Term of Award

Spring 2016

Degree Name

Doctor of Public Health in Public Health Leadership (Dr.P.H.)

Document Type and Release Option

Dissertation (restricted to Georgia Southern)

Copyright Statement / License for Reuse

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


Jiann-Ping Hsu College of Public Health

Committee Chair

James Stephens

Committee Member 1

Gerald Ledlow

Committee Member 2

Haresh Rochani


Government Regulations have the power to effect patient care. To understand the implications of nationwide healthcare regulation in the United States, the Balanced Budget Act of 1997 was thoroughly examined. This analysis focused on the changes in reimbursement available to hospitals, licensed bed counts, and physician employment in the years following 1997. The key implication of this research for public health practice is even though many health programs are funded utilizing a top-down approach, the variation in health status due to socio-demographic and environmental factors at the local level must be considered.