Health Care Administration

Permanent URI for this collectionhttps://hdl.handle.net/11274/15389

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    Healthcare utilization disparities among lung cancer patients in US hospitals during 2010– 2014: Evidence from the US Hispanic population’s hospital charges and length of stay
    (Dovepress, 2022-02-09) Miller, Anastasia; Kim, Sun Jung; Medina, Mar; Delgado, Rigoberto; Chang, Jongwha
    Lung cancer remains a leading cause of death in the United States as the second most common cancer. In 2018, there were 218,520 new lung cancer cases, and it was the leading cause of cancer death that year. That same year, 10,183 lung cancer cases were from Hispanic patients, and 5540 Hispanic patients died. Comparatively, there were 23,417 new lung cancer Black patients, 1353 new cases in American Indian and Alaskan natives, and 6590 new cases in Asian and Pacific Islander patients. Despite advances in screening, treatment, and tobacco prevention, lung cancer attributed to over 1.8 million worldwide deaths in 2018 and was about 23.5% of all cancer deaths in 2019 in the United States. Worldwide, in 2020, there were 2,206,771 new lung cancer cases and 1,796,144 new lung cancer deaths, second in both categories only to female breast cancer. Lung cancer also has the highest cancer mortality rate in men worldwide. By 2021, the estimated number of new lung cancer cases in the United States will be 12.4% of all cancer cases and contribute to 21.7% of cancer deaths.
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    Potential predictors of hospital length of stay and hospital charges among patients with all-terrain vehicle injuries in rural Northeast Texas
    (Kermanshah University of Medical Sciences, 2020-01) Miller, Anastasia; Gallegly, Jeanie; Orsak, Gabriela; Huff, Sharon D.; Peters, Jo Ann; Murry, Jason; Ndetan, Harrison; Singh, Karan P.
    Background: All-Terrain Vehicles (ATVs) have become popular for recreation use in recent years. Texas has had more ATV related fatalities than any other state in the nation, with rural Northeast Texas having even higher rates of injuries. There is limited data examining the relationship between ATV injuries and the length of hospital stay, as well as hospital costs. This paper examines both issues in children as well as adults.
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    Coping mechanism and professional quality of life in northeast Texas EMS personnel during the COVID-19 pandemic: An exploratory study
    (SAGE, 2021-06-10) Miller, Anastasia; Brown, Lee Warren
    Introduction - The purpose of this study was to conduct an exploratory evaluation of employee professional quality of life and factors associated with it at an emergency medical service (EMS) agency in northeast Texas in the United States. Initially, we intended to evaluate typical day-to-day factors, however we ended up capturing these factors during the unique environment of the COVID-19 pandemic.
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    Generational conflict, alcohol use and brotherhood: An exploratory survey of a rural career fire department in the Midwest
    (Emerald Insight, 2021-05-11) Miller, Anastasia; Jahnke, Sara A.; Singh, Karan P.
    Purpose: The purpose of this article was to identify factors impacting burnout, resilience and quality of life in rural career firefighters. In addition, sources of stress and the impact of generational differences were explored.
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    Comparison of multiple chronic obstructive pulmonary disease (COPD) indices in Chinese COPD patients
    (The Korean Academy of Tuberculosis and Respiratory Diseases, 2018-04) Zhang, Jinsong; Miller, Anastasia; Li, Yongxia; Lan, Qinqin; Zhang, Ning; Chai, Yanling; Hai, Bing
    Background: Chronic obstructive pulmonary disease (COPD) is a serious chronic condition with a global impact. Symptoms of COPD include progressive dyspnea, breathlessness, cough, and sputum production, which have a considerable impact on the lives of patients. In addition to the human cost of living with COPD and the resulting death, COPD entails a huge economic burden on the Chinese population, with patients spending up to one-third of the average family income on COPD management in some regions is clinically beneficial to adopt preventable measures via prudent COPD care utilization, monetary costs, and hospitalizations.
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    Colorectal cancer education and screening program for the un- or under- insured in a primarily rural setting in Northeast Texas: Design and methods
    (Company of Scientists and Physicians, 2019-10-20) Orsak, Gabriela; Allen, Carlton M.; Miller, Anastasia; Singh, Karan P.; McGaha, Paul
    Background: Although early detection and screening for colorectal cancer saves lives, screening rates remain suboptimal, especially for minorities, underserved populations, older adults (>60), men, un/under insured, and those living in rural settings. The goal of the colorectal cancer education and screening program is to target the un- or under- insured in a 19-county primarily rural target area to provide: 1) education concerning CRC and CRC screening to 12,000 individuals, and 2) CRC screenings (colonoscopy and/or FIT) to 5,1613 un- or under- insured individuals.
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    Emergency medical service personnel injury and fatality in the United States
    (SciEdu Press, 2018-05-23) Miller, Anastasia
    INTRODUCTION: Emergency Medical Services (EMS) personnel comprise an intricate part of the public safety net in the US. The purpose of this study was to synthesize data sources to understand the major workplace dangers facing EMS providers.
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    Strategies to achieve competencies during disruptive change: Emerging employer needs and their impact on program deliverables in the healthcare sector
    (University Programs in Health Administration, 2019) Murdock, Sandra; Delgado, Rigoberto; Gammon, Elizabeth; Raole, Neha
    The impacts of disruptive change on competency-based education are receiving considerable attention from educators in many sectors across the globe. Systemic disruptive change in healthcare involves substantial changes in institutional performance measurement and reimbursement, and requires timecritical adoption of responsive innovation and management skills on the part of healthcare leaders. From the educational perspective, however, the challenge under disruptive change is the identification of emerging employer needs and corresponding program deliverables of required student competencies. This study presents the results of a focus group of 22 senior executives across various health entities and regions as part of a strategy to develop innovative approaches to address required competency changes in health management education. This paper identifies four major focus areas: (a) required technical competencies; (b) competencies to address change; (c) anticipated challenges; and (d) educational strategies for healthcare management programs. Needed competencies and changes in program objectives were developed through a systematic, evidence-based, consensus building approach using interviews to elicit information that would serve as a foundation for healthcare management education redesign. The needed competencies included enhanced interpersonal skills, transformational leadership skills, collaborative communication, concise presentation skills, and strong skills in data analysis.
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    Return on investment of free colorectal cancer screening tests in a primarily rural uninsured or underinsured population in Northeast Texas
    (SpringerNature, 2019) Orsak, Gabriela; Miller, Anastasia; Allen, Carlton M.; Sing, Karan P.; McGaha, Paul
    BACKGROUND: Colorectal cancer (CRC) is the third most common cancer in the USA. Its economic impact is extensive, and preventive screening services are warranted to help prevent it.
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    Individual and organizational influences of the professional quality of life of Florida public safety personnel
    (Emerald, 2019) Miller, Anastasia; Unruh, Lynn
    PURPOSE: Public safety personnel (law enforcement, firefighters, emergency medical services and dispatchers) face work environments which are high stress. These can lead to burnout, secondary traumatic stress and a reduction of compassion satisfaction. However, very little is known about what individual and work factors influence these negative coping mechanisms in public safety personnel. It is also unknown how perceived organizational and coworker support, debriefing methods, or individual characteristics are associated with the aforementioned coping mechanisms. The differences between these fields are also unknown. The paper aims to discuss these issues.