Date of Award

Spring 3-24-2025

Embargo Period

4-1-2025

Document Type

Dissertation

Degree Name

Doctor of Health Administration

Department

Health Administration

College

College of Health Professions

Additional College

College of Health Professions

First Advisor

Zahi Jurdi

Second Advisor

Jami Jones

Third Advisor

Jillian Harvey

Abstract

With the national movement toward improving population health and helping combat the rising costs in healthcare, there are still assumed challenges and barriers concerning performance among healthcare organizations that impact costs and health outcomes. The Physician Hospital Organization (PHO) site within this study has been plagued with poor performance with assumed challenges and barriers for years. In this mixed-methods study leveraging the qualitative approach to support existing data, all primary care physicians within the PHO under study were interviewed, and by following the inductive approach and thematic analysis, valuable themes arose. It was found that due to patient education lacking along with the underprivileged state of the population, physician performance lagged within the quality program, along with financial incentives not being optimal or well understood. Additionally, the physicians relayed that staffing needs/duties contribute toward performance and that the current quality program does not reflect the actual quality of care provided, with patients being non-adherent due to socioeconomic constraints and access to care being issues hindering performance. Physicians requested more organizational support with administrative services and improved patient access.

After understanding the reasoning behind this study and the themes that arose, healthcare organizations can leverage existing performance data with qualitative findings to better strategize how to improve quality programs and create new support methods for physicians and patients. This will reduce healthcare costs and improve health outcomes among those in need.

Rights

Copyright is held by the author. All rights reserved.

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