Date of Conferral

2021

Degree

Ph.D.

School

Public Policy and Administration

Advisor

Carolyn Dennis

Abstract

Inadequate health care transition policy continues to cause interruptions or setbacks in the continuity of medical care and lapses in health insurance coverage for adolescents in California's Title V programs for individuals with medically complex cases. Yet, there is a paucity of empirical health care transition research to develop an effective health care transition policy for children with medical complexity who are enrolled in California’s Title V program. The purpose of this explanatory case study was to explore the potentiality of translating evidence from a quasi-experimental health care transition primary research project into evidence-informed health care transition policy. The research question explored how examining and translating health care transition research provides insight to inform new health care transition policy for children with medical complexity who are enrolled in California’s Title V programs. The policy process model was used to frame the translation of research evidence into the stages of policymaking. A qualitative approach was used to analyze documents, focus group data, and field notes from a health care transition primary research project conducted by a California county Title V program. The analysis showed that the translation of research evidence into the policy process model framework could inform policymaking because some processes used by researchers are shared by policymakers. Adolescents enrolled in California's Title V programs for medical complexity may benefit from health care transition policy developed from primary research projects by improving self-management and self-advocacy skills leading to positive social change.

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