Dissertations / Theses on the topic 'Public health in Colombia'
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Quevedo, Emilio, and mikewood@deakin edu au. "El tránsito desde la higiene hacia la salud la pública en Colombia en el contexto de las interacciones internactionales." Deakin University. School of Social Inquiry, 2000. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20051118.110705.
Full textDail, Adriana Marcella. "Access to Health Services and Health Seeking Behavior Among Former Child Soldiers in Manizales, Colombia." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6489.
Full textGonzález, Echeverri Germán. "A model for improving emergency services of Hospital Universitario San Vicente de Paul, Medellin-Colombia." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=36807.
Full textAt the time of this investigation, there was no pre-hospital emergency care services in the Valle de Aburra. Thus, this thesis examines predictors of mortality from a case series of 1395 persons presenting to the Emergency department of the Hospital Universitario San Vicente de Paul (HUSVP). Overall mortality for this series was 9.31% and 37.5% of these deaths were retrospectively identified as preventable. Mortality for injuries involving the central nervous system (CNS) was higher at 14.4%. Using the TRISS method, higher than expected death rates were noted from pedestrian-motor vehicle incidents and trauma associated with firearms use.
Determinants of mortality and length of stay were identified using logistic regression. These included factors associated with the mechanism and site of injury and also with the process of care, both pre-hospital and in-hospital.
Based on these identified determinants, policies for integrated pre-hospital and hospital emergency care in the Valle de Aburra can be developed. Regionalizing these services could be expected to reduce both mortality rates and preventable deaths.
Obregón, Torres Diana. "Struggling against leprosy: physicians, medicine, and society in Colombia, 1880-1940." Diss., Virginia Tech, 1996. http://hdl.handle.net/10919/39087.
Full textRodriguez-Acosta, Cristina A. "The Impact of Decentralization and New Intergovernmental Relations on Public Service Delivery: A Comparative Analysis of Colombia and Paraguay." FIU Digital Commons, 2016. http://digitalcommons.fiu.edu/etd/2470.
Full textLucio, Bonilla Carlos Ernesto. "Aspectos bioéticos de la regulación de medicamentos en Colombia." Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/664061.
Full textKrystosik, Amy Robyn. "CHIKUNGUNYA, DENGUE, AND ZIKA IN CALI, COLOMBIA: EPIDEMIOLOGICAL AND GEOSPATIAL ANALYSES." Kent State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=kent1481111225042036.
Full textO'Bryant, Adam L. "Factors associated with traffic crashes in Pasto, Colombia, 2005-2006." unrestricted, 2008. http://etd.gsu.edu/theses/available/etd-07252008-155628/.
Full textTitle from file title page. Karen Gieseker, committee chair; Ike S. Okosun, Victoria Espitia-Hardeman, committee members. Electronic text (69 p. : col. ill., col. map) : digital, PDF file. Description based on contents viewed Sept. 29, 2008. Includes bibliographical references (p. 61-66).
Jessen, Andrew. "Understanding Access to Essential Pharmaceuticals during a Public Health Crisis." Digital Archive @ GSU, 2006. http://digitalarchive.gsu.edu/political_science_theses/9.
Full textMazars, Nadège. "Les ruses de la pratique subalterne. La santé gérée par les autochtones en Colombie, un multiculturalisme de domination et/ou d'autonomie ?" Thesis, Paris 3, 2013. http://www.theses.fr/2013PA030019.
