TY - GEN AB - Electronic health records (EHRs) and collaborative healthcare delivery are two innovations implemented to meet the triple aim: improved patient satisfaction, better population outcomes, and more efficient service delivery. Both represent significant changes in how healthcare is provided. With any significant innovation there will be unanticipated results, both positive and negative. With two significant innovations, we should expect unintended consequences from the interaction of the EHR with Patient Centered Medical Homes. The EHR, then, has the potential to be a facilitator or a barrier for increased collaboration. Thus far, the literature on this topic is scant. In this dissertation we had three aims: 1) provide qualitative data to increase our understanding of the interaction between these two changes, 2) develop a tool to measure collaborative behaviors, and 3) analyze the association between the EHR as a communication channel and changes in collaboration behaviors between clinicians. AD - Oregon Health and Science University AU - Chase, Dian DA - 2015 DO - 10.6083/M4VD6X6V DO - DOI ID - 2833 KW - Health Care Surveys KW - Electronic Health Records KW - Primary Health Care KW - Cooperative Behavior KW - Communication L1 - https://digitalcollections.ohsu.edu/record/2833/files/3601_etd.pdf L2 - https://digitalcollections.ohsu.edu/record/2833/files/3601_etd.pdf L4 - https://digitalcollections.ohsu.edu/record/2833/files/3601_etd.pdf LK - https://digitalcollections.ohsu.edu/record/2833/files/3601_etd.pdf N2 - Electronic health records (EHRs) and collaborative healthcare delivery are two innovations implemented to meet the triple aim: improved patient satisfaction, better population outcomes, and more efficient service delivery. Both represent significant changes in how healthcare is provided. With any significant innovation there will be unanticipated results, both positive and negative. With two significant innovations, we should expect unintended consequences from the interaction of the EHR with Patient Centered Medical Homes. The EHR, then, has the potential to be a facilitator or a barrier for increased collaboration. Thus far, the literature on this topic is scant. In this dissertation we had three aims: 1) provide qualitative data to increase our understanding of the interaction between these two changes, 2) develop a tool to measure collaborative behaviors, and 3) analyze the association between the EHR as a communication channel and changes in collaboration behaviors between clinicians. PB - Oregon Health and Science University PY - 2015 T1 - The electronic health record: effects on clinician collaboration in primary care TI - The electronic health record: effects on clinician collaboration in primary care UR - https://digitalcollections.ohsu.edu/record/2833/files/3601_etd.pdf Y1 - 2015 ER -