Dissertations / Theses: 'Acculturation and Health Care'

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Smith, Charlotte. "The affect of acculturation on obesity among foreign-born Asians residing in the United States." Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1523037.

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This study examined the relationship between acculturation and obesity in foreign-born Asians residing in the United States. Two proxies were used to measure level of acculturation: years of United States residency and English language use and proficiency. Hypothesis 1 predicted that acculturation measured as number of years of residence will positively predict obesity. Hypothesis 2 predicted that acculturation measured as English language preference and proficiency will positively predict obesity.

The study used data from the 2009 California Health Interview Survey. Study participants met two inclusion criteria: foreign born and Asian. Point Biserial was run to determine whether or not there was a correlation.

Results showed a weak relationship between obesity and both variable used to measure acculturation. Additional exploratory analysis was performed to determine whether or not there was a relationship between obesity and acculturation for each Asian ethnicity. Results of this exploratory analysis were mixed.

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Ohtsuka, Thai, and thai_ohtsuka@hotmail com. "Impact of cultural change and acculturation on the health and help seeking behaviour of Vietnamese-Australians." Swinburne University of Technology, 2005. http://adt.lib.swin.edu.au./public/adt-VSWT20051013.095125.

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This study investigated the influence of cultural change and acculturation on health-related help seeking behaviour of Vietnamese-Australians. Using convenience sampling, 94 Vietnamese-Australians, 106 Anglo-Australians, and 49 Vietnamese in Vietnam participated in the study. Beliefs about health and health-related help-seeking behaviours were assessed through measures of common mental health symptoms, illness expression (somatisation, psychologisation), symptom causal attributions (environmental, psychological, biological), and choice of help seeking (self-help, family/friends, spiritual, mental health, Western medicine, Eastern medicine).Vietnamese-Australian data was compared with that of the Anglo-Australian and Vietnamese-in Vietnam. Results revealed that the help seeking behaviours and health related cognitions of Vietnamese-Australians, while significantly different from those of Anglo-Australians, were similar to those of Vietnamese in Vietnam. Specifically, both Vietnamese groups were less likely than Anglo-Australians to somatise and psychologise or attribute the cause of symptoms to environmental, psychological or biological causes. However, the two Vietnamese groups were not different from each other in their style of illness expression or in their symptom causal attributions. The Vietnamese-Australians reported experiencing more mental health symptoms than the Vietnamese in Vietnam but fewer than the Anglo-Australians. In relation to help seeking, the Anglo-Australians chose self-help more than the Vietnamese, but there were few other differences between the cultural groups. To investigate the influence of acculturation on health-related beliefs and help seeking behaviour, Vietnamese-Australians were compared according to their modes of acculturation (integration, assimilation, separation, and marginalisation). Generally, results showed a distinct pattern of response. Those with high levels of acculturation towards the Australian culture (the integration and the assimilation) were found to be most similar (in that they scored the highest in most areas measured) to the Anglo-Australians, while few differences were found between the separated and the marginalised groups. Further, cultural orientation was a powerful predictor of help seeking. In that, original cultural orientation predicted selection of help seeking from Western and Eastern medicine, whereas, the host cultural orientation was a more robust predictor of the other variables. However, neither cultural orientation predicted preference for mental health help. Finally, the study found that, although the combination of symptom score, modes of illness expression, and symptom causal attribution were strong predictors of choice of help seeking of Vietnamese-Australians, acculturation scores further improved predictive power. The results were discussed in terms of the various limitations and constraints on interpretation of this complex data set.

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Alizadeh-Khoei, Mahtab. "Assessing factors in utilisation of health services and community aged care services by the Iranian elderly living in the Sydney metropolitan area acculturation aged care /." Connect to full text, 2008. http://hdl.handle.net/2123/3986.

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Thesis (Ph. D.)--University of Sydney, 2008.
Title from title screen (viewed Jan. 19, 2009) Includes tables and questionnaires in English and Farsi. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Behavioural and Community Health Sciences, Faculty of Health Sciences. Includes bibliography. Also available in print form.

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Thai, Anh Thu H. "Experiences of First-Generation Vietnamese Americans With the Healthcare System in the United States and Impact on Quality Care." Franklin University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=frank158823831554148.

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Lommel, Lisa L. "Applying lntersectionality and Acculturation Theories to Explain Disparities in Self-rated Health Among Asian and Hispanic Immigrants in the U.S." Thesis, University of California, San Francisco, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10133431.

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Minority populations in the United States (U.S.) suffer an unequal burden of morbidity and mortality due to health disparities. The purpose of this descriptive cross-sectional study was to identify factors associated with disparities in self-rated health (SRH) among Asian and Hispanic immigrants. The acculturation theory and intersectionality framework were used to select predictors of SRH that included age, gender, ethnicity, socio-economic status, depressive symptoms, C-reactive protein (CRP) level, acculturation status, social position, and acculturative stress and discrimination events. A systematic review of the literature was completed and data from the 2009-2010 National Health and Nutrition Examination Survey and the 2002-2003 National Latino and Asian American Study were reviewed. This study found that acculturation status was associated with reporting disparities in SRH for both Asian and Hispanic immigrants. Limited English proficiency and being foreign-born was associated with worse SRH for Korean, Chinese, and Mexican immigrants, and in aggregate samples of Asian and Hispanic immigrants, compared to non-Hispanic Whites. Additionally, limited English proficiency was associated with worse SRH for Vietnamese immigrants. Among Mexican immigrants, higher levels of acculturation were associated with better SRH. Other key findings among Mexican immigrants were that depressive symptoms, increasing age, female gender, and elevated CRP were predictors of worse SRH compared to U.S.-born, non-Hispanic Whites. However, female gender and higher CRP were not predictors of worse SRH when level of acculturation was controlled for. For Chinese immigrants, acculturative stress was associated with worse SRH in an additive model while the interactions between social position and discrimination, and between gender, acculturative stress, and social position and education were predictive of worse SRH in multiplicative models. In summary, age, gender, ethnicity, socio-economic status, depressive symptoms, CRP, acculturation status, social position, and acculturative stress and discrimination were associated with disparities in SRH among two ethnic minorities in the U.S. These findings can be used to improve awareness and understanding of these immigrant populations who are vulnerable to poor health outcomes. Additionally, outcomes can assist in developing interventions to reduce the influence of social structures on health and to capture the true complexities of immigrants’ lives.

