Electronic Theses and Dissertations

Identifier

1391

Date

2015

Document Type

Thesis

Degree Name

Master of Public Health

Major

Public Health

Concentration

Health Administration

Committee Chair

Erik L Carlton

Committee Member

George Relyea

Committee Member

SangNam Ahn

Abstract

The purpose of this study was to evaluate primary care engagement in an emergency department population of adults with diabetes and multiple chronic conditions (MCC) within the medically underserved Whitehaven community of Memphis, TN. Using a self-report survey, primary care characteristics of the population and the validity of the local hospital registrar's assessment of primary care engagement were evaluated using descriptive statistics, independent sample t-tests, one-way ANOVA, and bivariate correlations. 83% of patients reported having a primary care provider. There was no effect of age, gender, or race on continuity of care or chronic illness care; however, insurance status did influence continuity of care. There was discordance between hospital registrar data and self-reports of primary care status. Facilitation of community programs that emphasize health coaching, combined with primary care, may help to improve coordination of care, reduce the high prevalence of people with diabetes and MCC, and improve quality of life.

Comments

Data is provided by the student.

Library Comment

Dissertation or thesis originally submitted to the local University of Memphis Electronic Theses & dissertation (ETD) Repository.

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