1st Edition
Direct Pay A Simpler Way to Practice Medicine
Introduction
Background and Statement of the Policy Problem
Direct Pay: A Policy Solution
Purpose and New Contribution of the Study: Researching Direct Pay
Theories and Literature on Direct Pay
Population Ecology Theory and Literature
The Diffusion of Innovations Theory and Literature
EMR Adoption at Small, Private Health Practices
Isomorphism Theory and Literature
Franchising as Competitive Advantage
Measuring Organizational Culture through the Competing Values Framework
Concluding Notes on Theory Application
Limitations in Current Literature and Conclusions
Research Objectives
Research Questions
Hypothesis
Hypothesis
Hypothesis
Methodology
Rationale for Research Method
Mixed Methods
Sampling
Sampling Method
Power Analysis
Research Ethics and Participant Privacy
Instrumentation
Key Measures
Data Analysis and Statistical Models
Quantitative Results
Hypothesis 1: Testing the Impact of Health Reform on Direct Pay
Descriptive and Inferential Statistics
Multivariate Regression
Hypothesis 1: Characteristics of Health Reform and Impact on Direct Pay
Hypothesis 2: Electronic Medical/Health Record (EMR/EHR) Usage, Implementation, and HIT Policy Perceptions of Direct Pay Practices
EMR/EHR Usage
Other HIT: Telemedicine, Patient-Controlled Health Records, and Mobile Health Apps
Hypothesis 3: Organizational Culture Differences across Direct Pay Practices
Qualitative Results
Interviews with Direct Pay Physicians
Brief Summary of Qualitative Analysis
Detailed Qualitative Analysis Results
Qualitative Themes from the Interviews
Stories of Positive and Negative Experiences regarding Direct Pay
Interview Findings: Overall Strengths and Weaknesses of Participating in Direct Pay
Final Conclusions and Policy Recommendations
Conclusion
Policy Impacts and Recommendations
Direct Pay and Impacts on Primary Care
Policy Challenges from Direct Pay
Limitations of the Study
References
Biography
Divya Srinivasan Sridhar
