Date of Conferral

2022

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Cynthia Newell

Abstract

Most patients with sickle cell disease (SCD), especially those from low socioeconomic status, experience financial constraints in meeting their hospital bills resulting from prolonged hospital stays. The research was guided by Andersen’s (1995) behavioral model of health services (BMHS) as the theoretical framework. The purpose of this retrospective quantitative correlational study was to evaluate whether and the extent to which age and pain crisis affect the length of hospital stay among patients with SCD in the United States. Secondary data were collected from the Healthcare Cost and Utilization Project (HCUP). A chi-square test was used to test the relationship between variables using data from a randomly selected sample size (100,000 cases) from the HCUP data sets. Chi Square statistics from the same sample were used to determine the relationship between age and length of stay of patients with SCD. The results indicated a significant relationship between age and pain crisis and length of hospitalization among SCD patients; older patients with pain crises had lengthier hospital stays. Results may be used to educate individuals about sickle cell self-care management to reduce the financial burdens on patients with SCD and their families.

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Philosophy Commons

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