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Thesis Abstract: Cygnal The healthcare market plays a vital role in how our team worked with innovation space to design a product that fit user needs and could be a sustainable business. Whatever product we design is going to be dictated based off of how the insurance market will pay

Thesis Abstract: Cygnal The healthcare market plays a vital role in how our team worked with innovation space to design a product that fit user needs and could be a sustainable business. Whatever product we design is going to be dictated based off of how the insurance market will pay for it and how much we can charge for our product and services. In fact, the healthcare market is so incredibly unclear with outdated regulations that all of these fraud schemes and inflammatory prices are bound to happen. Stronger government involvement in this instance, I believe would help the issue. In reality, there are so many people taking advantage of the system that you cannot put the blame on anyone exploiting the system. What is clear though, is that they are taking advantage of a system that looks like it was set up to allow them to do so, and in that sense, Medicare is responsible for allowing this market to become warped. The healthcare industry played a vital role in our team for Innovation Space is completing our project. If we do not have a firm understanding on how the insurance market works, how much wheelchair companies are pricing chair components for, and how easily customers can see a financial benefit in switching to our product, it will not survive in the market place. That is why I as the business student am dedicating a lot of time in the final months of our project to make sure that our pricing is accurate, and feasible. The health insurance market, even if it is dysfunctional, will be ultimately paying for our product, and in business if you do not truly know your customer, you are bound to lose him. This paper uncovers why this market is warped and how to do business within it.
ContributorsMefford, Michael James (Author) / Peck, Sidnee (Thesis director) / Boradkar, Prasad (Committee member) / Barrett, The Honors College (Contributor) / Department of Economics (Contributor) / Department of Supply Chain Management (Contributor) / W. P. Carey School of Business (Contributor)
Created2015-05
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Bexarotene is a commercially produced drug commonly known as Targetin presecribed to treat cutaneous T-cell lymphoma (CTCL). Bex mimics the actions of natural 9-cis retinoic acid in the body, which are derived from Vitamin A in the diet and boost the immune system. Bex has been shown to be effective

Bexarotene is a commercially produced drug commonly known as Targetin presecribed to treat cutaneous T-cell lymphoma (CTCL). Bex mimics the actions of natural 9-cis retinoic acid in the body, which are derived from Vitamin A in the diet and boost the immune system. Bex has been shown to be effective in the treatment of multiple types of cancer, including lung cancer. However, the disadvantages of using Bex include increased instances of hypothyroidism and excessive concentrations of blood triglycerides. If an analog of Bex can be developed which retains high affinity RXR binding similar to the 9-cis retinoic acid while exhibiting less interference for heterodimerization pathways, it would be of great clinical significance in improving the quality of life for patients with CTCL. This thesis will detail the biological profiling of additional novel (Generation Two) analogs, which are currently in submission for publication, as well as that of Generation Three analogs. The results from these studies reveal that specific alterations in the core structure of the Bex "parent" compound structure can have dramatic effects in modifying the biological activity of RXR agonists.
ContributorsYang, Joanna (Author) / Jurutka, Peter (Thesis director) / Wagner, Carl (Committee member) / Hibler, Elizabeth (Committee member) / Barrett, The Honors College (Contributor)
Created2012-05
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The purpose of this analysis is to determine the economic impact that the distribution of the SolarSPELL digital library system to Peace Corps volunteers in Vanuatu will have on the citizens of Vanuatu by quantifying the potential for SolarSPELL and its health education content to reduce rates of certain illnesses

The purpose of this analysis is to determine the economic impact that the distribution of the SolarSPELL digital library system to Peace Corps volunteers in Vanuatu will have on the citizens of Vanuatu by quantifying the potential for SolarSPELL and its health education content to reduce rates of certain illnesses and thereby reduce the demands on the Vanuatu healthcare system. The research was carried out by researching the most prominent non-communicable diseases in Vanuatu that could be affected by lifestyle changes as a result of exposure to the health education content on the SolarSPELL and determining the expected changes in rates of each non-communicable disease as well as the expected changes in the individual and hospital costs, the loss of income due to missed work, transport costs within Vanuatu, and international medical evacuation costs. Ultimately, these costs were collectively reduced by approximately 2.046% due to SolarSPELL intervention, a reduction of approximately $7,000. However, given the limited scope of available information within the healthcare system of Vanuatu, it can be inferred that the impact of the distribution of the SolarSPELL is likely significantly larger. Consequently, it is recommended that the Vanuatu Ministry of Health, the SolarSPELL team, and the Peace Corps implement policies to increase the volume of healthcare data collected in Vanuatu in order to assist in future analyses of the healthcare system.
ContributorsErspamer, Brett Thomas (Author) / Ross, Heather (Thesis director) / Silverman, Daniel (Committee member) / Dean, W.P. Carey School of Business (Contributor) / Department of Economics (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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This study looked into the cultural competency of physicians when interacting with patients who identify themselves as part of the Deaf and Hard of Hearing community. Through the course of this paper, it was found that the language barrier between these two communities played a large role in healthcare disparities

