000002833 001__ 2833
000002833 005__ 20241104123249.0
000002833 0247_ $$2DOI$$a10.6083/M4VD6X6V
000002833 037__ $$aETD
000002833 245__ $$aThe electronic health record: effects on clinician collaboration in primary care
000002833 260__ $$bOregon Health and Science University
000002833 269__ $$a2015
000002833 336__ $$aDissertation
000002833 502__ $$bPh.D.
000002833 520__ $$aElectronic health records (EHRs) and collaborative healthcare delivery are two innovations implemented to meet the triple aim: improved patient satisfaction, better  population outcomes, and more efficient service delivery. Both represent significant changes in how healthcare is provided. With any significant innovation there will be unanticipated results, both positive and negative. With two significant innovations, we should expect unintended  consequences from the interaction of the EHR with Patient Centered Medical Homes. The EHR, then, has the potential to be a facilitator or a barrier for increased collaboration. Thus far, the literature on this topic is scant. In this dissertation we had three aims: 1) provide qualitative data to increase our understanding of the interaction between these two changes, 2) develop a tool to measure collaborative behaviors, and 3) analyze the association between the EHR as a communication  channel and changes in collaboration behaviors between clinicians.
000002833 540__ $$fCC BY
000002833 542__ $$fIn copyright - single owner
000002833 650__ $$aHealth Care Surveys$$031673
000002833 650__ $$aElectronic Health Records$$038928
000002833 650__ $$aPrimary Health Care$$024590
000002833 650__ $$aCooperative Behavior$$017085
000002833 650__ $$aCommunication$$016935
000002833 691__ $$aSchool of Medicine$$041369
000002833 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422
000002833 7001_ $$aChase, Dian$$uOregon Health and Science University$$041354
000002833 8564_ $$9c2de49d3-bb4c-40f7-934f-89bc67b6ae73$$s865526$$uhttps://digitalcollections.ohsu.edu/record/2833/files/3601_etd.pdf
000002833 905__ $$a/rest/prod/kp/78/gg/56/kp78gg56z
000002833 909CO $$ooai:digitalcollections.ohsu.edu:2833$$pstudent-work
000002833 980__ $$aBiomedical Informatics