Date of Award
Master of Public Health
Erik L Carlton
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.
Dissertation or thesis originally submitted to the local University of Memphis Electronic Theses & dissertation (ETD) Repository.
Jackson, Bianca Michelle, "Measuring Primary Care Engagement in Emergency Department Patients in a Medically Underserved Area" (2015). Electronic Theses and Dissertations. 1174.