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Community Context And Health Disparities Among Older Adults, Helen M. Zayac
Community Context And Health Disparities Among Older Adults, Helen M. Zayac
USF Tampa Graduate Theses and Dissertations
African Americans, Hispanics, and other minorities in the U.S. continue to face conditions of residential and educational segregation, lower socioeconomic status, and higher rates of mortality than whites. Better theory-based research that uses community and individual level factors to explain how health disparities are created and perpetuated is needed. The Community Context and Health Disparities Model, which extends the work of Schulz and Northridge (2004) with elements described by Williams and Collins (2001), is described. This framework identifies the pathways by which characteristics of the physical, built, social, economic, and healthcare environments impact health and are mediated by individual traits. …
Depressive Symptomatology, Patient-Provider Communication, And Patient Satisfaction: A Multilevel Analysis, Lorraine Marie Novosel
Depressive Symptomatology, Patient-Provider Communication, And Patient Satisfaction: A Multilevel Analysis, Lorraine Marie Novosel
USF Tampa Graduate Theses and Dissertations
Depression can be a profoundly disabling and costly disorder and is a major public health concern. Despite the efficacy of treatment options, it is often unrecognized, under-diagnosed, and inadequately treated in primary care settings. Research on patient-provider communication supports the connection among the quality of the patient-provider interaction, patient behavior, and health outcomes. The purpose of this study was to systematically examine the impact of patients' depressive symptoms on the patient-provider relationship, patient-provider communication, and patient satisfaction with the primary care office visit. One hundred twenty three patient-provider encounters were audiotaped and coded using the Roter Interaction Analysis System (RIAS). …