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Evaluating Health Policy Effect with Generalized Linear Model and Generalized Estimating Equation Model

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2020, Master of Actuarial and Quantitative Risk Management, Ohio State University, Mathematics.
According to the Affordable Care Act (ACA) in 2010, the scope of Medicaid is expanded to cover the people with annual incomes under the 138% of the Federal Poverty Level (FPL). Each state has the option to determine whether they join the program or not. So far, there are over 30 states have implemented the Medicaid expansion program. Also, in the rural counties, due to the lack of nearby hospitals and low population, there is a general trend leading to loss of medical care workforce supply. In this thesis, I will examine the association between the Medicaid expansion and the change of health care workforce supply in the rural counties. To answer this question, I used the difference-in-differences (DD) model. The effect of the Medicaid expansion program on rural health care workforce supply was explored by analyzing the change of number of Primary Care Physicians and Nurse Practitioners before and after the Medicaid expansion. I used the Generalized Linear Model (GLM) and Generalized Estimating Equation (GEE) to construct DD estimates and standard errors, and compare the fitting results of both. Finally, I also compared the model fitting in Poisson distribution and negative binomial distribution.
Chunsheng Ban (Advisor)
Bo Lu (Advisor)
41 p.

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Citations

  • Zhao, C. (2020). Evaluating Health Policy Effect with Generalized Linear Model and Generalized Estimating Equation Model [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586377218891854

    APA Style (7th edition)

  • Zhao, Chen. Evaluating Health Policy Effect with Generalized Linear Model and Generalized Estimating Equation Model. 2020. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1586377218891854.

    MLA Style (8th edition)

  • Zhao, Chen. "Evaluating Health Policy Effect with Generalized Linear Model and Generalized Estimating Equation Model." Master's thesis, Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586377218891854

    Chicago Manual of Style (17th edition)