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Mahmoud, Nadia Mohamed. "Health locus-of-control, health beliefs and family planning behavior among Middle Eastern women living in the United States." Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186495.

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The purpose of this study was to determine the nature of the relationships among health locus of control, health beliefs and family planning behavior among Middle Eastern women living temporarily in the United States. A correlational descriptive design was used. A convenience sample of 80 Middle Eastern women were chosen as representatives for this study from the University of Arizona Family Housing, Tucson Islamic Center, Saudi Arabian Student Club, and the University of Arizona International Student Center. Four instruments were utilized to collect data: (1) Health Locus of Control Scale, (2) Modified Health Belief Instrument, (3) Demographic/Preferences Data Tool, and (4) Family Planning Survey. Data analysis included use of descriptive statistics to summarize the differences between the two groups (adequate and inadequate contraceptive users) on each set of health belief variables, health locus of control variables and demographic/preferences variables. Significant findings on the health belief and health locus of control instruments, separately and together was followed by stepwise discriminant analysis to identify the variables on which the groups differ and the nature of the dimensions on which they differ. The study findings indicated that adequate contraceptive users perceived the seriousness of pregnancy and benefits of contraception, while inadequate contraceptive users perceived barriers of contraception. On the other hand adequate contraceptive users had self-control over health, belief in provider control over health, had less general health threat, and more health value than inadequate contraceptive users. Four variables in the health belief and health locus of control scales were included in a discriminant function analysis. This indicated that general health, self-control over health, barriers of contraception and seriousness of pregnancy variables fully differentiated the two groups.

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Hadwiger, Stephen C. "Managing diabetes according to Mexican American immigrants." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3036828.

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Alizadeh, khoei Mahtab. "Assessing factors in utilisation of health services and community aged care services by the Iranian elderly living in the Sydney metropolitan area." Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/3986.

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Abstract As one of the most culturally diverse countries in the world, Australia has a high proportion of minority communities. However, its ageing population, particularly within these ethnic minorities, faces a range of barriers or difficulties in gaining access to and using health and aged care services. This study aims to identify the acculturation factors that affect the health status of Iranian-born elderly immigrants to Australia and their utilisation of health and community aged care services. The results of this study will be of value to Iranian elders, their families, and Australian aged health care service providers. The findings could also contribute towards enriched multicultural policy and improved social fairness, access to services, and equity for the aged from different ethnic backgrounds. 302 Iranian migrants aged 65 years who had lived in the Sydney Metropolitan area for at least six months were surveyed via a written questionnaire, face-to-face interviews, and telephone interviews. The results were analysed using SPSS and then compared to the findings from a 1999 survey of NSW elderly. The results indicate that Iranian migrants suffer higher levels of psychological distress and are more limited in their physical functioning than the general population of older Australians. They are in greater need of assistance with activities of daily living, have a lower sense of wellbeing, and are far less likely to utilise aged care services. Iranian migrant who do not speak English at home experience these disadvantages to an even greater extent English language proficiency was the only acculturation factor found to affect whether Iranian elderly utilised health and community aged care services, while ability to engage in activities of daily living (ADL) was the only health variable associated with their utilisation of community supportive aged care services. This variable did not predict the use of community aged care services in the broader sample of NSW respondents. Since limited proficiency in English placed elderly Iranian migrants at greater health risk and impeded their access to necessary assistance, the findings suggest that they would clearly benefit from English classes and from access to health and community care services and information regarding these services in the Farsi language.

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Alizadeh, khoei Mahtab. "Assessing factors in utilisation of health services and community aged care services by the Iranian elderly living in the Sydney metropolitan area." University of Sydney, 2008. http://hdl.handle.net/2123/3986.

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Doctor of philosophy (PhD)
Abstract As one of the most culturally diverse countries in the world, Australia has a high proportion of minority communities. However, its ageing population, particularly within these ethnic minorities, faces a range of barriers or difficulties in gaining access to and using health and aged care services. This study aims to identify the acculturation factors that affect the health status of Iranian-born elderly immigrants to Australia and their utilisation of health and community aged care services. The results of this study will be of value to Iranian elders, their families, and Australian aged health care service providers. The findings could also contribute towards enriched multicultural policy and improved social fairness, access to services, and equity for the aged from different ethnic backgrounds. 302 Iranian migrants aged 65 years who had lived in the Sydney Metropolitan area for at least six months were surveyed via a written questionnaire, face-to-face interviews, and telephone interviews. The results were analysed using SPSS and then compared to the findings from a 1999 survey of NSW elderly. The results indicate that Iranian migrants suffer higher levels of psychological distress and are more limited in their physical functioning than the general population of older Australians. They are in greater need of assistance with activities of daily living, have a lower sense of wellbeing, and are far less likely to utilise aged care services. Iranian migrant who do not speak English at home experience these disadvantages to an even greater extent English language proficiency was the only acculturation factor found to affect whether Iranian elderly utilised health and community aged care services, while ability to engage in activities of daily living (ADL) was the only health variable associated with their utilisation of community supportive aged care services. This variable did not predict the use of community aged care services in the broader sample of NSW respondents. Since limited proficiency in English placed elderly Iranian migrants at greater health risk and impeded their access to necessary assistance, the findings suggest that they would clearly benefit from English classes and from access to health and community care services and information regarding these services in the Farsi language.

