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Patient-Centered Innovation and Clin...

Ross, Rachel,

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Patient-Centered Innovation and Clinician Network Influences on Chronic Disease Prevention and Management /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Patient-Centered Innovation and Clinician Network Influences on Chronic Disease Prevention and Management // Rachel Ross.
Author:	Ross, Rachel,
Description:	1 electronic resource (86 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 86-03, Section: A.
Contained By:	Dissertations Abstracts International86-03A.
Subject:	Public health. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31297669
ISBN:	9798384453635

Patient-Centered Innovation and Clinician Network Influences on Chronic Disease Prevention and Management /
Ross, Rachel,

Patient-Centered Innovation and Clinician Network Influences on Chronic Disease Prevention and Management /Rachel Ross. - 1 electronic resource (86 pages)

Source: Dissertations Abstracts International, Volume: 86-03, Section: A.

This dissertation explores the dynamics of patient engagement and clinical collaboration within the framework of patient-centered care, following a four-paper format. The research is divided into two main themes: the application of decision aids to enhance shared decision-making in breast cancer screening, and the examination of clinician networks to improve care coordination for Federally Qualified Health Center (FQHC) patients with chronic diseases.Paper 1 examines physician practices' adoption of decision aids for breast cancer screening. Findings suggest that practices with limited health information technology, higher barriers to innovation adoption, and larger or system-owned organizational structures face significant challenges in widespread decision aid adoption. Paper 2 then assesses the association between decision aid use and mammography uptake among older women, highlighting that despite the potential for decision aids to improve patient-provider communication and informed decision-making, inconsistent implementation limits their observed impact on mammography rates.Paper 3 investigates the restructuring of patient-sharing clinician networks in FQHCs during the COVID-19 pandemic, revealing increases in overall network dispersion. This study emphasizes the need for adaptive care coordination strategies that leverage network structures to enhance collaborative dynamics during public health crises. Paper 4 builds upon this work by focusing on the role of clinician network brokerage in managing chronic conditions within FQHCs. While brokerage showed no significant association with blood pressure outcomes, it was correlated with improved diabetes management, suggesting that structural network characteristics may have potential implications for chronic disease outcomes in FQHC settings.Overall, this dissertation underscores the necessity of integrating patient-centered tools like decision aids into clinical practice and utilizing network analysis to inform and optimize healthcare delivery and policy in complex care settings. Future research should continue to explore these approaches to further enhance engagement and collaboration, ultimately improving health outcomes in diverse patient populations.

English

ISBN: 9798384453635Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Decision aids

Patient-Centered Innovation and Clinician Network Influences on Chronic Disease Prevention and Management /
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245 1 0 $a Patient-Centered Innovation and Clinician Network Influences on Chronic Disease Prevention and Management / $c Rachel Ross.
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500 $a Source: Dissertations Abstracts International, Volume: 86-03, Section: A.
500 $a Advisors: Rodriguez, Hector P. Committee members: Chuang, Emmeline; Brewster, Amanda L.; Shortell, Stephen M.
502 $b Ph.D. $c University of California, Berkeley $d 2024.
520 $a This dissertation explores the dynamics of patient engagement and clinical collaboration within the framework of patient-centered care, following a four-paper format. The research is divided into two main themes: the application of decision aids to enhance shared decision-making in breast cancer screening, and the examination of clinician networks to improve care coordination for Federally Qualified Health Center (FQHC) patients with chronic diseases.Paper 1 examines physician practices' adoption of decision aids for breast cancer screening. Findings suggest that practices with limited health information technology, higher barriers to innovation adoption, and larger or system-owned organizational structures face significant challenges in widespread decision aid adoption. Paper 2 then assesses the association between decision aid use and mammography uptake among older women, highlighting that despite the potential for decision aids to improve patient-provider communication and informed decision-making, inconsistent implementation limits their observed impact on mammography rates.Paper 3 investigates the restructuring of patient-sharing clinician networks in FQHCs during the COVID-19 pandemic, revealing increases in overall network dispersion. This study emphasizes the need for adaptive care coordination strategies that leverage network structures to enhance collaborative dynamics during public health crises. Paper 4 builds upon this work by focusing on the role of clinician network brokerage in managing chronic conditions within FQHCs. While brokerage showed no significant association with blood pressure outcomes, it was correlated with improved diabetes management, suggesting that structural network characteristics may have potential implications for chronic disease outcomes in FQHC settings.Overall, this dissertation underscores the necessity of integrating patient-centered tools like decision aids into clinical practice and utilizing network analysis to inform and optimize healthcare delivery and policy in complex care settings. Future research should continue to explore these approaches to further enhance engagement and collaboration, ultimately improving health outcomes in diverse patient populations.
546 $a English
590 $a School code: 0028
650 4 $a Public health. $3 534748
650 4 $a Public policy. $3 532803
653 $a Decision aids
653 $a Federally Qualified Health Centers
653 $a Health services research
653 $a Healthcare workforce
653 $a Patient engagement
653 $a Social network analysis
690 $a 0769
690 $a 0630
690 $a 0573
710 2 $a University of California, Berkeley. $b Health Policy. $e degree granting institution. $3 3816605
720 1 $a Rodriguez, Hector P. $e degree supervisor.
773 0 $t Dissertations Abstracts International $g 86-03A.
790 $a 0028
791 $a Ph.D.
792 $a 2024
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31297669