Date of Conferral

2023

Degree

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

School

Health Services

Advisor

Kimberly Ondo

Abstract

Limited resources exist for managing the increasing cases of hypertension and type 2 diabetes, which underlines the need to continuously review reimbursement plans to ensure care affordability for chronic illness. The purpose of this quantitative study was to determine whether a correlation existed between the number of patients with type 2 diabetes, hypertension, and demographic characteristics (independent variables) seen at Federally Qualified Health Centers (FQHCs) and the allocation of grant funds from Health Resources and Service Administration (HRSA) (dependent variable) from 2016 – 2020 among adults 18 years old and older in the United States. Guided by the Transaction Cost Economics Theory and the Chronic Care Model, utilizing a sample size of 6862, a correlational analysis was conducted using data from the data.HRSA.gov database. The results indicated that the number of type 2 diabetes and hypertension patients supported by FQHCs constantly increased over the years, as did the cost per patient. Similarly, the results on grant fund allocation showed an increase. The finding implied that an increase in the number of patients was accompanied by a rise in the amount of funds released for FQHCs. However, the results revealed bias against Native Hawaii and African American patients in the allocation of grant funds to FQHCs. The application for professional practice is that policies for the allocation of grant funds should be reviewed to minimize ethnic bias in assessing FQHC services. Meanwhile, an implication for positive social change is the need to create public awareness programs

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