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Baker, Cathy Jo. "Smoking Behavior Among Immigrants from the Former Soviet Union." The Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=osu1218638322.

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Cortez, Christina. "“Las Experiencias de Padres con Hijos Discapacitados” Lived Experiences of Mexican-Immigrant Parents of Children with Identified Disabilities." Antioch University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1600121768781733.

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Wigton, Mallory. "Acculturation and Mental Health of Immigrant Youth." Wittenberg University Honors Theses / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=wuhonors1338313762.

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Satia, Asongate Jessie. "Diet, acculturation, and health in Chinese American women /." Thesis, Connect to this title online; UW restricted, 1999. http://hdl.handle.net/1773/6594.

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Garner, Ashley Nicole. "Acculturation and Feminist Endorsement on Control of Health and Health Behaviors in Hispanic Females." Thesis, University of North Texas, 2013. https://digital.library.unt.edu/ark:/67531/metadc500136/.

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Hispanic women are the fastest growing population in the United States. Thus, it is important to explore health disparities that affect this population and better understand potential causes. Several explanations have been proposed for disparities that exist including turning to cultural alternatives rather than conventional medicine, low numbers of health insurance enrollments among Hispanics, and acculturation. However, little attention has been given to explanations that take into account the unique experiences of Hispanic women. The present study explored these experiences through investigation of endorsement of feminist attitudes (e.g., gender role adherence and beliefs that men and women should be treated equally in society) and level of acculturation. Undergraduate Hispanic women (18-24 years of age, M = 20.25, SD = 1.51) at the University of North Texas completed measures including the Multidimensional Health Questionnaire, the Acculturation Rating Scale for Mexican Americans-II, and the Liberal Feminist Attitude and Ideology Scale. Although results indicate that acculturation was not significant in the sample, feminist endorsement was found to be positively correlated with health-esteem, health-efficacy, and internal-health locus of control. Limitations and recommended directions for future research are explored.

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Sidorowicz, Mary Lee Elizabeth. "Mexican American Careviers' Acculturation, Service Awareness, and Confidence in Home Care." Thesis, The University of Arizona, 2012. http://hdl.handle.net/10150/244799.

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The purpose of this study was to examine the relationship between acculturation, service awareness, and confidence in home care services in the Mexican American caregiver population. This research is based on a larger study by Dr. Janice Crist from 2009-2012 of Mexican American elders and caregivers known as ENCASA, or Elder and Caregiver Assistance and Support At-home. Results illustrated little overall association between acculturation and awareness. However, fear and worry, a subscale of confidence in home care services, was significantly correlated with acculturation. Results suggest a significant need to improve cultural adaptations to home care services for this population.

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Ghadban, Roula. "Smoking Behavior in Arab Americans: Acculturation and Health Beliefs." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4839.

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Background: Arab Americans, a growing population in the U.S., tend to have high rates of smoking and low rates of smoking cessation. Arab Americans and their families are at a high risk for poor health outcomes related to smoking. Objective: The purpose of this study is to better understand the smoking behaviors of Arabs in the U.S., using the two publishable manuscripts format. The first manuscript is a systematic review of the literature exploring the smoking behavior, prevalence and use among Arab Americans and examining studies addressing the effect of acculturation on this behavior. The second manuscript is a cross-sectional quantitative study investigating factors influencing desire to quit smoking among Arab Americans, and their association with acculturation and health beliefs. Results: The majority of the studies included in the first manuscript focused on smoking prevalence and cessation. Some discussed the impact of acculturation and health beliefs only two smoking cessation programs have been developed. Thus a cross-sectional descriptive study among adult Arab American smokers was conducted to measure tobacco use, nicotine dependence, desire to quit smoking, acculturation, and health beliefs. The desire to quit smoking was positively associated with perceived severity and susceptibility to cancer, perceived benefits of quitting smoking; and negatively associated with smoking barriers and nicotine dependence. Being female, having lower level of nicotine dependence, and higher perception of cancer severity predicted higher desire to quit smoking. Conclusion: Smoking cessation intervention studies need to target appropriate health beliefs, especially cancer severity of smoking among male Arab Americans.

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Aceves, Hilda Cristina. "Acculturation and Identity Issues of Latino Adolescents." Digital Commons at Loyola Marymount University and Loyola Law School, 2011. https://digitalcommons.lmu.edu/etd/97.

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This research examines identity formation and the various issues of acculturation of Latino adolescents. The first part of the research includes a review of the literature on various aspects of identity formation such as developing a cultural/ethnic identity and issues of acculturation such as contextual stressors and maladaptive coping. The literature review also looks at the relationship between acculturation and its effects of Latino adolescent identity formation; specifically noting the positive role biculturalism serves within that relationship. The second part of the research includes the application of a research modality, using questions derived from the literature review to examine the above mentioned issues within a focus group of Latino adolescents ages 12-17. Data, which included discussions, comments, and art work, was collected over the course of three sessions. In each session art was the primary means utilized by the adolescents to explore issues of their identity. The data was analyzed and the findings reflected the process of the adolescents’ bicultural identity formation. One significant finding was the individuality and variety, as seen in the art works, of these adolescents definition of their bicultural identity. Also, another significant finding was how these adolescents’ strong positive ties to their parents’ culture, country of origin, and immigration story seemed to provide them with a strong sense of ethnic identity. This in turn seemed to serve as buffer against the stressors of acculturation, as evidenced by these adolescents’ reports through group discussions and as evidenced in the art work.

