Date of Award


Document Type


Degree Name

Master of Science (MS)


Health care expenditures in the United States have continued to climb at an alarming rate. In 1982, health care expenditures accounted for nearly $322.4 billion of the gross national product (U.S. Department of Health and Human Services, 1982). Health care expenditures are expected to consume nearly 12 percent of the nation's economic output by the year 1990, reaching nearly $756 billion in projected costs (Cullen and Towe, 1983). Although health care costs have climbed at an annual rate of less than 10 percent, these costs have continued to increase in the private sector, which currently absorbs one-fourth of the nation's health care expenses (Chenoweth, 1987).


A Thesis Project Presented to the School of Health, Physical Education, and Recreation and the Faculty of the Graduate College University of Nebraska In Partial Fulfillment of the Requirements for the Degree Master of Science University of Nebraska at Omaha. Copyright 1988, Brian C. Bell

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