Background: Prenatal care (PNC) is an important preventive health service that can influence the health of the four million women who give birth annually in the United States, and the health their infants. Despite efforts to increase women’s access to PNC services, significant disparities in PNC utilization and maternal/child health...
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...
Health disparity scholars and researchers call to expand the conceptualization of health disparities research beyond the predominant and long-standing race-based analyses. The call requests the inclusion of frameworks and theories that reflect the complex, multi-level and multifactorial social processes that yield health disparities. Intersectionality is a theoretical framework that is...
This thesis explores a three month period that I spent abroad working in medical clinics and hospitals in Ecuador. My work was conducted in three distinct areas: the urban landscape of Quito, Ecuador’s capital; Puyo, a small town bordering the Amazonian rainforest; and a small community located in the heart...
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...
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The Advocacy Coalition Framework and Health Care Reform
Cultural competence is a topic that concerns social scientists and medical anthropologists who pay attention to demographic changes and health disparities. This study demonstrates practical approaches to developing cultural competence in medical education by using factors from the social environment to develop protocols for action. With current concerns in domestic...
Introduction: Management of complex systems is facilitated through effective information systems that provide real-time data to decision makers. For example, instrument panels in airplanes ensure that pilots have well-designed feedback concerning the status of mission-critical variables. Problem: While pilots have dashboards for feedback and communication, healthcare executives may be unaware...
Health systems financing aims at providing adequate services, ensuring sufficient providers’ incentives, and protecting individuals and families from financial catastrophe. Health services are financed through government funding, taxation, out-of-pocket payments, insurance, donations and voluntary aid. Low- income countries mostly rely on out-of-pocket payments. In South East Asia region, the latter...
Children with developmental disabilities (DD), particularly autism spectrum disorder (ASD), may use complementary health approaches (CHA), including some modalities that can be unsafe, inefficacious, and/or costly. Still, the prevalence of CHA use among US children with DD is not known and their reasons for use are not well understood. By...