The Impacts of the Patient Protection and Affordable Care Act on Quality, Access, and Equity of Healthcare in the United States Open Access

Tran-Le, Anh Bao (2016)

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Healthcare in America has gone through substantial changes in the past few years with the Patient Protection and Affordable Care Act, which will be referred to as the ACA from this point forward. The purpose of this research was to examine the influence of the ACA on healthcare outcomes in America since 2010 using quality, access and equity as my measurements. Drawing upon the National Health Interview Survey (NHIS), I compare health outcomes in 2010 and 2014 to assess changes in quality, access, and equity. Though the ACA is still rather new, the results show that there is improvement in quality, access, and equity. These results, though statistically significant, at this point reveal rather small practical significance in some areas. Additional research conducted at a later time would be beneficial to assess whether these short-term effects will carry over in the long term, especially with the future of the ACA hanging in the balance of the upcoming Presidential election.

Table of Contents

Chapter 1:Introduction and Background. 1

Introduction. 1

History of the Patient Protection and Affordable Care Act. 2

Pros and Cons of the Affordable Care Act. 6

Literature Review. 10

Studies Using the NHIS Dataset. 17

Chapter 2: Data and Methods. 19

The NHIS Dataset. 19

Variables in the Analysis. 20

Chapter 3: Analysis. 21

Plan of Analysis. 21

Quality Analysis. 23

Access and Equity Analysis. 25

Chapter 4: Conclusion. 32

Summary and Discussion of Results. 32

Weaknesses and Limitations. 33

Conclusion. 34

Work Cited. 35

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