Full textIn 1993, Colombia reformed its healthcare system by following the orientations brought out by the political Constitution adopted in 1991 and the prescriptions emanating from the « Washington consensus ». The country enters a new political era in which social issues are redefined around the theme of poverty, whereas ethnic issues acquire a new visibility. In this context, Entities Promoting Indigenous Health (EPIH) are created from the generic model of EPHs, which are public administrative bodies dealing with healthcare affiliations and budgets and play an intermediary role between the State and the patient. The EPIH is closely intertwined with the native world. In fact, these entities manage the access to health care services for a population that must be of great majority native. The personnel and agents that run these entities are recruited in the native social and political realm. Furthermore, what is known as the "traditional" authority fully supervises these entities. To officially represent these native communities, these authorities give to the EPSI a public legal status, which confers them a distinctive character in the health care system more generally undergoing privatization reforms. What are the consequences of bringing in indigenous authorities and agents of these health agencies in the administration of public affairs? What are the effect on power relations and/or expressions of autonomy generated by the concrete application of this multiculturalism? Analyzing the issues that are brought out in the realm of intercultural health, this thesis is structured around three main parts. The first part will define the paradigm in which are thought out, from a state perspective, the interculturality of the health care system to understand how politics of multiculturalism, through integration, become a method of domination. The modus operandi of neo-liberal governance is based on the notion of empowerment, i.e. indigenous participation to the health care system being one of its manifestations. The second part will study the dialectical dimension of multiculturalism politics based on an ethnographic study conducted in three EPIH in three states (Cauca, César, La Guajira). The concrete application of this politics of multiculturalism leads to a re-interpretation of its meaning and an re-appropriation of social power dynamnics (territorial control, biopolitics) through which become possible the construction of autonomous indigenous space. However, the third part will analyze how this autonomy is only made possible by preexisting social, collective, and historical dynamics, which enabled a group of agents to produce a discourse and their own application of public affairs. We will thus study with the help of biographical narratives how it is possible to form counterpublics by looking at the habitus of the agents and at the local and global moral economy that helped shape these counterpublics
Valencia-Tobon, Alejandro. "Your love hurts down to my bones : exploring public understandings of dengue fever in Medellin, Colombia, through an anthropology-art-science investigation." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/your-love-hurts-down-to-my-bones-exploring-public-understandings-of-dengue-fever-in-medellin-colombia-through-an-anthropologyartscience-investigation(d3f04ff7-a8e5-47c6-ac80-d8bb54d346c8).html.
Full textBailey, Mark S. "Febrile illnesses at the Colombo North Teaching Hospital in Sri Lanka (The Ragama Fever Study)." Thesis, University of Liverpool, 2012. http://livrepository.liverpool.ac.uk/9513/.
Full textOre, Rosa. "Framing Colombian Women's Beliefs, Values and Attitude Towards Sex and Sexual High-Risk Behaviors." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4556.
Full textGarcia, Garcia Victor Manuel. "La construction et la régulation du marché des médicaments en Colombie (1914-1971) : contribution à une histoire de la mondialisation du médicament." Thesis, Paris, EHESS, 2020. http://www.theses.fr/2020EHES0178.
Full textBased on the analysis of documentary sources from Colombian national archives, documents from pharmaceutical laboratories and the national and international press, this thesis studies the emergence of the pharmaceutical industry and the regulation of the drug market in Colombia during the 20th century between 1914 and 1971. The thesis shows how, during the mentioned period, the State was a fundamental actor regarding the regulation in the quality of pharmacology, promoting industrialization and local pharmaceutical production and increasing access to treatments. The first part of the thesis examines the configuration of a national pharmaceutical market, through the process of transformation of pharmacies into pharmaceutical companies and the emergence of pharmaceuticals as a public health problem that should be regulated. The thesis shows the scope of the private laboratory creation movement since the first decades of the 20th century. It analyzes the creation of a national laboratory for biological and pharmaceutical products with the cooperation of the Rockefeller Foundation in 1926, the Samper Martínez laboratory. This public laboratory became a fundamental tool for pharmaceutical regulation in Colombia. The thesis describes the exchanges between scientific immigrants, international philanthropy, industrialists and the Colombian State that allowed the emergence of a very active local industry.The second part of the thesis analyzes the state policy of the 1940s to strengthen and regulate the pharmaceutical industry in the field of chemistry and biological products. It examines the expropriation policy of German laboratories during the Second World War and the regulation of the controversial biological products of a Spanish company in the context of a state influenced by pharmaceutical interests.The third part of the thesis studies the policy of the Colombian State to create a generic drug market at the beginning of the 1960s, in direct relation to the debate introduced in the United States on drug prices and patent regulation by Senator Estes Kefauver. The compilation of the oral testimony of Dr José Félix Patiño, Minister of Health in that period, as well as the analysis of the public debate in Colombia, provides valuable information on the history of generic drugs. The presence of a new generic drug industry encouraged governments to undertake a reform of the pharmaceutical patent system in 1971, in parallel with reforms carried out at the same time in Brazil and India