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Onuoha-Obilor, Stella Chinyere. "Dietary Acculturation and Obesity in African Immigrant Adults." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4549.

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Racial/ethnic groups are disproportionately affected by obesity and other risk factors for chronic diseases. African immigrants are an increasing segment of the U.S. population at greater risk for obesity than other immigrants living in the United States. Public health organizations that aid immigrants could benefit from information about changing dietary patterns. The purpose of this study was to explore the association between dietary acculturation and obesity among African immigrant adults living in the United States, controlling for length of stay, English proficiency, region of residence, and other sociodemographic factors. Acculturation theory guided this study. The research design was quantitative cross-sectional with secondary data from 798 adult immigrants of African origin who completed the New Immigrant Survey. Forward stepwise logistic regression analyses indicated that when controlling for sociodemographic factors, dietary acculturation was a significant predictor of obesity. Language proficiency, income, marital status, childhood living environment, and age were statistically significant predictors of obesity. Findings may be used by clinicians, dieticians, and other health care professionals to develop obesity prevention and control strategies that specifically serve African immigrants to prevent obesity and its associated deadly complications.

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Donato, Francis A. "Reforming health care through managed care." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1995. http://www.kutztown.edu/library/services/remote_access.asp.

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Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1995.
Source: Masters Abstracts International, Volume: 45-06, page: 2939. Abstract precedes thesis as [1] preliminary leaf. Typescript. Includes bibliographical references (leaves 91-92).

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Driver, Nichola D. "Dimensions of Acculturation and Sexual Health among U.S. Hispanic Youth." Thesis, University of North Texas, 2016. https://digital.library.unt.edu/ark:/67531/metadc862835/.

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Hispanic youth living in the U.S. share a disproportionate burden of risk for HIV, other STIs, and teen pregnancies. They also tend to report lower rates of condom use and higher rates of inconsistent condom use than other racial/ethnic groups. Furthermore, immigrant Hispanic adolescents experience a unique burden of sexual risk compared to their non-immigrant counterparts. These negative sexual health outcomes can severely derail the overall health, social mobility, and life opportunities of these adolescents. Social researchers have tried to explain these sexual risk disparities using the concept of immigrant acculturation, which is broadly defined as the process of adopting the cultural values and beliefs of a host society. Immigrant acculturation has been shown to play a key role in shaping youth attitudes and behaviors, including sexual risk behaviors (see Lee & Hahm, 2010). Yet, studies have largely overlooked the contextual components of acculturation that have been proposed in theoretical literature, specifically characteristics of the immigrant's receiving community. Furthermore, studies have not adequately explored the influence of acculturation on two crucial measures of sexual risk: teen pregnancy norms and condom use. Therefore, the current dissertation consists of two unique studies that examine the influence of acculturation, at both the individual and neighborhood level, on Hispanic adolescent teen pregnancy norms and condom use over time. The aim is to fill these important gaps in the literature and expand on earlier explanations of the relationship between cultural, place, and long-term sexual health. Both studies use nationally-representative data from the National Longitudinal Study of Adolescent to Adult Health. Overall, findings suggest an immigrant advantage for both teen pregnancy norms and condom use, although this advantage functions differently for males and females. Furthermore, the studies demonstrate the importance of including contextual measures of acculturation into studies related to Hispanic adolescent sexual health.

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Welter, Linda Lee 1951. "Health conceptions and levels of acculturation in Mexican American women." Thesis, The University of Arizona, 1991. http://hdl.handle.net/10150/558173.

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Yang, Yung-Mei. "Acculturation and health outcomes among Vietnamese immigrant women in Taiwan." Thesis, Queensland University of Technology, 2008. https://eprints.qut.edu.au/20647/1/Yung-Mei_Yang_Thesis.pdf.

