Seeking primary care in Oregon : utilization of the emergency room services in a Salem hospital Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/gm80hz78t

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  • This thesis examines how changes made to the Oregon Health Plan (OHP) in 2003 impacts those now utilizing the emergency room (ER) for primary health care. This thesis also examines how these changes impact staff members working in the ER of Salem Hospital. Through the utilization of qualitative research methods, this study finds that changes made to the OHP have greatly impacted those with reduced health care coverage as well as those without any health care coverage. Guided by the theories of Critical Medical Anthropology (CMA) and structural violence this study finds that patients experience a loss of personal agency, feelings of hopelessness, and diminished social capital. Not understanding the policy of the OHP the ER staff places blame on OHP recipients, seeing them as abusing the system. The conclusion drawn from this study is that the implemented policy changes to the OHP set into motion a cycle that perpetuates the health disparities that result from income disparity.
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  • description.provenance : Approved for entry into archive by Julie Kurtz(julie.kurtz@oregonstate.edu) on 2008-06-02T16:44:35Z (GMT) No. of bitstreams: 1 Young.pdf: 535703 bytes, checksum: dd62f560403348996fc5d49b7bdda14a (MD5)
  • description.provenance : Approved for entry into archive by Linda Kathman(linda.kathman@oregonstate.edu) on 2008-06-02T22:30:44Z (GMT) No. of bitstreams: 1 Young.pdf: 535703 bytes, checksum: dd62f560403348996fc5d49b7bdda14a (MD5)
  • description.provenance : Made available in DSpace on 2008-06-02T22:30:44Z (GMT). No. of bitstreams: 1 Young.pdf: 535703 bytes, checksum: dd62f560403348996fc5d49b7bdda14a (MD5)
  • description.provenance : Submitted by Elizabeth Young (youngel@onid.orst.edu) on 2008-05-25T18:51:59Z No. of bitstreams: 1 Young.pdf: 535703 bytes, checksum: dd62f560403348996fc5d49b7bdda14a (MD5)

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