This study looked into the cultural competency of physicians when interacting with patients who identify themselves as part of the Deaf and Hard of Hearing community. Through the course of this paper, it was found that the language barrier between these two communities played a large role in healthcare disparities for the D/HoH community. The language and culture barrier contributed to the misconceptions that are commonly found in the hearing world about the Deaf community, including assumptions about Deaf patients' opinion on their hearing loss, the efficacy of yelling, and the notion that all Deaf people can lip read with 100% accuracy. In addition, the perspectives of both the healthcare professionals and D/HoH patients was analyzed. Finally, the efficacy of current hospitals solutions for the language barrier was evaluated, particularly the use of video interpreting in hospital settings. More lasting solutions were proposed as an extension of this study, with an emphasis on education in all field of healthcare.
ContributorsHernandez, Deborah Andrea (Author) / O'Brien, Robin (Thesis director) / Howard, Pamela (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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The primary purpose of this paper is to analyze urgent care centers and explain their role within the U.S. healthcare system. The introduction of urgent care into the market for health care services has brought with it a new way for consumers to receive non-emergent healthcare outside of traditional hours.

The primary purpose of this paper is to analyze urgent care centers and explain their role within the U.S. healthcare system. The introduction of urgent care into the market for health care services has brought with it a new way for consumers to receive non-emergent healthcare outside of traditional hours. Urgent care is often cited as a plausible alternative to care received at an emergency department or primary care physician's office. One of the key questions the author attempts to answer is: "To what degree are urgent care centers an economic substitute to emergency departments or physician's offices?" This paper looks at both projected demand from currently operating urgent care centers and consumer preference surveys to estimate the willingness of consumers to use urgent care. The method used to accomplish this task has been compiling scholarly research and data on urgent care centers. After a thorough examination of relevant studies and datasets, urgent care centers have been found to be just as preferred as emergency departments when considering non-emergent cases, specifically among individuals aged 18-44. The clear majority of consumers still prefer visiting a primary care physician over an urgent care center when it comes to episodic care, however. When taking into account wait times, differences in cost, and ease of access, urgent care becomes much more preferred than an emergency department and weakly preferred to a physician's office. There are still some concerns with urgent care, however. Questions of capacity to meet demand, access for underserved communities, and susceptibility to adverse selection have yet to be fully explored.
ContributorsBullington, Robert Heyburn (Author) / Foster, William (Thesis director) / Hill, John (Committee member) / Sandra Day O'Connor College of Law (Contributor) / W.P. Carey School of Business (Contributor) / Department of Economics (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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The purpose of this research was to identify various problems within value analysis teams as well as provide solutions that will help to better align the agents involved in the value analysis process. As healthcare costs continue to rise, and hospital reimbursements fall, value analysis teams will play an even

The purpose of this research was to identify various problems within value analysis teams as well as provide solutions that will help to better align the agents involved in the value analysis process. As healthcare costs continue to rise, and hospital reimbursements fall, value analysis teams will play an even more pivotal role in the success of healthcare organizations. Also, the industry trend toward value-based care is highlighting the importance of these teams. However, interdisciplinary value analysis teams bring to light the underlying agency issue that exists between physicians and hospital administrators, and the general misalignment of values between the participants. In order for these teams to function properly, it is inherent that all of the professionals involved align their incentives. For this study, I studied relevant literature pertaining to value analysis, attended relevant speakers, and then performed interviews with several different professionals involved in healthcare value analysis. I organized and coded this data using the Grounded Theory approach, and was able to identify the underlying issues within these teams. I then created a typology of value analysis teams, based on my respondents, where I segment them into four tiers based on their utilization of data, and their level of physician involvement. Finally, I identified three distinct strategies for developing value analysis teams to implement in order to increase their efficiency and overall success.
ContributorsLindgren, Thomas John (Author) / Schneller, Eugene (Thesis director) / Choi, Thomas (Committee member) / Department of Supply Chain Management (Contributor) / Department of Economics (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
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Physician-assisted suicide occurs when a physician facilitates a patient's death by prescribing a lethal medication that they understand will be used for the purpose of ending the patient's life. It is a highly contentious subject and, with the recent addition of California to the list of states that allow physician-assisted

