Thesis (M.F.A.)--Rochester Institute of Technology, 1989. / Includes bibliographical references.

Thesis (MFA)--Rochester Institute of Technology, 1989. / Includes bibliographical references.

Thesis (M.F.A.)--Rochester Institute of Technology, 1992. / Typescript. Includes bibliographical references (leaf 19).

Thesis (M.F.A.)--Rochester Institute of Technology, 1990. / Typescript. Includes bibliographical references (leaf 28).

Thesis (M.S.)--Rochester Institute of Technology, 1987. / Typescript. Includes bibliographical references (leaf 55).

Thesis (Ph. D.)--University of Wisconsin--Madison, 1970. / Typescript. Vita. Description based on print version record. Includes bibliographical references.

Despite the many interventions and trials aimed at improving coordination of health care, there is currently no accepted measurement of coordination. My professional interests and an opportunity provided by the Care Plus (Coordinated Care) Trial in the ACT led me to consider client perceptions as a potentially appropriate measure. My research question is “can coordination of health care be usefully measured through client perceptions?” ¶ I addressed this question by developing and testing an instrument to measure perceptions of coordination called the Client Perceptions of Coordination Questionnaire (CPCQ). In the thesis I describe the processes of developing the instrument, testing it through use in several studies and considering how useful such an instrument may be for health services research. In addition to the Coordinated Care Trial, I conducted two validation studies - in a chronic pain population and a general practice sample. ¶ In Part 1 of the results I demonstrate good face, content and discriminant validity, and reliability of the instrument. Psychometric analysis of the CPCQ did not support scaling, and identified areas were the instrument could be improved. Nevertheless the underlying construct of client perception of coordination as a measure is entirely new, and it is therefore worthwhile to explore its associations with other health outcome data. In Part 2 I use a single item from the CPCQ, “how often did you feel the care you received was well-coordinated?” to explore this construct. I explore the influences upon on client perceptions of coordination, and examine its associations with service utilisation and health outcome data. ¶ The construct of ‘perceived coordination’, and the capacity of the CPCQ to measure it accurately show considerable promise as measures of health care. Consistent trends were found that suggested coordination was a complex construct, and that a stronger theoretical base was needed to interpret this complexity. Theory is the first of the ‘phases’ of instrument development, and so I revisit these in order to summarise the strengths and weaknesses of the current CPCQ. Overall, the perceptions of coordination have surprisingly plausible associations with other health data, the effort to improve the instrument should be worthwhile for a wide range of health service evaluation and research.

Thesis (MFA)--Rochester Institute of Technology, 1989. / Includes bibliographical references (leaf 22).

Thesis (M.S.)--Rochester Institute of Technology, 1993. / Typescript. Pamphlets, etc. are bound together with the text.

This thesis presents advancements in the chemistry of selenium-bearing pincer ligands with respect to their synthesis, metal association and reactivity in addition to the overall nature of selenium as a donor atom. The synthesis of a new disilylamido ligand HN(SiMe2CH2SePh)2 2.1 and its potassium salt 2.2 is reported. The attempted metal association of these species was unsuccessful with various transition metals. Multinuclear NMR data suggests coordination to silver(I), 2.3 and copper(I), 2.4 with dπ-dπ back donation from the metal to the selenium donors. It is suggested from this data that –SePh can potentially act as a π-acceptor ligand as well as a σ- donor with heavy d metals. Another explanation for the observed shielding is conformational restrictions introduced by chelation. The preparation of new selenium-bearing diarylamine compounds RN(C7H6SeMe)2 (R=H: 3.1; R= Me: 3.10; R= Boc 3.11) via aryllithium chemistry is reported. Unsuccessful attempts to synthesize the –SePh and –SetBu derivatives are described using: aryllithium chemistry, Buchwald-Hartwig Amination cross coupling and Pd-catalyzed C-Se cross coupling. When reacted with MCl2(COD) (M= Pd, Pt), compound 3.10 coordinates with PdII forming a bidentate complex 3.12, while 3.1 forms tridentate complexes with PdII and PtII. NMR spectroscopy suggests the formation of a silver(I) complex 3.1-Ag from 3.1 and AgOTf, but X-ray diffraction data is required to determine its coordination motif. The new ligands and complexes have been fully characterized by (1H, 13C, 77Se) NMR spectroscopy and X-ray crystal structures are reported for 3.10, 3.12, 3.3 and 3.4. The NMR spectrum of 3.1-Ag exhibits a similar effect as the complexes of disilylamido ligands with suggested potential dπ-dπ back donation from the metal to the selenium donors. The catalytic ability of the new complex 3.3 has been tested in the Suzuki-Miyaura cross coupling reaction without notable improvements to existing catalysts. The instability of reactive intermediates may contribute to the low conversions or the size of the methyl group may decrease nanoparticle formation, a suggested active species. / October 2016