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Engaging Hmong Americans Long-Term Use Of Healthcare Technology Using Culturally Revised Social Cognitive Theory Model, Peggy Xiong Dec 2019

Engaging Hmong Americans Long-Term Use Of Healthcare Technology Using Culturally Revised Social Cognitive Theory Model, Peggy Xiong

Theses and Dissertations

Purpose: Information technology benefits the world, and it’s required for health care system, such as electronic medical records (EMR). User acceptance model is to systematically study how users come to accept and use a technology. For example, the cultural values of a society restrict use of technology in which an individual can be less incline to accept it. There is a significant amount of Hmong population in great Milwaukee area. Spirits are a central part of Hmong religious beliefs where the spirit is tied to health. Chronic disease is believed to be caused by bad actions done by the individual’s …


Engaging Hmong Americans Long-Term Use Of Healthcare Technology Using Culturally Revised Social Cognitive Theory Model, Peggy Xiong Dec 2019

Engaging Hmong Americans Long-Term Use Of Healthcare Technology Using Culturally Revised Social Cognitive Theory Model, Peggy Xiong

Theses and Dissertations

Purpose: Information technology benefits the world, and it’s required for health care system, such as electronic medical records (EMR). User acceptance model is to systematically study how users come to accept and use a technology. For example, the cultural values of a society restrict use of technology in which an individual can be less incline to accept it. There is a significant amount of Hmong population in great Milwaukee area. Spirits are a central part of Hmong religious beliefs where the spirit is tied to health. Chronic disease is believed to be caused by bad actions done by the individual’s …


Medication Self-Management Behaviors Of Community-Dwelling Adults With Chronic Disease, Michelle Yvonne Williams Aug 2019

Medication Self-Management Behaviors Of Community-Dwelling Adults With Chronic Disease, Michelle Yvonne Williams

Theses and Dissertations

MEDICATION SELF-MANAGEMENT BEHAVIORS OF COMMUNITY- DWELLING

ADULTS WITH CHRONIC DISEASE

by

Michelle Y. Williams, PhD, MSN, RN

The University of Wisconsin-Milwaukee, 2019

Under the Supervision of Professor Rachel Schiffman, PhD, RN, FAAN

Chronic conditions threaten public health, individuals, and families and affect all areas of a person’s life and require significant self-management from the individual with the disease, care from the healthcare provider and team, and support from the individual’s family. The relationship of selected risk and protective factors and communication with healthcare providers to medication self-management behaviors and quality of life was examined in 616 adults with chronic disease …


Information Overload: Auditing The Clinical Utility Of Smart Pump Reporting Tools, Elizabeth Rodman May 2019

Information Overload: Auditing The Clinical Utility Of Smart Pump Reporting Tools, Elizabeth Rodman

Theses and Dissertations

Purpose: Smart pump technology provides detailed information about each infused drug and fluid that can be used to examine trends and assist in data set optimization. When smart pumps interface with the electronic health record through interoperability, additional data are available.

Methods: The primary outcomes of this study were to identify the top 10 drugs implicated in smart pump near miss events and to reduce the number of near miss events related to smart pump programming. Interoperability data from April 2017 to October 2017 were assessed for near miss trends. Potential interventions for the top 10 drugs were compared using …


Patient-Centered Medical Homes And Hospital Value-Based Purchasing: Investigating Provider Responses To Incentives, Lauryn Walker Jan 2019

Patient-Centered Medical Homes And Hospital Value-Based Purchasing: Investigating Provider Responses To Incentives, Lauryn Walker

Theses and Dissertations

Provider incentives are a commonly used policy tool to mold provider behaviors.1 However, while we frequently measure the change in patient outcomes, failure to consistently produce changes in outcomes does not mean that providers are not changing their behavior. This paper focuses on two programs with null or inconsistent quality outcomes to try to identify why such inconsistency occurs. The two programs, both ratified in the Affordable Care Act, are 1) patient-centered medical homes (PCMHs), and 2) the Medicare Hospital Value-Based Purchasing (HVBP) program.

Chapter 1: Using data from the Medical Expenditure Panel survey (MEPS), I match provider characteristic …