A partir del análisis de fuentes documentales provenientes de archivos nacionales colombianos, documentos de laboratorios farmacéuticos y de la prensa nacional e internacional, esta tesis estudia la emergencia de la industria farmacéutica y la regulación del mercado de medicamentos en Colombia durante el siglo XX entre 1914 y 1971. La tesis da cuenta de cómo el Estado se constituyó durante este período como actor fundamental en la regulación de la calidad de los medicamentos en circulación, incentiva la industrialización y la producción farmacéutica local y amplia el acceso a los tratamientos. La primera parte de la tesis examina la configuración de un mercado nacional de medicamentos, a través del proceso de transformación de las farmacias en empresas farmacéuticas y del surgimiento del medicamento como un problema de salud pública que debía ser regulado. La tesis muestra el alcance del movimiento de creación de laboratorios privados desde las primeras décadas del siglo XX y analiza la creación de un laboratorio nacional de productos biológicos y farmacéuticos con la ayuda de la Fundación Rockefeller en 1926, el laboratorio Samper Martínez. Este laboratorio público se convirtió en una herramienta fundamental para la regulación farmacéutica en Colombia. La tesis describe los intercambios entre inmigrantes científicos, filantropía internacional, industriales y el Estado colombiano que permitieron el surgimiento de una industria local muy activa. La segunda parte de la tesis analiza la política estatal de la década de 1940 para fortalecer y regular la industria farmacéutica en el campo de la química farmacéutica y los productos biológicos. Examina la política de expropiación a los laboratorios alemanes durante la segunda guerra mundial y la regulación de los polémicos productos biológicos de una empresa española en el contexto de un estado influenciado por intereses farmacéuticos. La tercera parte de la tesis estudia la política del Estado colombiano para crear un mercado de medicamentos genéricos a principios de la década de 1960, en relación directa con el debate introducido en Estados Unidos sobre los precios de los medicamentos y la regulación de patentes por el senador Estes Kefauver. Gracias a la recopilación del testimonio oral del Dr. José Félix Patiño, Ministro de Salud en ese periodo, así como al análisis del debate público en Colombia, la tesis brinda información valiosa sobre la historia de los medicamentos genéricos. La presencia de una nueva industria de medicamentos genéricos alentó a los gobiernos a emprender una reforma al sistema de patentes farmacéuticas en 1971, en paralelo con las reformas llevadas a cabo al mismo tiempo en Brasil y la India
Cardenas, Alexandra Pava. "Educação alimentar e nutricional em nível de atenção primária à saúde em São Paulo e Bogotá: cenário e temáticas." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/6/6138/tde-17042013-110402/.
Full textBackground: Nutrition Education (NE) is a fundamental part of promoting healthy eating within the concept of Primary Health Care (PHC). The prioritization of the themes addressed in EN groups keeps correspondence with the model of PHC services and concerning public policies. Objective: to compare themes, process of obtaining and technical reference used in development EN groups conducted by nutritionists in APS level in São Paulo and Bogotá cities, assuming of EN configuration on public policies context of Brazil and Colombia. Methodology: a literature review was conducted about the country context and policy scenario in relation with food, PHC and Health Promotion (HP), considering the purpose, focus, actors and articulation with EN. Information was collected in São Paulo and Bogotá through three approaches: online questionnaire, semi-structured interview and systematic observation. For analysis was used reported activity around the message from the observation of a group meeting and Collective Subject Discourse (CSD) technique from semistructured interview. Fifty-four interviews and forty-one observations were conducted. Results: there is a potential space for performing actions directed to NE in public policy context, although at different level of formulation, but with increasing recognition by governments. Themes identified were in accordance with structure of PHC, HP, level of decentralization, formation groups and technical reference. In São Paulo, freedom of professional allows a greater level of specificity in addressing content, but focused mainly on the disease. In Bogotá, the decision of topics was centralized, however directed especially to HP. Final comments: the configuration of EAN on public policies context in the two cities, influencing the themes, process of determination and technical reference used, including potential facilitators for the support public policies, for instance professional autonomy, community participation and monitoring of NE groups process
Moreno, Luis Ferney. "Regulation for the accomplishment of public purposes: the case of public utilities in Colombia." Pontificia Universidad Católica del Perú, 2016. http://repositorio.pucp.edu.pe/index/handle/123456789/116617.
