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Memorial University - Electronic Theses and Dissertations 5
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Document Description
TitleEvaluating the impact of enhancing information and communication technology in a rural, community-model primary health care setting in Newfoundland and Labrador
AuthorCollins, Kayla D.
DescriptionThesis (Ph.D.)--Memorial University of Newfoundland, 2010. Medicine
Date2010
Paginationix, 345 leaves : ill.
SubjectCommunication in medicine--Newfoundland and Labrador; Medical informatics--Newfoundland and Labrador; Primary health care--Newfoundland and Labrador--Communication systems; Primary health care--Newfoundland and Labrador--Information technology
Subject.MESHComputer Communication Networks--Newfoundland and Labrador; Information Systems--Newfoundland and Labrador; Primary Health Care--Newfoundland and Labrador; Rural Health Services--Newfoundland and Labrador
DegreePh.D.
Degree GrantorMemorial University of Newfoundland. Faculty of Medicine
DisciplineMedicine
LanguageEng
Spatial CoverageCanada--Newfoundland and Labrador
NotesBibliography: leaves 245-261.
AbstractThe Connaigre Peninsula primary health care (PHC) setting was chosen by the Newfoundland and Labrador government to explore the value of sharing client information in an interdisciplinary environment, by building on existing technologies to fill gaps in information and communication capabilities. A series of technical enhancements were implemented in this setting over approximately one year. The purpose of this study was to evaluate the impact of these technical enhancements. Key stakeholders were engaged in the development of an evaluation framework and later evaluation protocol that was used to guide the evaluation. -- Using a comparative case study design, two additional PHC sites with varying levels of technical capacity were included as comparison sites in the evaluation: Bonne Bay, which had minimal technical capacity, and Twillingate/New World Island, which had a high level of technical capacity. -- Primary data collection included a survey and focus group with PHC team members and interviews with key stakeholders. Secondary data collection included use of data collected at the same sites as part of another study (Team Effectiveness/Scope of Practice Survey and Client Satisfaction Survey) and a review of existing documents. -- Findings indicate that the enhancement of information and communication technology (ICT) can facilitate various aspects of PHC delivery including team functioning, quality of care and administrative functioning. Findings and lessons learned can be used to support the enhancement of ICT in other community-model PHC settings, as well as facilitate the advancement of a province-wide electronic health record (EHR).
TypeText
Resource TypeElectronic thesis or dissertation
FormatImage/jpeg; Application/pdf
SourcePaper copy kept in the Centre for Newfoundland Studies, Memorial University Libraries
Local Identifiera3315344
RightsThe author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission.
CollectionElectronic Theses and Dissertations
Scanning StatusCompleted
PDF File(12.46 MB) -- http://collections.mun.ca/PDFs/theses/Collins_KaylaD.pdf
CONTENTdm file name8851.cpd