Physician-assisted suicide occurs when a physician facilitates a patient's death by prescribing a lethal medication that they understand will be used for the purpose of ending the patient's life. It is a highly contentious subject and, with the recent addition of California to the list of states that allow physician-assisted suicide, is an increasingly relevant subject. Physician-assisted suicide is rarely framed as a healthcare experience, despite being a choice in the process of end-of-life care. The research seeks to bring together the debates about physician-assisted suicide with conversations about health care experiences. The experiences and perspectives of young people are particularly valuable to evaluate now, as their voices will soon be the leaders in the debate over physician-assisted suicide. Within this research, there is an underlying theme of independence of individuals that is present through both the literature review and the body of data collected and analyzed. The study found that there was no significant relationship between the quality of a person's healthcare and their perspectives about physician-assisted suicide.
ContributorsMoeur, Katherine Elizabeth (Author) / Brian, Jennifer (Thesis director) / Graff, Sarah (Committee member) / Stevenson, Christine (Committee member) / School of Life Sciences (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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The purpose of this thesis was to estimate the potential health care cost savings from legalizing a physician assisted suicide (PAS) policy on both a national and individual scale. Given the evolving legal context of PAS paired with the rapidly rising health care costs and aging population in the United

The purpose of this thesis was to estimate the potential health care cost savings from legalizing a physician assisted suicide (PAS) policy on both a national and individual scale. Given the evolving legal context of PAS paired with the rapidly rising health care costs and aging population in the United States, we hypothesized that implementing a PAS policy on a federal scale would significantly lower healthcare costs. We conducted our analysis using 2 methods: one based on data from the Netherlands and one based on data from Oregon. Overall, we found that while cost savings on a national level are not significant enough to solely justify legalization of PAS, there is a compelling case that legalization of PAS would be a compassionate policy that significantly relieves the financial burden on individuals and their families.
ContributorsJenkins, Kylie (Co-author) / Cunningham, Chloe (Co-author) / Mendez, Jose (Thesis director) / Oberlin, Stephen (Committee member) / Department of Economics (Contributor) / Barrett, The Honors College (Contributor)
Created2015-12
Description
This world promises just one thing: continuous change. As humanity has moved through time much has changed in the worlds of science, mathematics, and physics. These shifts in humanity's comprehension often arrive unexpectedly, driven by education, innovation, and experimentation. Such transformative waves resemble a series of technology shocks that are

This world promises just one thing: continuous change. As humanity has moved through time much has changed in the worlds of science, mathematics, and physics. These shifts in humanity's comprehension often arrive unexpectedly, driven by education, innovation, and experimentation. Such transformative waves resemble a series of technology shocks that are known to cause significant disruptions within an industry and the economy broadly as firms permanently change the ways they produce and distribute goods and services in response to new technologies or information. The recent flurry of innovation and interest in Artificial Intelligence leads us to believe that many industries may be experiencing such a wave of change today. The healthcare industry currently employs the most workers of any other sector in the United States (outside of the government) and is made up of an unprecedented 77% of female workers making the outcomes of changes in its labor market demands particularly important. In this paper we discuss the current state of Artificial Intelligence adoption within the clinical side of healthcare, what sub sectors and occupations are most exposed, and to what extent the FDA approved AI-enabled clinical healthcare products replace or complement those tasks of existing occupations. We also interviewed a few healthcare professionals with different levels of seniority and exposure to AI-enabled products to develop a holistic understanding of current AI adoption, employee preparation, and potential labor market implications over the short and long term. We find that AI implementation within clinical healthcare settings is young in its life cycle yet fast growing. Current use cases are mostly in the earlier stages of the patient’s care journey assisting workers in various capacities in the processes of patient testing, diagnosis, care planning, and post-treatment monitoring. The tasks associated with patient interaction and care administration do not appear to be threatened by AI automation at this point in time. Additionally, approved Artificial Intelligence products for clinical use are disproportionately concentrated in the subsectors of radiology, neurology, and cardiology. Finally, our interviews revealed a concerning lack of consideration and preparation, among healthcare workers, for the potential automation of their fundamental tasks. Going forward, we believe it wise for healthcare workers to monitor the evolution of clinical AI use cases as well as the FDA approval of AI-enabled products and prepare for potential automation by continuing to learn new skills, take on additional responsibilities, and generally inject themselves into as many stages of the patient’s healthcare journey as possible to differentiate among other workers and avoid the coming wave of mass clinical automation.
ContributorsDolasinski, Nicholas (Author) / McElenney, Nicholas (Co-author) / Mehta, Ari (Thesis director) / Asheim, Brody (Committee member) / Barrett, The Honors College (Contributor) / Department of Finance (Contributor) / Department of Economics (Contributor)
Created2024-05