Full textDesde los años noventa, ciertos países de América Latina liberalizaron y privatizaron el sector de los servicios públicos. Como consecuencia, se pasó del Estado empresario al Estado regulador, el cual era tradicionalmente entendido como un modelo de regulación para la competencia, centrado principalmente en objetivos económicos. Sin embargo, la realidad socioeconómica de los países de América Latina, en particular Colombia, demuestra que la competencia no es la única prioridad, sino que la regulación en los servicios públicos también debe atender a la consecución de objetivos sociales. Los objetivos públicos son el pilar de la intervención del Estado, entendido esto como objetivos económicos y sociales.
Castaño, Echeverri Alejandra. "Media work and public value : producing public service television under state control in Colombia." Thesis, University of Leicester, 2017. http://hdl.handle.net/2381/40039.
Full textCabrera, Marta Jimena. "Writing civilisation the historical novel in the Colombian national project /." Access electronically, 2004. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20050307.143257/index.html.
Full textHincapie, Diana Patricia. "Essays on Education Policy and Student Achievement in Colombia." Thesis, The George Washington University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3617172.
Full textThe main objective of this dissertation is to analyze the impact that two notable school reforms have had on student achievement in Colombia. The dissertation consists of three essays. The first essay lays out the conceptual framework for the dissertation. It describes the education production function that underlies most analyses in the economics of education, and reviews the main evidence on the impact of school resource policies on student outcomes.
The second essay analyzes the impact of longer school days on student achievement in Colombia, where primary and secondary students attend schools that have either a complete (7-hour) or a half-day (4-hour) schedule. Using test score data from 5th and 9th graders in 2002, 2005, and 2009, along with school administrative data, this study identifies the effect of longer school days by implementing a school fixed effects model. The main model compares variation in average test scores across cohorts for schools that switched from a complete schedule to a half schedule and vice versa. I find that among schools that switch schedules between 2002 and 2009, the cohorts exposed to complete schedules have test scores that are about one tenth of a standard deviation higher than cohorts that attended half schedules. The impact of a complete schedule is larger for math test scores than for language test scores, and it is larger for 9th grade test scores than for 5th grade test scores. Effects are largest among the poorest schools in the sample, and those in rural areas. The results suggest that lengthening the school day may be an effective policy for increasing student achievement, particularly for the lowest-income students in Colombia and other developing countries.
The third essay analyzes the impact of the "Escuela Nueva" (EN) model (New School) on student achievement, using test score data from SABER 2002 and 2005, a national standardized test administered to 5th and 9th graders in Colombia. EN is an educational model originally designed to improve the effectiveness of rural schools. It is characterized by multigrade classrooms (i.e., one instructor teaches students in various grades in the same classroom), a child-centered curriculum, flexible systems of grading and promotion, intensive teacher training, and parental involvement. To mitigate the concerns about systematic selection of schools into EN that might bias the estimations of the EN impact, this study implements a school fixed effects model that controls for time-invariant characteristics within the school. Results show that among schools that switched models between 2002 and 2005, the cohorts of 5th grade students exposed to EN have on average 0.135 of a standard deviation higher language test scores than cohorts exposed to other models, while there is no statistically significant impact on switching to EN for 9th graders. The impact of EN is largest among rural schools and the poorest schools in the sample.
De, Costa Ravindra Noel John, and decosta@mcmaster ca. "New relationships, old certainties : Australia's reconciliation and treaty-making in British Colombia." Swinburne University of Technology, 2002. http://adt.lib.swin.edu.au./public/adt-VSWT20050627.092937.
Full textForde, I. "Impacts of a conditional cash transfer scheme on health in Colombia." Thesis, University College London (University of London), 2012. http://discovery.ucl.ac.uk/1356888/.
Full textLloreda, Francisco. "Public Policies for Reducing Violence, with particular reference to Youth Violence in Colombia." Thesis, University of Oxford, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.519786.
Full textHeeb, Alexis. "Violent crime, public perceptions and citizen security strategies in Colombia during the 1990s." Thesis, University of Oxford, 2002. http://ora.ox.ac.uk/objects/uuid:9aa285b1-15e6-402f-a4e8-2f7322c9adc3.
Full textMontoya, Benítez Andrés. "A proposal for universal access to basic telecommunications services in Colombia." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0022/MQ50951.pdf.
