Master of Public Health
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Browsing Master of Public Health by Subject "Health Care Administration"
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Item A Comparison of Advance Care Directive Attitudes and Completion Rates Amongst Medicaid Population in Inland Empire Pre and Post-COVID-19 Pandemic(2020-12) Manley, Ethel P.The passage of the Patient Self Determination Act in 1990 gave patients the legal right to express their wishes for future medical care and end of life treatment wishes. Yet, despite the benefits of executing an advance directive, most people do not have one executed. Few studies have been done that focus on the Medicaid population and their attitudes about completing an advance directive during a pandemic. This study aimed to determine if the COVID-19 pandemic is enough to influence attitudes and readiness in the Medicaid population about advance directives. A cross-sectional study was conducted using a modified version of Porter Novelli’s HealthStyles end of life items and the four-item version of Measuring Advance Care Planning: Optimizing the Advance Care Planning Engagement Survey to obtain information about exposure to health information, health promotion, and communication about advance directives. The population sample consisted of 63 adult Medicaid recipients, 13 males and 49 females living in San Bernardino and Riverside counties in California. A paired samples t-test and a one-way analysis of variance (ANOVA) were performed. Based on these results, the COVID-19 pandemic was not a large enough motivator to influence advance directive completion in the Medicaid population.Item Public Health Workforce Training Gaps(2019-08) Brown, Nicole CorrinneIn 2010, the public health workforce was identified as one of the six public health areas that urgently need quality improvement by the Department of Health and Human Services Office of the Assistant Secretary of Health. In 2014, the Public Health Workforce Interests and Needs Survey (PH WINS) surveyed over 10,000 public health workers on perceived confidence in performing 18 skills based on the core competencies of public health professionals. The purpose of this study was to identify perceived skill gaps between those with a public health degree and non-public health degree and years in the workforce based on a sampling of responses from the PH WINS. Of all participants (n = 1,374), very few (n = 155) had either a Master of Public Health (MPH) or Doctorate of Public Health (DrPH). The majority of the sample were females (72.5%) between the ages of 41 and 60 (60%) and non-Hispanic White (70.2%). Of the 18 public health skills listed in the questionnaire, those with a public health degree were significantly more confident in performing 17 of the skills than those with a non-public health degree. This study helps to identify areas in need of strengthening in the workforce. A competent workforce is important to ensuring success in public health initiatives and programming.