Cost-Effectiveness of Outreach Strategies Implemented by Community Health Centers to Enroll Low-Income Immigrants in Public Health Insurance Programs

2.50
Hdl Handle:
http://hdl.handle.net/10755/163383
Category:
Abstract
Type:
Presentation
Title:
Cost-Effectiveness of Outreach Strategies Implemented by Community Health Centers to Enroll Low-Income Immigrants in Public Health Insurance Programs
Author(s):
Burger, Susan
Author Details:
Susan Burger, PhD, RN, Assistant Professor, Rutgers University College of Nursing, Newark, New Jersey, USA, email: sburger@rutgers.edu
Abstract:
Purpose: The primary purpose of this pilot study is to answer the central research question, "What are the costs and effects of different outreach strategies used by community health centers to enroll low-income immigrants in public health insurance programs." A secondary purpose is to develop the data collection instruments and assess the adequacy and appropriateness of the data collection and analysis plans. Theoretical Framework: The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 established new eligibility rules for immigrants. Immigrants' access to Medicaid and other public health care benefits has been adversely affected since enactment of this 1996 law. This study is guided by the key concepts of Milio's ecological framework for policy studies. Milio's framework models the relationship between public policy, health organizations, and community health outcomes. Methods (Design, Sample, Setting, Measures, Analysis): In order to develop the data collection instruments and data analysis plan and to identify the budget and organizational items needed to conduct a cost-effectiveness analysis, the PI met with an expert in health economics. Upon completion of the data collection instruments, the PI requested input from 3 program directors of community health centers concerning the wording, content, and appropriateness of the interview and data collection instruments. A pilot study is currently being conducted to test the data collection instruments and research design. A purposeful sample of two community health centers that have implemented different outreach/enrollment interventions in northern New Jersey was constructed. Qualitative data will be generated through site visits and key informant interviews. Quantitative data will be collected from organizational and public documents and will be used to augment the information provided by key informants. The costs and effects related to the two outreach interventions will be computed. Costs and effects will then be summarized in a cost-effectiveness ratio. Results: Ongoing. Conclusions and Implications: Ongoing research.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleCost-Effectiveness of Outreach Strategies Implemented by Community Health Centers to Enroll Low-Income Immigrants in Public Health Insurance Programsen_GB
dc.contributor.authorBurger, Susanen_US
dc.author.detailsSusan Burger, PhD, RN, Assistant Professor, Rutgers University College of Nursing, Newark, New Jersey, USA, email: sburger@rutgers.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163383-
dc.description.abstractPurpose: The primary purpose of this pilot study is to answer the central research question, "What are the costs and effects of different outreach strategies used by community health centers to enroll low-income immigrants in public health insurance programs." A secondary purpose is to develop the data collection instruments and assess the adequacy and appropriateness of the data collection and analysis plans. Theoretical Framework: The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 established new eligibility rules for immigrants. Immigrants' access to Medicaid and other public health care benefits has been adversely affected since enactment of this 1996 law. This study is guided by the key concepts of Milio's ecological framework for policy studies. Milio's framework models the relationship between public policy, health organizations, and community health outcomes. Methods (Design, Sample, Setting, Measures, Analysis): In order to develop the data collection instruments and data analysis plan and to identify the budget and organizational items needed to conduct a cost-effectiveness analysis, the PI met with an expert in health economics. Upon completion of the data collection instruments, the PI requested input from 3 program directors of community health centers concerning the wording, content, and appropriateness of the interview and data collection instruments. A pilot study is currently being conducted to test the data collection instruments and research design. A purposeful sample of two community health centers that have implemented different outreach/enrollment interventions in northern New Jersey was constructed. Qualitative data will be generated through site visits and key informant interviews. Quantitative data will be collected from organizational and public documents and will be used to augment the information provided by key informants. The costs and effects related to the two outreach interventions will be computed. Costs and effects will then be summarized in a cost-effectiveness ratio. Results: Ongoing. Conclusions and Implications: Ongoing research.en_GB
dc.date.available2011-10-27T11:06:35Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:06:35Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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