Full textSantiago, Denise L. "Assessment of public health infrastructure to determine public health preparedness." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2006. http://library.nps.navy.mil/uhtbin/hyperion/06Mar%5FSantiago.pdf.
Full textThesis Advisor(s): Anke Richter. "March 2006." Includes bibliographical references (p. 75-81). Also available online.
Salazar, Ligia de. "Assessment of health students performance by the community using perceived quality of care model." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=40337.
Full textThe main purpose of this partnership is to encourage efforts to promote, oversee, and apply the actions in each one of the instances in order to improve training of human resource, strengthen local health systems, and empower the communities. Human resource competence and performance, the capacity to provide services, and the degree of community participation and commitement to health, are key elements in improving service quality.
The philosophy of current curricula reform at the Valle University stresses the partnership relationship between academic institutions, services centers, and the community, in the training of health professionals. The proposed investigation focuses on the community-based training aspect of student performance assessment and its relation to the health care system and academia. Specifically, the study will focus on designing valid and reliable instruments for community assessment of student performance, using both qualitative and quantitative aspects of data collection and analysis to assess "patient satisfaction" as an indicator of quality of care.
The results of this study demonstrate that the proposed assessment activity will allow the educational and health services institutions to have relevant and dynamic information as feedback for planning and adjustment of their programs. At the same time, it will allow the community to participate in an effective way in aspects related to their health care. The results of this study will be used as a basis for producing guidelines for involving communities (users) in the health care students evaluation process.
Gonzalez-Rossetti, Alejandra. "The political dimension of health reform : the case of Mexico and Colombia." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2001. http://researchonline.lshtm.ac.uk/834547/.
Full textOdhiambo, Joseph A., Hywel C. Williams, Tadd O. Clayton, Colin F. Robertson, M. Innes Asher, Pascual Chiarella, and ISAAC Phase Three Study Group. "Global variations in prevalence of eczema symptoms in children from ISAAC Phase Three." Mosby Inc, 2009. http://hdl.handle.net/10757/625751.
Full textBackground: In 1999, The International Study of Asthma and Allergies in Childhood (ISAAC) Phase One reported the prevalence of eczema symptoms in 715,033 children from 154 centers in 56 countries by using standardized epidemiologic tools. Objective: To update the world map of eczema prevalence after 5 to 10 years (ISAAC Phase Three) and include additional data from over 100 new centers. Methods: Cross-sectional surveys using the ISAAC questionnaire on eczema symptoms were completed by adolescents 13 to 14 years old and by parents of children 6 to 7 years old. Current eczema was defined as an itchy flexural rash in the past 12 months and was considered severe eczema if associated with 1 or more nights per week of sleep disturbance. Results: For the age group 6 to 7 years, data on 385,853 participants from 143 centers in 60 countries showed that the prevalence of current eczema ranged from 0.9% in India to 22.5% in Ecuador, with new data showing high values in Asia and Latin America. For the age group 13 to 14 years, data on 663,256 participants from 230 centers in 96 countries showed prevalence values ranging from 0.2% in China to 24.6% in Columbia with the highest values in Africa and Latin America. Current eczema was lower for boys than girls (odds ratio, 0.94 and 0.72 at ages 6 to 7 years and 13 to 14 years, respectively). Conclusion:ISAAC Phase Three provides comprehensive global data on the prevalence of eczema symptoms that is essential for public health planning. New data reveal that eczema is a disease of developing as well as developed countries.
Revisión por pares
Bührer, Sabine. "Public Health im Wandel : eine vergleichende Bestandsaufnahme dreier Schools of Public Health /." Konstanz, 2004. http://www.public-health-edu.ch/new/Abstracts/BS_07.03.05.pdf.
Full textOsorio, Mejía Ana María. "Socioeconomic determinants of early childhood health in Colombia: exploring the role of context." Doctoral thesis, Universitat de Barcelona, 2013. http://hdl.handle.net/10803/117064.
