Abstract

The healthcare system in the United States has traditionally focused on pathogenic disease prevention and treatment of acute illness, only addressing physical health (Grzywacz & Keyes, 2004). This approach is limited, as it does not often acknowledge the influence of mental health and health promotion on outcomes. Approximately, 25-75% of all presenting cases with uncertain etiology in medicine are psychosocial or behavioral in origin (Schulte et. al., 2004). Improvements can be made through integrated care; however, divergent viewpoints and often proximity across providers disrupts, psychologist-physician communication, collaboration, and subsequently care access (McDaniel, 1995). The current study examines the self reported treatment efficacy of an integrated primary care setting following improved communication through EMR implementation. It was observed that the self-reported treatment effect decreased following the initial implementation of the EMR. This was hypothesized to be partly due to a provider EMR "learning curve". Fortunately, there were no worse effects across demographic groups seen by psychology; the decreases were similar across all patients seen by the psychology team.

LLU Discipline

Psychology

Department

Psychology

School

School of Science and Technology

First Advisor

Kelly R. Morton

Second Advisor

Louis E. Jenkins

Third Advisor

Jason E. Owen

Degree Name

Doctor of Philosophy (PhD)

Degree Level

Ph.D.

Year Degree Awarded

2009

Date (Title Page)

9-2009

Language

English

Library of Congress/MESH Subject Headings

Medical records -- Management; Medical records -- Access control; Medicine and psychology; Combined modality therapy; Patient satisfaction; Interdisciplinary research; Medical Records Systems, Computerized; Practice Management, Medical; Family Practice; Primary Health Care; Psychology, Clinical; Interprofessional Relations; Combined Modality Therapy; Patient Satisfaction

Type

Dissertation

Page Count

vii; 51

Digital Format

PDF

Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Collection

Loma Linda University Electronic Theses and Dissertations

Collection Website

http://scholarsrepository.llu.edu/etd/

Repository

Loma Linda University. Del E. Webb Memorial Library. University Archives

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