a (MiAaPQ)AAI30687102
035 $a AAI30687102
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Liu, Chuxin. $3 1467343
245 1 0 $a Essays in Health Economics.
264 0 $c 2023
300 $a 1 online resource (92 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 85-04, Section: B.
500 $a Advisor: Deb, Partha.
502 $a Thesis (Ph.D.)--City University of New York, 2023.
504 $a Includes bibliographical references
520 $a Chapter 1: Financial Incentive and New Technology Adoption in Hospitals In this chapter, I investigate the effect of a financial incentive from the Centers for Medicare and Medicaid Services (CMS) on new medical procedure technology diffusion. I examine how the incentive affects diffusion among Medicare patients, for whom hospitals receive the incentives, and non-Medicare patients for whom there are no incentives. I answer these two questions by studying the New Technology Add-on Payment (NTAP) program offered by Medicare (Part A). It is unknown whether its incentive is enough to encourage diffusion under the prospective payment system and it also remains unknown whether it spills over to non-Medicare patients or crowds them out. Using the State Inpatient Database (SID) provided by Healthcare Cost and Utilization Program (HCUP), I show that the NTAP program increases new medical procedure technology adoption in hospitals, which is mainly picked up by large hospitals, medical-school affiliated hospitals, and public hospitals. The policy also has a positive spillover effect on non-Medicare patients, despite in a smaller scale. As the NTAP program becomes more expensive, this research is helpful in future policy making.Chapter 2: Social determinants of the rates and trends in severe maternal morbidity and blood transfusions during hospitalization for childbirths In this chapter, my coauthor and I examine the issue of racial disparities in severe maternal morbidity (SMM) and blood transfusion events during inpatient delivery in the United States. Our findings indicate that SMM and blood transfusion events continue to be prevalent and slowly but steadily increasing. Beneath this trend, substantial disparities based on race are observed. Black women who are hospitalized for births have a significantly higher likelihood of experiencing SMM or requiring blood transfusion compared to their White peers. To understand the role of environmental factors in these disparities, we employ a machine learning technique to select measures of social determinants of health with predictive power and Oaxaca-Blinder decompositions to evaluate the explanatory power of these measures. The results show that environmental factors explain only a small portion of racial disparities.Chapter 3: Extreme Temperatures during Pregnancy and Severe Maternal Morbidity In this chapter, I study the effect of exposure to extreme temperatures during pregnancy on severe maternal morbidity (SMM). Using the State Inpatient Database (SID) from 2010 to 2018, I link maternal health outcomes during delivery to historical weather data during the entire pregnancy. I find that exposure to extremely cold weather during pregnancy increases the risk of severe maternal morbidity (SMM), especially the risk of blood transfusion. I also find that exposure to extremely hot weather during pregnancy increases the probability of a cesarean delivery. These effects are racially unequal, which exacerbates existing racial disparities in maternal health. My findings provide the first estimates of the impacts of prenatal exposure to extreme temperatures on severe maternal morbidity during delivery, while the literature has studied the impact of exposure to weather on pregnancy health and infant health. My findings are relevant to growing interest in understanding climate-related health risk. They are also crucial in understanding the widening racial disparities in maternal health.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2024
538 $a Mode of access: World Wide Web
650 4 $a Obstetrics. $3 674110
650 4 $a Health care management. $3 1148454
653 $a Maternal health
653 $a Childbirths
653 $a Medicare patients
653 $a Severe maternal morbidity
653 $a Blood transfusion
655 7 $a Electronic books. $2 local $3 554714
690 $a 0501
690 $a 0769
690 $a 0380
710 2 $a City University of New York. $b Economics. $3 1183336
710 2 $a ProQuest Information and Learning Co. $3 1178819
773 0 $t Dissertations Abstracts International $g 85-04B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30687102 $z click for full text (PQDT)