Dissertation/Thesis Abstract

Health, access to care, and policy priorities: Determinants of political party affiliation
by Schmidt, Melissa J., Ph.D., State University of New York at Binghamton, 2009, 231; 3371619
Abstract (Summary)

Introduction. In an effort to explore the intersection of health, health care, policy priorities, and political party affiliation, evaluate the applicability of various theories of voting behavior in explaining this intersection, as well as to add to the bodies of knowledge on rural health and nursing, an investigation was undertaken into these areas.

Review of the literature. The literature on voting behavior, rural health, self-reported health, health disparities, access to health insurance, health care as a policy priority, universal health care, U.S. political history, and nursing involvement in policy and politics was explored. As a result of this review, a conceptual model of determinants of voting behavior was synthesized.

Methods. The conceptual model was operationalized with variables of interest to rural nursing, and the relationships proposed in the model formed the basis for twenty-eight research questions. A secondary data set of 2006 polling data was analyzed using binary and multiple logistic regression in this non-experimental correlational study.

Results. The sample was described, and then the research questions were answered. The constructs in the conceptual model were supported as determinants of political party affiliation, and a number of proposed relationships were confirmed statistically. Most significantly, income had the strongest and most pervasive influence on all of the other study variables and concepts. Additional findings related to the rural respondents in the study were also described.

Discussion. The implications of the findings for understanding voting behavior, rural health, nursing education and practice, and health care policy, were all explored, as were limitations and recommendations for future research. This research was a unique inquiry combining concepts from nursing, health, health care, policy, politics, and voting, and suggests avenues for future endeavors in nursing research.

Indexing (document details)
Advisor: Atav, Serdar
Commitee: Brown, David, Cingranelli, David, Stewart Fahs, Pamela
School: State University of New York at Binghamton
Department: Nursing
School Location: United States -- New York
Source: DAI-B 70/09, Dissertation Abstracts International
Subjects: Nursing, Political science
Keywords: Access to care, Access to health insurance, Health status, Political party affiliation, Rural nursing, Universal health care, Voting behavior
Publication Number: 3371619
ISBN: 978-1-109-32926-1
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