After decades of expert-based modernization efforts that have had profound negative impacts on human and environmental health, Ecuador is currently pursuing a rights-based, participatory development paradigm known as sumak kawsay or "the good life". Despite its promises of inclusion and interculturality, this approach continues to rely on highly trained specialists,...
This study aims to identify conceptions of the body, as well as "rational" treatment
among primary care practitioners (PCPs) and emergency medicine practitioners (EMPs)
dealing with managed care plans. I conducted ethnographic study throughout 1996, and
interviewed six PCPs and four EMPs. In the course of my interviews, I discovered...
Several states, including Oregon, Massachusetts and California, have been the focus of major health reform efforts in recent years. Oregon utilized a citizen-led commission to generate policy recommendations that led to the enactment of health reform legislation in 2009. This commission helped to create momentum and provide political cover for...
................................................................................................................................... 26
The Advocacy Coalition Framework and Health Care Reform
From February to September of 2001, a significant body of qualitive data was collected to investigate barriers for Hispanic participation in Oregon's managed care Medicaid program. As a means to investigate this topic, comments were solicited from physicians, hospital administrators, social service agencies, and low-income Hispanics through semi-structured focus groups...
Low-income women in an Oregon city of approximately 35,000 inhabitants have limited access to prenatal care services during their pregnancies. The purpose of this study was to uncover the impacts of several factors on the experiences of twenty-seven health department clients with public health department prenatal care practitioners and with...
Enrollments of international students have increased dramatically in
the last several decades. The delivery of health care to these students has
become a topic of study for college health care providers and medical
researchers across the country. The purpose of this study was to explore how
Asian international students cope...
The objective of this research was to provide a definitive description of the processes within the physician-patient encounter in an office setting. This description would take the form of a formal process model of the encounter in a provider's office setting, as this represents the most common situation during patient...
Surveys of both patients and health care providers have indicated strong interest, up to 95%, in favor of advance directives, which are legal documents that express patients' healthcare treatment decisions. Despite the widespread support for advance directives, actual completion rates are very low, ranging from 4% to 20% for the...
The proliferation of body worn autometric devices has been enabled by advances in low-power electronics and fueled by the quantified-self movement. These devices range in complexity from pedometers to clinical vital sign measurement. They all share the same drawback, typically the most expensive and heaviest component, the battery. The future...
The United States population continues to increase and diversify. The cultural composition within the United States embodies a multitude of people from a variety of belief systems, religious backgrounds, and ethnicities. Within current biomedical practice, many of these differences are often marginalized, leaving populations with unsatisfactory experiences in seeking health...