LEADER 00000ctm a2200661Ia 4500 
001    ocn550635014 
005    20100628112416.0 
008    100310s2009    xx a    rbm   000 0 eng d 
035    (OCoLC)ocn550635014 
035    491338 
040    RID|beng|cRID|dRID 
043    n-us--- 
049    RIDM 
050  4 RA413.7.U53|bF57 2009 
090    RA413.7.U53 F57 2009 
100 1  Fischer, Leah Simone. 
245 12 A comparative analysis of CHIP perinatal policy in twelve 
       states /|cby Leah Simone Fischer. 
264  0 |c2009. 
300    134 pages :|billustrations 
336    text|btxt|2rdacontent 
337    unmediated|bn|2rdamedia 
338    volume|bnc|2rdacarrier 
500    Adviser: Stephen H. Linder. 
500    UMI number 3350227. 
502    |bPh. D.|cUniversity of Texas Health Science Center at 
       Houston, School of Public Health|d2009. 
504    Includes bibliographical references (pages 130-134). 
520    The purpose of this comparative analysis of CHIP Perinatal
       policy (42 CFR & sect; 457) was to provide a basis for 
       understanding the variation in policy outputs across the 
       twelve states that, as of June 2007, implemented the 
       Unborn Child rule. This Department of Health and Human 
       Services regulation expanded in 2002 the definition of 
       "child" to include the period from conception to birth, 
       allowing states to consider an unborn child a "targeted 
       low-income child" and therefore eligible for SCHIP 
       coverage. 
520    Specific study aims were to (1) describe typologically the
       structural and contextual features of the twelve states 
       that adopted a CHIP Perinatal policy; (2) describe and 
       differentiate among the various designs of CHIP Perinatal 
       policy implemented in the states; and (3) develop a 
       conceptual model that links the structural and contextual 
       features of the adopting states to differences in the 
       forms the policy assumed, once it was implemented. 
520    Secondary data were collected from publicly available 
       information sources to describe characteristics of states'
       political system, health system, economic system, 
       sociodemographic context and implemented policy 
       attributes. I posited that socio-demographic differences, 
       political system differences and health system differences
       would directly account for the observed differences in 
       policy output among the states. 
520    Exploratory data analysis techniques, which included 
       median polishing and multidimensional scaling, were 
       employed to identify compelling patterns in the data. 
       Scaled results across model components showed that 
       economic system was most closely related to policy output,
       followed by health system. Political system and socio-
       demographic characteristics were shown to be weakly 
       associated with policy output. Goodness-of-fit measures 
       for MDS solutions implemented across states and model 
       components, in one- and two-dimensions, were very good. 
520    This comparative policy analysis of twelve states that 
       adopted and implemented HHS Regulation 42 C.F.R. & sect; 
       457 contributes to existing knowledge in three areas: CHIP
       Perinatal policy, public health policy and policy 
       sciences. First, the framework allows for the 
       identification of CHIP Perinatal program design 
       possibilities and provides a basis for future studies that
       evaluate policy impact or performance. Second, studies of 
       policy determinants are not well represented in the health
       policy literature. Thus, this study contributes to the 
       development of the literature in public health policy. 
       Finally, the conceptual framework for policy determinants 
       developed in this study suggests new ways for policy 
       makers and practitioners to frame policy arguments, 
       encouraging policy change or reform. 
533    Photocopy.|bAnn Arbor, Mich. :|cUMI Dissertation Services,
       |d[2010]|exii, 134 p. : col. ill. ; 22 cm. 
610 20 State Children's Health Insurance Program (U.S.)|0https://
       id.loc.gov/authorities/names/no99007367 
610 27 State Children's Health Insurance Program (U.S.)|2fast
       |0https://id.worldcat.org/fast/745014 
650  0 Health insurance|zUnited States|xStates.|0https://
       id.loc.gov/authorities/subjects/sh2008123846 
650  0 Maternal health services|0https://id.loc.gov/authorities/
       subjects/sh85082102|xGovernment policy|0https://id.loc.gov
       /authorities/subjects/sh99005269|zUnited States|0https://
       id.loc.gov/authorities/names/n78095330-781|xStates.|0https
       ://id.loc.gov/authorities/subjects/sh2001008678 
650  0 Fetus|0https://id.loc.gov/authorities/subjects/sh85047965
       |xMedical care|0https://id.loc.gov/authorities/subjects/
       sh00005607|xGovernment policy|0https://id.loc.gov/
       authorities/subjects/sh99005269|zUnited States|0https://
       id.loc.gov/authorities/names/n78095330-781|xStates.|0https
       ://id.loc.gov/authorities/subjects/sh2001008678 
650  0 Poor children|0https://id.loc.gov/authorities/subjects/
       sh85104852|xMedical care|0https://id.loc.gov/authorities/
       subjects/sh00005607|xGovernment policy|0https://id.loc.gov
       /authorities/subjects/sh99005269|zUnited States|0https://
       id.loc.gov/authorities/names/n78095330-781|xStates.|0https
       ://id.loc.gov/authorities/subjects/sh2001008678 
650  7 Health insurance.|2fast|0https://id.worldcat.org/fast/
       1715839 
650  7 Maternal health services|xGovernment policy.|2fast|0https:
       //id.worldcat.org/fast/1012005 
650  7 Maternal health services.|2fast|0https://id.worldcat.org/
       fast/1011995 
650  7 Fetus.|2fast|0https://id.worldcat.org/fast/923427 
650  7 Medical care.|2fast|0https://id.worldcat.org/fast/1013753 
650  7 Government policy.|2fast|0https://id.worldcat.org/fast/
       1353198 
650  7 Poor children|xMedical care.|2fast|0https://
       id.worldcat.org/fast/1071191 
650  7 Poor children.|2fast|0https://id.worldcat.org/fast/1071167
651  7 United States.|2fast|0https://id.worldcat.org/fast/1204155
655  7 Academic theses.|2lcgft|0https://id.loc.gov/authorities/
       genreForms/gf2014026039 
655  7 Academic theses.|2fast|0https://id.worldcat.org/fast/
       1726453 
700 1  Hacker, Carl S.,|ecommittee member. 
700 1  Kelder, Steven H.,|ecommittee member. 
901    MARCIVE 20231220 
935    491338 
948    |d20100310|cMH|torig|lridm|v1 
994    C0|bRID