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Background Recently, Taiwan has been faced with the migration of numbers of women from Southeast Asian (SEA) countries. It was estimated that the aggregate number of SEA wives in Taiwan was more than 131,000 in 2007 (Ministry of Foreign Affairs, 2006).These women are often colloquially called, “foreign brides” or “alien brides”; most of them are seen as commodities of the marriage trade, whose marriages are arranged by marriage brokers. Some women can be regarded as being sold for profit by their families. These young Vietnamese immigrant women come to Taiwan alone, often with a single suitcase, and are culturally and geographically distinct from Taiwanese peoples; the changes in culture, interpersonal relationships, personal roles, language, value systems and attitudes exert many negative impacts on their health, so greater levels of acculturation stress can be expected. This particular group of immigrant women are highly susceptible and vulnerable to health problems, due to language barriers, cultural conflicts, social and interpersonal isolation, and lack of support systems. The aims of this study were to examine the relationships between acculturation and immigrantspecific distress and health outcomes among Vietnamese transnational married women in Taiwan. This study focuses on Vietnamese intermarriage immigrants, the largest immigrant group in the period from1994 through to 2007. Methodology The quantitative study was divided into two phases: the first was a pilot study and the second the main study. This study was conducted in a communitybased health centre in the south of Taiwan, targeting Taiwanese households with Vietnamese wives, including the Tanam, Kaohsiung, and Pentong areas. This involved convenience sampling with participants drawn from registration records at the Public Health Centre of Kaohsiung and used the snowball technique to recruit 213 participants. The instruments included the following measures: (1) Socio-demographic information (2) Acculturation Scale (3) Acculturative Distress Scale, and (4) HRQOL. Questions related to immigrant women’s acculturation level and health status were modified. Quantitative data was coded and entered into the SPSS and SAS program for statistical analysis. The data analysis process involved descriptive, bivariate, multivariate multiple regression, and classification and regression trees (CART). Results Six hypotheses of this study were validated. Demographic data was presented and it revealed that there are statically significant differences between levels of acculturation and years of residency in Taiwan, number of children, marital status, education, religion of spouse, employment status of spouse and Chinese ethnic background by Pearson correlation and Kendall’s Tau-b or Spearman test. The correlations of daily activity, language usage, social interaction, ethnic identity, and total of acculturation score with DI tend to be negatively significant. In addition, the result of the one-way ANOVA supported the hypothesis that the different types of acculturation had a differential effect on immigrant distress. The marginalized group showed a greater immigrant distresses in comparison with the integrated group. Furthermore, the comparison t-test revealed that the Vietnamese immigrant women showed a lower score than Taiwanese women in HRQOL. The result showed higher acculturative stress associated with lower score of HRQOL on bodily pain, vitality, social functioning, mental health, and mental component summary. The CART procedure to the conclusion that the predictive variables for the physical component of the SF-36 (PCS) were: alienation, occupation, loss, language, and discrimination (predicted 28.8% of the total variance explained). The predictive variables for the mental component of the SF-36 (MCS) were: alienation, occupation, loss, language, and novelty (predicted 28.4% of the total variance explained). Conclusion As these Vietnamese immigrant women become part of Taiwanese communities and society, the need becomes apparent to understand how they acculturate to Taiwan and to the health status they acquire. The findings have implications for nursing practice, research, and will assist the Taiwanese government to formulate appropriate immigrant health policies for these SEA immigrant women. Finally, the application of this research will positively contribute to the health and well being of thousands of immigrant women and their families.

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Yang, Yung-Mei. "Acculturation and health outcomes among Vietnamese immigrant women in Taiwan." Queensland University of Technology, 2008. http://eprints.qut.edu.au/20647/.

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Background Recently, Taiwan has been faced with the migration of numbers of women from Southeast Asian (SEA) countries. It was estimated that the aggregate number of SEA wives in Taiwan was more than 131,000 in 2007 (Ministry of Foreign Affairs, 2006).These women are often colloquially called, “foreign brides” or “alien brides”; most of them are seen as commodities of the marriage trade, whose marriages are arranged by marriage brokers. Some women can be regarded as being sold for profit by their families. These young Vietnamese immigrant women come to Taiwan alone, often with a single suitcase, and are culturally and geographically distinct from Taiwanese peoples; the changes in culture, interpersonal relationships, personal roles, language, value systems and attitudes exert many negative impacts on their health, so greater levels of acculturation stress can be expected. This particular group of immigrant women are highly susceptible and vulnerable to health problems, due to language barriers, cultural conflicts, social and interpersonal isolation, and lack of support systems. The aims of this study were to examine the relationships between acculturation and immigrantspecific distress and health outcomes among Vietnamese transnational married women in Taiwan. This study focuses on Vietnamese intermarriage immigrants, the largest immigrant group in the period from1994 through to 2007. Methodology The quantitative study was divided into two phases: the first was a pilot study and the second the main study. This study was conducted in a communitybased health centre in the south of Taiwan, targeting Taiwanese households with Vietnamese wives, including the Tanam, Kaohsiung, and Pentong areas. This involved convenience sampling with participants drawn from registration records at the Public Health Centre of Kaohsiung and used the snowball technique to recruit 213 participants. The instruments included the following measures: (1) Socio-demographic information (2) Acculturation Scale (3) Acculturative Distress Scale, and (4) HRQOL. Questions related to immigrant women’s acculturation level and health status were modified. Quantitative data was coded and entered into the SPSS and SAS program for statistical analysis. The data analysis process involved descriptive, bivariate, multivariate multiple regression, and classification and regression trees (CART). Results Six hypotheses of this study were validated. Demographic data was presented and it revealed that there are statically significant differences between levels of acculturation and years of residency in Taiwan, number of children, marital status, education, religion of spouse, employment status of spouse and Chinese ethnic background by Pearson correlation and Kendall’s Tau-b or Spearman test. The correlations of daily activity, language usage, social interaction, ethnic identity, and total of acculturation score with DI tend to be negatively significant. In addition, the result of the one-way ANOVA supported the hypothesis that the different types of acculturation had a differential effect on immigrant distress. The marginalized group showed a greater immigrant distresses in comparison with the integrated group. Furthermore, the comparison t-test revealed that the Vietnamese immigrant women showed a lower score than Taiwanese women in HRQOL. The result showed higher acculturative stress associated with lower score of HRQOL on bodily pain, vitality, social functioning, mental health, and mental component summary. The CART procedure to the conclusion that the predictive variables for the physical component of the SF-36 (PCS) were: alienation, occupation, loss, language, and discrimination (predicted 28.8% of the total variance explained). The predictive variables for the mental component of the SF-36 (MCS) were: alienation, occupation, loss, language, and novelty (predicted 28.4% of the total variance explained). Conclusion As these Vietnamese immigrant women become part of Taiwanese communities and society, the need becomes apparent to understand how they acculturate to Taiwan and to the health status they acquire. The findings have implications for nursing practice, research, and will assist the Taiwanese government to formulate appropriate immigrant health policies for these SEA immigrant women. Finally, the application of this research will positively contribute to the health and well being of thousands of immigrant women and their families.

