Health Services Access and Cancer Disparities Among Low-Income Ohioans

Bibliographic Details
Main Author:	Kim, Uriel
Language:	English
Published:	Case Western Reserve University School of Graduate Studies / OhioLINK 2020
Subjects:	Health Care Medicine Oncology Public Health
Online Access:	http://rave.ohiolink.edu/etdc/view?acc_num=case1586799590015602

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spelling	ndltd-OhioLink-oai-etd.ohiolink.edu-case15867995900156022021-08-03T07:14:18Z Health Services Access and Cancer Disparities Among Low-Income Ohioans Kim, Uriel Health Care Medicine Oncology Public Health A chief focus of The Patient Protection and Affordable Care Act (ACA) was addressing income-based disparities in access to care since uninsured individuals were more likely to be low-income prior to the ACA. The main vehicles for improving access are Medicaid Expansion and insurance “Marketplaces” (also known as the, “Health Insurance Exchanges - HIEs”, or the “Exchanges”), which are platforms to purchase private insurance that meet essential benefit requirements. The impact that the ACA has had in reducing the number of low-income, uninsured individuals is incontrovertible, but less is known about how these gains in insurance coverage have translated to improvements in population health. Therefore, Aim 1 investigates the extent to which Medicaid Expansion and the Exchanges have improved health care access in low-income Ohioans by evaluating changes to self-reported measures of health care access. Aims 2 and 3 evaluate whether the improvements in healthcare access suggested in Aim 1 have translated to meaningful improvements in stage at diagnosis in four screening-amenable cancers (breast, cervical, colorectal, and lung cancer). Aim 2 focuses on the low-income, Medicaid-eligible Ohioans, while Aim 3 focuses on low-income privately insured Ohioans, including those with Marketplace insurance. During this time of rapid health systems evolution, these studies, which provide timely insight on the impact of the Marketplaces and Medicaid Expansion on both healthcare access and disease-specific outcomes, can help inform future policy efforts to improve population health. 2020-06-01 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1586799590015602 http://rave.ohiolink.edu/etdc/view?acc_num=case1586799590015602 restricted--full text unavailable until 2022-05-17 This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection	NDLTD
language	English
sources	NDLTD
topic	Health Care Medicine Oncology Public Health
spellingShingle	Health Care Medicine Oncology Public Health Kim, Uriel Health Services Access and Cancer Disparities Among Low-Income Ohioans
author	Kim, Uriel
author_facet	Kim, Uriel
author_sort	Kim, Uriel
title	Health Services Access and Cancer Disparities Among Low-Income Ohioans
title_short	Health Services Access and Cancer Disparities Among Low-Income Ohioans
title_full	Health Services Access and Cancer Disparities Among Low-Income Ohioans
title_fullStr	Health Services Access and Cancer Disparities Among Low-Income Ohioans
title_full_unstemmed	Health Services Access and Cancer Disparities Among Low-Income Ohioans
title_sort	health services access and cancer disparities among low-income ohioans
publisher	Case Western Reserve University School of Graduate Studies / OhioLINK
publishDate	2020
url	http://rave.ohiolink.edu/etdc/view?acc_num=case1586799590015602
work_keys_str_mv	AT kimuriel healthservicesaccessandcancerdisparitiesamonglowincomeohioans
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Health Services Access and Cancer Disparities Among Low-Income Ohioans

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