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    340b Pharmacy Geographic Variation and Associated Socioeconomic Status

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    Name:
    azu_etd_18558_sip1_m.pdf
    Embargo:
    2023-12-10
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    Author
    Brokars, John Charles
    Issue Date
    2020
    Advisor
    Abraham, Ivo
    
    Metadata
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    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Embargo
    Release after 12/10/2023
    Abstract
    340b Drug Discount program was originated in 1992 believing only 90 DSH hospitals who treat low income patients might qualify and with the simple mandate of ‘stretching scare federal resources.’ This research project evaluated the HRSA covered entity database testing hypotheses that the 340b program is growing disproportionately into higher SES neighborhoods over time. The data was categorized into three distinct time periods and each location entering the program was mapped over time from 1992 – Oct 2019. Using the most conservative and time relevant of three SES thresholds, SES variables were dichotomized into low and high SES. This research showed the 340b program, post ACA has grown in just 9 years from 6k entities to include over 64 k locations and is growing by an average of 850 new entities a month. Now over 4/5ths of all 340b entities are located in higher income areas. Ongoing rapid growth of 340b entities predominantly in High SES neighborhoods needs further discussion and research. (supplemental file: Tableau GIS map of 340b entities entering 340b program over time – 1992-Oct 2019)
    Type
    text
    Electronic Thesis
    Degree Name
    M.S.
    Degree Level
    masters
    Degree Program
    Graduate College
    Pharmaceutical Sciences
    Degree Grantor
    University of Arizona
    Collections
    Master's Theses

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