Full textEl objetivo de esta tesis es contribuir a un entendimiento de los mecanismos a través de los cuales los determinantes estructurales e intermediarios de la salud influencian la salud de los niños en Colombia y como estos operan a través del contexto donde los niños viven, de una manera más completa que la que se ha hecho hasta ahora. Esta tesis se base en tres artículos de investigación. Los datos usados en estos estudios son de la “Demographic and Health Survey” (DHS) para Colombia en el año 2010. En primer lugar, los determinantes intermediarios de salud infantil se analizan a través de un indicador compuesto. El indicador permite identificar determinantes intermediarios claves de salud infantil y su importancia relativa entre departamentos colombianos. En segundo lugar, esta tesis examina el efecto de las condiciones socioeconómicas de la comunidad, la familia y los individuos sobre diferentes índices que representan determinantes intermediarios de salud infantil. Por último, se analiza la influencia de la educación de otras mujeres en la comunidad y de características socioeconómicas de las familias sobre la nutrición infantil, así como sus interacciones. Se utilizan diferentes enfoques metodológicos. Para la construcción de los indicadores compuestos se utiliza un análisis de componentes principales usando correlaciones policóricas, con el fin de analizar cómo se agrupan los departamentos de acuerdo a la salud de sus niños se hace un análisis de cluster jerarquico. Finalmente, con el fin de medir efectos contextuales se utilizan modelos multinivel de regresión lineal ponderados. Los resultados de esta tesis demuestran que el contexto de la comunidad es un componente clave en la determinación de determinantes intermediarios de salud infantil, así como de indicadores de nutrición de los niños, tanto en el mediano como en el largo plazo en Colombia. Por lo tanto, es necesario que los gobiernos municipales y departamentales involucren no sólo a los individuos, sino que también tengan en cuenta el contexto de las comunidades para el desarrollo, ejecución, monitoreo y evaluación de las políticas de cuidado infantil.
Molina, Gloria. "An examination of the process of decentralisation of the health sector in Colombia." Thesis, University of Birmingham, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.397426.
Full textDalén, Annika. "Communicating abortion. How sexual and reproductive rights organizations in Colombia communicate to the public opinion." Thesis, Malmö högskola, Fakulteten för kultur och samhälle (KS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-23374.
Full textFaust, Linda A. "AIDS Public health implications /." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1991. http://www.kutztown.edu/library/services/remote_access.asp.
Full textSource: Masters Abstracts International, Volume: 45-06, page: 2940. Abstract precedes thesis as [2] preliminary leaves. Typescript. Includes bibliographical references (leaves 94-100).
Emmelin, Maria. "Self-rated health in public health evaluation." Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-226.
Full textPanopoulou, Panagiota. "Health insurance and the use of health care services : the case of Colombia after the reform of 1993." Thesis, University of Sussex, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368450.
Full textAristizabal, Gilberto. "The utilization of health care services in a regional health unit of Cauca Valley, Colombia : a behavioral model /." The Ohio State University, 1988. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487596307357324.
Full textFernandez, Juan Gabriel. "Three essays on competition and health insurance markets." Thesis, Boston University, 2012. https://hdl.handle.net/2144/31552.
Full textPLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
Health care systems are complex organizations. Multiple agents interact in different settings to provide health care, each one of them with different objectives and information. How markets are organized and which actions are allowed, has a direct impact on the incentives agents face when making health care choices. In this dissertation, I study the determinants and effects of these choices on market outcomes, focusing on private health insurance markets. The first chapter provides insights about health insurance markets in which workers, rather than firms , choose insurance plans in an imperfect competition setting. Using a unique dataset that includes every person enrolled in private plans in Chile in 2009, I estimate underlying preference parameters over health insurance features. I find large heterogeneity in the valuation of t hese features across age-sex-groups and individual types. Individual characteristics play an important role on health plan choices and therefore, can be used by insurers to design plans targeted to specific groups and for patient selection. The second chapter presents a theoretical model where private insurers compete with a free public alternative to attract clients. Using a two-type model I show that if private insurance companies offer a non-rationing alternative and the public system rationing is done through random selection, an efficiency trap may exist. A marginal increase in the budget allocated to the public system can potentially reduce the expected welfare for all types. This result extends to a model with multiple types, but the negative welfare impact is offset by a crowding-in effect among the rich. Finally, the third chapter provides a general analytical framework that can be used to evaluate risk selection under different health care models. The model is based on the interactions between the four key agents present in every health care system: sponsors, health plans, providers and customers. This framework is used to review risk selection in four countries in the Americas - Canada, Chile, Colombia, and the U.S.-, showing how regulatory policies both create and ameliorate it, and in some cases are as important as risk adjustment, risk sharing and risk selection strategies for reducing risk selection.
