Health Services Regulatory Analysis: A Novel Approach to Connect State Regulations to Care Outcomes
Presenter Biography
Lindsey Smith is a doctoral student in the SPH Health Systems & Policy program. As a graduate research assistant, she works with Dr. Paula Carder on a national study investigating what role state regulation of assisted living plays in the health outcomes of older adults.
Institution
OHSU
Program/Major
Health Systems & Policy
Degree
PhD
Presentation Type
Presentation
Start Date
4-8-2021 2:19 PM
End Date
4-8-2021 2:30 PM
Persistent Identifier
https://archives.pdx.edu/ds/psu/35590
Abstract
This presentation will describe a recently published novel approach which extends existing methods to provide more detailed analytic results for research regarding the regulation of licensed health service settings. The study team identified a reliable method for sourcing and analyzing the content of regulatory codes and identifying substantive changes made from one year to the next. By combining legal epidemiology and health policy methods in a health services research context, we were able to identify intrastate regulatory variation resulting from regulatory overlap.
This approach allows researchers to conduct analyses that provide evidence regarding the impact of regulatory requirements on population access to and use of health services. Researchers can use these methods to conduct more sophisticated analyses of state and within state regulatory variation, which can then be used in claims-based research to associate specific regulatory changes with outcomes.
Our application of this approach in the assisted living setting identified previously undocumented within-state variation in regulatory scope and prescriptiveness. These findings have real implications for the older adults living in settings previously thought to be highly regulated. This approach has identified variation that may be important to documenting disparities in health service provision and use in both assisted living and other health service settings.
Health Services Regulatory Analysis: A Novel Approach to Connect State Regulations to Care Outcomes
This presentation will describe a recently published novel approach which extends existing methods to provide more detailed analytic results for research regarding the regulation of licensed health service settings. The study team identified a reliable method for sourcing and analyzing the content of regulatory codes and identifying substantive changes made from one year to the next. By combining legal epidemiology and health policy methods in a health services research context, we were able to identify intrastate regulatory variation resulting from regulatory overlap.
This approach allows researchers to conduct analyses that provide evidence regarding the impact of regulatory requirements on population access to and use of health services. Researchers can use these methods to conduct more sophisticated analyses of state and within state regulatory variation, which can then be used in claims-based research to associate specific regulatory changes with outcomes.
Our application of this approach in the assisted living setting identified previously undocumented within-state variation in regulatory scope and prescriptiveness. These findings have real implications for the older adults living in settings previously thought to be highly regulated. This approach has identified variation that may be important to documenting disparities in health service provision and use in both assisted living and other health service settings.