Date of Award


Document Type


Degree Name

Doctor of Philosophy (Medical Science)

First Advisor

Marilyn E Harris, PhD

Second Advisor

Martin Lees, MD, PhD

Third Advisor

Marilyn Peitso, MD


The US health care system is often described as a complex, fragmented system where patients experience less access, coordinated, and comprehensive care that is ultimately more costly (Rosenberg, 2009). The problem addressed in this study was to understand coordinated medical treatment in the medical home model from the patient perspective. This study provides the opportunity to increase the understanding of the factors affecting coordinated medical treatment success.