Thesis (Ph. D.)--University of Missouri-Columbia, 1999. / Typescript. Vita. Includes bibliographical references (leaves 182-200). Also available on the Internet.

Thesis (Ph.D.)--University of Central Florida, 2008. / Adviser: Lesia L. Crumpton-Young. Includes bibliographical references (p. 219-230).

Thesis (Ph.D.)--University of Nebraska-Lincoln, 2008. / Title from title screen (site viewed September 08, 2009). PDF text: viii, 92 p. : col. ill. ; 2 Mb. UMI publication number: AAT 3352767. Includes bibliographical references. Also available in microfilm and microfiche formats.

Thesis (Ed. D.)--West Virginia University, 2010. / Title from document title page. Document formatted into pages; contains vi, 197 p. Includes abstract. Includes bibliographical references (p. 174-179).

Thesis (Ed.D.) - University of Queensland, 2006. / Includes bibliographical references.

Thesis (Ph. D.)--Industrial and Systems Engineering, Georgia Institute of Technology, 2007. / Flowers, Christopher, Committee Member ; Jose, James, Committee Member ; Jacko, Julie, Committee Chair ; Sainfort, Francois, Committee Member ; Vidakovic, Brani, Committee Member.

Thesis (M.S. in landscape architecture)--Washington State University, May 2007. / Includes bibliographical references (p. 85-89).

Thesis (M.S.) -- Worcester Polytechnic Institute. / Keywords: implicit feedback; explicit feedback; document relevance; implicit indicators; search engine; voluntary feedback; mandatory feedback. Includes bibliographical references (leaves 75-77).

The Patient-Centered Medical Home (PCMH) model has been touted as one of the most promising reform efforts of the largely inefficient U.S. healthcare system. In comparison to the current primary care system, the PCMH is a care delivery model that is based on the principles of care-coordination, enhanced access, and team-based collaboration as a means of providing comprehensive, patient-centered medical care. The current literature contains a limited number of review articles synthesizing the data of numerous PCMH outcome studies. Even a smaller number draws definitive conclusions as to whether PCMH is a viable model upon which to reform the US healthcare system. This literature review will examine the available results of PCMH studies in light of their ability to 1) decrease the overall cost of healthcare 2) increase the efficiency of the continuity of care and 3) to increase positive patient outcomes through proactive patient care. Additionally, these results will be examined in regard to their longevity as a viable model of reform and specifically as it compares to the current US healthcare system. This review will determine whether there is statistical evidence that the Patient-Centered Medical Home is a successful model to decrease healthcare costs, increase healthcare efficiency as well as increasing positive patient outcomes. In addition, this review hopes to point to ways in which the model could be improved in order to more completely achieve the goals listed above.

The aim of this study was to provide an account of the power relations that are implicit in the experience of clients who initially withhold but eventually disclose a sensitive issue in the psychotherapeutic dialogue. Mainstream psychotherapeutic literature has maintained that clients who withhold sensitive material implicitly express a psychological powerlessness. The literature review also turned attention to an alternative view, not arising from within the psychotherapeutic literature. Specific reference was made to the work of Foucault who suggests that although clients may appear to be empowered through self-disclosure, they are in fact constrained, since disclosing themselves constitutes. an appropriation of selfunderstanding which forecloses openness to other forms of self-understanding. The tension between these conflicting accounts about the relation of self-disclosure to empowerment was discussed as an issue requiring further exploration through clinical research. A phenomenologically orientated research method was used to describe the experiences of five clients who withheld and subsequently disclosed sensitive issues in psychotherapy. These descriptions yielded a thematically differentiated process of psychological change. The structure of client inhibition and self-disclosure was seen to correspond to the concepts of powerlessness and empowerment outlined in the psychotherapeutic literature. The apparent empowerment of clients during self-disclosure casts doubt on Foucault's perspective. However, on further reflection and through a review of the research method, it became apparent that the lack of support for Foucault's perspective was a consequence of the particular research method used rather than an indication of the non-existence of constraint. Ricoeur's hermeneutic phenomenology was used to develop the above methodological critique. Using this alternative approach the researcher critically evaluated the findings of the phenomenological study. This facilitated a reinterpretation of the clinical material. It emerged that the experience of empowerment represents a particular form of selfunderstanding, and it was shown, in relation to the clinical material, how this can indeed as Foucault suggests (because of its very specificity) constrain the client from understanding him/herself in alternative ways. It was revealed that the experience of empowerment is a necessary but limited component of successful client disclosure. This does not, however, go far enough. It was suggested that ideally, critical reflection on the constraints of self-understanding, rather than self-disclosure per se, should be regarded as the destination of the urge to self-disclosure.