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Haas, Marion Ruth. "Benefits of health care beyond health: an exploration of non-health outcomes of health care." University of Sydney. Public Health, 2002. http://hdl.handle.net/2123/854.

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Recent interest in identifying and measuring health outcomes represents an advance in our understanding of how health care for individuals should be evaluated. However, the concept of health outcomes has mainly focussed on improvements in health status. Non-health outcomes of health care may also be important to patients. In this thesis, four tasks were undertaken with the aim of identifying non-health outcomes and establishing the extent of their relevance and importance to patients. First, the illness experience literature was reviewed to identify potential non-health outcomes. Seven categories of non-health outcomes were identified: information, being treated with dignity, being able to trust the health care provider, having distress recognised and supported, participating in decision making, legitimation and reassurance. Second, to gain an in-depth understanding of these concepts, topic-specific literature was reviewed and synthesised. Third, in order to confirm how relevant and important the concepts were to patients, a qualitative study was conducted with each of two different groups of health service users. Broadly, patients considered that all the non-health concepts were relevant, although the extent to which they were important varied. Fourth, to test the relative importance of the seven concepts, a Stated Preference Discrete Choice experiment in the context of general practice was conducted. This study showed that most people thought their GP demonstrated behaviour likely to result in the production of non-health outcomes. The results showed that although all the non-health outcomes were, to some extent, preferred by respondents, trust was most important, followed by legitimation and recognition of and support for emotional distress. Once again, these results point to the importance of context in the evaluation of health care from the patient's perspective. While still being perceived as positive aspects of health care, the provision of information and acting autonomously or participating in decisions about their health care were the non-health outcomes considered least important by patients

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Bataineh, Hana. "An Empirical Investigation of Unmet Health Care, Health Care Utilization and Health Outcomes." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36492.

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This thesis is comprised of three chapters that empirically examine two important areas in health economics: access to health care and health outcomes. The first chapter explores the impact of health care utilization on unmet health care needs (UHC) using four biennial confidential master files (2001-2010) of the Canadian Community Health Survey and applying an instrumental variables (IV) approach to deal with the endogeneity of health care utilization. The presence of drug insurance and the number of physicians in each health region are used to identify the causal effect. I find a clear and robustly negative relationship between health care use and unmet health care needs; individuals who are more likely to report unmet health care needs are those who use the health care system less frequently. One more visit to a family doctor, specialist or a medical doctor on average, decreases the probability of having unmet health care needs by 7.1, 4.6 and 2.8 percentage points, respectively. Further analysis by sub groups reveals that the impact of health care utilization on UHC is larger for females in comparison to males, rural residents in comparison to urban dwellers and those with low household income rather than high. The second chapter of this thesis examines whether the presence of the unmet health-care (UHC) needs has an adverse effect on health outcomes using the National Population Health Survey, a nationally representative longitudinal data set spanning 18 years. I pay close attention to the potential endogeneity of this problem. Five direct and indirect measures of health-related outcomes are examined. I find clear and robust evidence that the presence of UHC either two-years previously or anytime in the past, affects negatively the current health of the individual – controlling for a host of other influences. For instance, reporting UHC in the previous cycle reduces the probability of being in excellent or very good health and in good mental health, respectively by 8.1 and 1.2 percentage points; it reduces the HUI3 score by 2.9 percentage points and increases the expected number of medications used by 11%. Further analysis by looking at the effect of UHC when it was due to accessibility reasons, reveal that the effect of UHC because of accessibility reasons on health outcomes is larger than the one of the overall UHC, but the difference is small in general. Finally, the third chapter of this thesis examines the link between social networks and access to health care utilization, focusing particularly on the probability of having a regular family doctor. Unlike previous work that uses cross sectional data, I use panel data from the National Population Health survey to control for unobserved heterogeneity. Access to a regular family doctor is modeled using the dynamic random effects probit model, which makes it possible to explore the dynamics of access to a regular family doctor– for instance, the role played by past access status to a family doctor in predicting current access. In particular, I use the dynamic random effects probit model that controls for both unobserved heterogeneity and for initial conditions effects. I find robust evidence of a highly statistically significant relationship between social capital and the probability of having a regular family doctor. Although the marginal effects are modest, the results from all model specifications show that there is clear evidence that individuals with high levels of tangible, affection, emotional, social interaction, who live with spouse only or with spouse and children are more likely to have a regular family doctor, whereas those living alone are less likely to have a regular family doctor. The results also reveal that past access to a family doctor is an important determinant for both current and future access. The predicted probability of having a regular family doctor is about 18 percentage points (or 20%) higher for individuals who had a family doctor in the previous period, relative to those who did not. In addition, I find that unobserved heterogeneity accounts for about 25% of the variation in accessing a regular family doctor and is significantly correlated with the access to a family doctor over my long panel.

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Mykhalovskiy, Eric. "Knowing health care / governing health care exploring health services research as social practice /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0018/NQ56249.pdf.

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Wood, David L., and R. Nathawad. "Health Care Transition." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/5155.

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Bayog, Maria Lourdes Geronimo. "Impact of Acculturation and Lifestyle Health Behaviors on Cardiovascular Health among Filipinos in California." Thesis, University of California, San Francisco, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10133432.

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Background: Cardiovascular disease (CVD) is the leading cause of death among all major racial and ethnic groups in the United States (US) and worldwide. Filipinos are the second largest Asian immigrant group in the US. Healthful lifestyle behaviors are cardioprotective factors, but have been under-, overestimated, or not studied among Asian American subgroups.

