10th annual utah's health services research conference - data collection through the eyes of...
TRANSCRIPT
Data Collection Through the Eyes of the Newly Arrived
Deb Penney, MS, CNM, MPH
March 16, 2015
1
Exploring the Primary Health Care Encounter
Study Background
• Critical Ethnography• Postcolonial Feminism
-power, knowledge, subjugation, voice• 10 Primary Health Care Providers• 15 Iraqi Muslim Women• Semi-structured interviews in Arabic and
English
2
Limits to Data Quality
• Communication– Interpreter quality and training– Time limitations in the health encounter– Expectations (referenced in a prior social
context)– Differing cultural norms
3
Provider Perceptions
Knowledge about Iraqi women obtained directly from the Iraqi patients
PTSD, depression, insomnia
Demanding
Educated
Comparisons
Fusing identities
4
Iraqi Muslim Women’s Experiences
Not enough time
Limited conversation about concerns
Interpreter support and frustration
Lack of psychological comfort
Individual need for like-gender provider and interpreter
5
Types of Data Use
Computer use
For interpretation (Marti)
For gathering/storing patient data
Positive aspects
As resource information
Observed use by providers
6
Questions
“A good doctor is one that understands You don’t have to explain a lot to them… they understand where you come from and they know what you are talking about and don’t keep asking a lot of questions.”
7
Templates
Full medical, family, social history
Repetitive
Not consistent with the chief complaint
Culturally distressing
8
Comments
“…with my Dad being there, it’s not so good because I wouldn’t normally talk to him about that.”
“There are questions that may be acceptable by the American culture, but can be irritating or provocative to us.”
9
Being Understood
Restructuring the health encounter
Increased knowledge of the individual
Time to communicate
understand assess, diagnose
translate
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