A COMPARATIVE EFFECTIVENESS EXAMINATION OF ASTHMA TREATMENTS IN THE MARYLAND MEDICAID POPULATION: THREE ESSAYS

Simple item page
dc.contributor.advisorMiller, Nancy
dc.contributor.authorSmith, Jennifer Kitlas
dc.contributor.departmentSchool of Public Policy
dc.contributor.programPublic Policy
dc.date.accessioned2021-01-29T18:12:48Z
dc.date.available2021-01-29T18:12:48Z
dc.date.issued2018-01-01
dc.description.abstractThis is a three-paper dissertations on the comparative effectiveness for asthma treatments. While it has been repeatedly demonstrated that inhaled corticosteroids (ICS) are more clinically efficacious than leukotriene receptor antagonists (LTRA) for the treatment of persistent asthma, it has also been established that adherence to ICS treatment is low yet LTRA adherence is high. This dissertations investigates whether a lower efficacious/high adherence treatment is as effective as a highly efficacious/low adherence treatment for the treatment of mild to moderate persistent asthma. The first paper (Comparison of Leukotriene Receptor Antagonists and Inhaled Corticosteroids for the Treatment of Asthma: A Systematic Literature Review) systematically reviews the current literature to assess two aspects of the comparative effectiveness asthma research of LTRA and ICS monotherapy. First, the paper addresses whether the literature identifies similar outcomes for the two treatments as evidenced by emergency department (ED) visits and inpatient hospitalizations. Second, the method of grading the quality of the evidence is also examined. The second paper evaluates the generalizability of previous research findings by conducting a comparative-effectiveness study of ICS and LTRA in the Maryland Medicaid population. The third paper examines whether medication adherence for LTRA and ICS affects the comparative-effectiveness of the treatments for the Maryland Medicaid population. Keywords: leukotriene receptor antagonist, inhaled corticosteroid, comparative-effectiveness
dc.formatapplication:pdf
dc.genredissertations
dc.identifierdoi:10.13016/m2jvom-5gaj
dc.identifier.other11957
dc.identifier.urihttp://hdl.handle.net/11603/20757
dc.languageen
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC School of Public Policy Collection
dc.relation.ispartofUMBC Theses and Dissertations Collection
dc.relation.ispartofUMBC Graduate School Collection
dc.relation.ispartofUMBC Student Collection
dc.sourceOriginal File Name: Smith_umbc_0434D_11957.pdf
dc.subjectAsthma
dc.subjectComparative-effectiveness
dc.subjectcorticosteroid
dc.subjectleukotriene
dc.subjectMedicaid
dc.titleA COMPARATIVE EFFECTIVENESS EXAMINATION OF ASTHMA TREATMENTS IN THE MARYLAND MEDICAID POPULATION: THREE ESSAYS
dc.typeText
dcterms.accessRightsDistribution Rights granted to UMBC by the author.
dcterms.accessRightsAccess limited to the UMBC community. Item may possibly be obtained via Interlibrary Loan thorugh a local library, pending author/copyright holder's permission.
dcterms.accessRightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Smith_umbc_0434D_11957.pdf
Size:
1.36 MB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
SmithJAComparative_Open.pdf
Size:
47.39 KB
Format:
Adobe Portable Document Format
Description:
Download

Collections

UMBC Theses and Dissertations
UMBC Graduate School
UMBC School of Public Policy
UMBC Student Collection