Objective: The purpose of this dissertation was to describe the cardiovascular health, cardiovascular mortality, cardiometabolic and lifestyle health behaviors, acculturation, and predictors associated with CVD in the Filipino American population.

Methods: A systematic review of the literature was conducted which focused on the cardiovascular mortality, disease and clinical and behavioral risks of Filipinos in the US. Two secondary analyses of the 2011-2012 California Health Interview Survey dataset were conducted which focused on the cardiovascular health, CVD, acculturation, metabolic and lifestyle health behavior of Filipino Americans (n = 555).

Results: The systematic review suggested that Filipino Americans are at high risk for developing cardiovascular disease, for having CVD-related clinical health risks, for engaging in unhealthy CVD lifestyle behaviors, and dying from CVD, as compared to White, non-Hispanic and other Asian Americans in general and by gender. The prevalence of CVD was 7.4% among Filipinos in California. Hypertension, diabetes, physical inactivity, being overweight/obese, and inadequate consumption of fruits and vegetables were prevalent among Filipinos. Multivariate logistic regression analysis indicated that only hypertension was a significant predictor of CVD, controlling for the effects of age, gender, being born in the US, and diabetes. When taking into consideration acculturation factors in chronic diseases and health behaviors, US-born Filipinos had a significantly lower proportion of chronic diseases as compared to Filipinos not born in the US. Filipinos who lacked English proficiency reported more hypertension as compared to Filipinos who reported proficiency in English. A higher proportion of several positive health behaviors were reported among Filipinos not born in the US and those who did not speak English at home ate the recommended 35 or more servings per week of fruits and vegetables compared to their counterparts.

Conclusions: Further research is needed for culturally-appropriate interventions, education, and prevention programs which focus on health behaviors and chronic diseases, such as CVD, for Filipino Americans.

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Szende, Agota. "Equity in health and health care in Hungary : health status, finance, and delivery of health care." Thesis, University of York, 2003. http://etheses.whiterose.ac.uk/14056/.

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Haas, Marion. "The benefits of health care beyond health an exploration of non-health outcomes of health care /." Connect to full text, 2002. http://hdl.handle.net/2123/854.

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Thesis (Ph. D.)--University of Sydney, 2002.
Includes tables and questionnaires. Title from title screen (viewed Apr. 28, 2008). Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Dept. of Public Health and Community Medicine, Faculty of Medicine. Includes bibliography. Also available in print form.

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Blanton, Sandra. "Justice in Health Care Access Measuring Attitudes of Health Care Professionals." TopSCHOLAR®, 2000. http://digitalcommons.wku.edu/theses/714.

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To measure attitudes toward justice in access to health care services in managed care plans in a convenience sample of medical professionals at Clark Memorial Hospital in Jeffersonville, Indiana. Methods. A sixteen item, self-administered instrument based on Morreim's four concepts of justice in health care access was administered to 147 health care professionals, representing physicians, allied health, and hospital administration. SPSS was used to analyze the results. Results. The attitudes of the respondents were negative toward managed care. They did not feel that managed care had been a positive development in the United States or that managed care had improved access to preventive care or improved primary care. On the survey instrument, respondents scored highest on the scale measuring fairness to individual patients. Conclusion. In a convenience sample of health care professionals at Clark Memorial Hospital in Jeffersonville, Indiana, equity in distributing access to health care among individual patient needs was found to more closely meet their expectations of justice in health care access. There were no differences found across occupational groups in their responses to the two scales. There were differences in attitudes toward managed care among occupational groups.

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Lymer, Ulla-Britt. "Blood exposure in health care : health care workers' and patients' experiences /." Linköping : Univ, 2004. http://www.bibl.liu.se/liupubl/disp/disp2004/med874s.pdf.

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Schultz, Sarah Robinson. "Health coverage without health care unmet mental health care needs among the publicly insured /." Connect to Electronic Thesis (CONTENTdm), 2009. http://worldcat.org/oclc/457147003/viewonline.

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Marshall, Emily Gard. "Universal health care? : access to primary care and missed health care of young adult Canadians." Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/30948.

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Prevalence of missed health care by life course stage is examined with a critique of the measure of missed care. Canadians reporting missed care has increased from 4.2% in 1995 to 12.5% in 2001. Research questions: 1. Who reports missed care in Canada? 2. What are the relationships among life course stages, social support, predisposing, enabling and need factors to the reporting of missed care? 3. What is the role that life course stages play in the relationships among social support, predisposing, enabling, and need factors? 4. What kinds of health care are Canadians reporting they missed? 5. What reasons are provide for missing care?; and 6. Who accesses primary care and what is the relationship to reporting missed care? Methods: Analysis was done using the Canadian Community Health Survey Cycle 2.1. Nested multiple logistic regression models explore the relationships among variables of interest predicting missed care. Results: Young adults (18-30) are more likely to report missed care compared to other age groups and are least likely to have a regular doctor. Social support is most significantly protective against missed care for young adults. Weak sense of belonging to a local community and lower income are stronger predictors of missed care for young adults. Young adults differ from others in the reasons they report for missed care (i.e., more likely to report cost as a barrier). Discussion: It's not clear if the difference between young adults and other life course stages is in actual missed care or expectations of primary care. Yet, the literature on emerging adulthood invites curiosity about how delayed adulthood leaves them in less stable, financially insecure, socially and institutionally isolated situations that have subsequent consequences for primary care access. Changes in models of primary care have led to a decline in comprehensive care and more drop-in clinics; while, not having a regular doctor is associated with missed care. If patterns of inadequate primary care access established in young adulthood are perpetuated in later life, this may foretell undesirable consequences for the health of Canadians. A new model for measuring unmet health care needs is proposed.
Graduate and Postdoctoral Studies
Graduate

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Ramanathan, Vijayasarathi. "Acculturation, Sexuality and Sexual Health of Indian Migrant Men Living in Australia." Thesis, The University of Sydney, 2013. http://hdl.handle.net/2123/9030.