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Jaramillo, Betancur Ernesto. "Evaluation of a mass media health education campaign for tuberculosis control in Cali, Colombia." Thesis, University College London (University of London), 1998. http://discovery.ucl.ac.uk/10021866/.
Full textMosquera, Méndez Paola Andrea. "Evaluation of a primary health care strategy implemented in a market-oriented health system : the case of Bogota, Colombia." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-86996.
Full textChavarro, Alvarez Marcela. "Formalizing Street Vendors in Bogotá, Colombia: The Network of Provision Services to Public Space Users (REDEP)." Thesis, Stockholms universitet, Kulturgeografiska institutionen, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-113519.
Full textHeimburg, Dina von. "Public health and health promotion: a salutogenic approach." Thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for sosialt arbeid og helsevitenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-12094.
Full textShah, Rebecca Sonul. "Global health inequality : Justice and public health ethics." Thesis, Keele University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.535801.
Full textBunten, A. "The application of health psychology to public health." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/20309/.
Full textWallace, Maria. "Public Health Nurses’ Perceptions of High School Dropout Rates as a Public Health Issue." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7766.
Full textBosworth, Ryan Cole. "Demand for public health policies /." view abstract or download file of text, 2006. http://proquest.umi.com/pqdweb?index=0&did=1192186841&SrchMode=1&sid=1&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1176749188&clientId=11238.
Full textTypescript. Includes vita and abstract. Includes bibliographical references (leaves 127-130). Also available for download via the World Wide Web; free to University of Oregon users.
Petersen, J. "Social marketing and public health." Thesis, University College London (University of London), 2009. http://discovery.ucl.ac.uk/18925/.
Full textPolyakova, Maria A. (Maria Alexandrovna). "Regulation of public health insurance." Thesis, Massachusetts Institute of Technology, 2014. http://hdl.handle.net/1721.1/90128.
Full textCataloged from PDF version of thesis.
Includes bibliographical references (pages 147-150).
The first chapter takes advantage of the evolution of the regulatory and pricing environment in the first years of a large federal prescription drug insurance program for seniors - Medicare Part D - to explore interactions among adverse selection, switching costs, and regulation. I document evidence of both adverse selection of beneficiaries across contracts and switching costs for beneficiaries in changing contracts within Medicare Part D. Using an empirical model of contract choice and contract pricing, I show that in the present environment, on net, switching costs help sustain an adversely-selected equilibrium with large differences in risks between more and less generous contracts. I then simulate how switching costs may alter the impact of "filling" the Part D donut hole as implemented under the Affordable Care Act. I find that absent any switching costs, this regulation would have eliminated the differences in risks across contracts; however, in the presence of the switching costs that I estimate, the effect of the policy is largely muted. The second chapter (co-authored with Francesco Decarolis and Stephen Ryan) explores federal subsidy policies in Medicare Part D. We estimate an econometric model of supply and demand that incorporates the regulatory pricing distortions in the insurers' objective functions. Using the model, we conduct counterfactual analyses of what the premiums and allocations would be in this market under different ways of providing the subsidies to consumers. We show that some of the supply-side regulatory mechanisms, such as the tying of premiums and subsidies to the realization of average "bids" by insurers in a region, prove to be welfare-decreasing empirically. The third chapter studies two competing systems that comprise the German health insurance landscape. The two systems differ in the ability of insurers to underwrite individual-specific risk. In contrast to the community rating of the statutory insurance system, enrollees of the private plans face full underwriting and may be rejected by the insurers. I empirically assess to what extent the selection of "good risks" dominates the interaction between the two systems, using a regression discontinuity design based on statutory insurance enrollment mandates. I do not find compelling evidence of cream-skimming by private insurers from the statutory system. Motivated by this finding, I quantify the change in consumer welfare that would result if the government relaxed the statutory insurance mandate to lower income levels.
by Maria A. Polyakova.
Ph. D.
Wettstein, Gal. "Essays on Public Health Insurance." Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:33493442.
Full textEconomics
French, Martin Andrew. "Picturing public health surveillance : tracing the material dimensions of information in Ontario's public health system." Kingston, Ont. : [s.n.], 2009. http://hdl.handle.net/1974/1689.
Full textPankaj, Vibha. "Mobilising knowledge in public health : analysis of the functioning of the Scottish Public Health Network." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/9440.
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