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Background Ethnicity and culture have an impact on sexual attitudes and behaviours of individuals and communities. Immigrants from different ethnic groups differ in sexual values, and culturally prescribed attitudes and behaviours have been found to contribute to sexual health inequalities among immigrant populations. Research has also confirmed the importance of examining the relationship between sexuality and the culture change process (acculturation). Indians belong to the world’s second most populous country and constitute one of the largest immigrant communities in Australia, the USA, UK and Canada. In 2011-12, India was Australia’s largest source country of migrants. Yet there is a paucity of scientific information about the effects of acculturation on sexuality and sexual health among Indian immigrants and most of what we know is based on research that has a number of serious conceptual and methodological shortcomings. The present study addressed this knowledge gap by exploring the psychosocial and cultural dimensions of sexuality and sexual health among a community-based sample of Indian men living in Australia. Unlike much of the previous research, which conceptualised and measured acculturation as a unilinear (assimilation) and unidimensional (behavioural) phenomenon, it adopted a bilinear, multidimensional model of acculturation. Aims The present study had three broad aims: • To explore sexual perceptions, attitudes and behaviours of Indian immigrant men living in Australia. • To explore the help-seeking attitudes of Indian immigrant men for sexual health • To examine the effects of acculturation on sexuality of Indian immigrant men living in a multicultural society (Australia). Method The project used a sequential, mixed method design. In Stage 1, qualitative data were collected from 21 participants in five focus groups. Findings from this stage were analysed both in their own right and in order to identify topics for further investigation. The group discussions were tape-recorded and transcribed and a thematic content analysis was performed. In Stage 2, 278 Indian men completed an online survey that used a 100-item questionnaire. It included a number of validated tools for measuring multidimensionality of acculturation, sexual attitudes and safe sex behaviour. The scales were assessed for their psychometric properties using the present study sample and were found to be comparable with previous findings. The survey data were analysed using non-parametric tests, where necessary, and the findings were presented in the form of descriptive and analytical statistics. Results The present study sample can be considered representative of Indian men in the general Australian population. A differential pattern of acculturation was found in the present study, with more men holding on to Indian values even though they tend to be bicultural in their behaviour and self-identity. A moderate (not too liberal or too conservative) pattern of permissive sexual attitudes was observed. Indian men’s belief in cultural values, relationship status and whether they masturbate or not were found to be significant predictors of permissive sexual attitudes. A view that sex is not only an important part of a person’s life but is also a unifying phenomenon between partners emerged from both focus group and survey data. A large proportion of Indian men expressed favourable/liberal attitudes towards masturbation and reported that they have masturbated at some point in their life. Using hands and tummy-down were the most common methods and erotic visual materials and self-thoughts (fantasising imagination) were the common stimulants for masturbation. The most frequently reported reasons for masturbating were to gain pleasure and to relax and relieve stress. About two-thirds of men who continue to masturbate reported one of three positive feelings (satisfying, healthy or attractive). Permissive sexual attitudes were the strongest predictor of positive feelings about masturbation. Indian men, irrespective of their relationship status, tended to engage in safe sex practice primarily by avoiding risky behaviours. While many were aware of HIV/AIDS, their knowledge of other common sexually transmissible infections (STIs) was limited. Data from both stages of the present study demonstrated that medical doctors (both general practitioners and specialists) were the main source of information and help for Indian men in regard to their sexual health. Conclusion The present investigation, which is first of its kind to be conducted among Indians, has established a baseline of scientific evidence to guide future research. The fluid nature of both sexuality and culture poses a considerable challenge to the scientific study of cultural effects on sexuality among any population. Even greater complexity exists in relation to Indians, who have experienced long periods of conflicting cultural influences on sexuality and whose social structure comprises a highly differentiated class and caste system. In an era of rapid economic and technological growth and modernisation, another challenge to socio-psychological studies on sexuality is the need to separate the effects of globalisation from those of acculturation. The findings also have a number of important implications for policy and for clinical practice in relation to the sexual health of immigrants in Australia. There could be considerable benefit, for instance, in developing a rapid values-assessment tool that would allow busy health professionals to look beyond a patient/client’s external behaviour or self-identity in order to facilitate holistic treatment of sexual problems. Limited knowledge about common sexually transmissible infections in Australia among Indian men has significant implications for policy changes around immigrants’ sexual health in Australia.

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Marano, Kristin Marie. "Acculturation, Inflammation, and Depression Among Hispanic Adults in the United States." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2034.

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Disparities exist in the recognition and treatment of depression among Hispanics in the United States, creating a social, ethical, economic, and public health burden. This study was designed to generate an improved understanding of the causes of and/or contributors to depression within this population. It was specifically designed to 1) assess the prevalence and severity of depression among Hispanic adults in the United States relative to adults of other race/ethnicities in the United States; 2) clarify the inconsistent results in the literature concerning the relationship between acculturation and depression among Hispanic adults in the United States; and 3) fill a gap in the literature by evaluating the potential for inflammation to mediate the relationship between acculturation and depression among Hispanic adults in the United States. The biopsychosocial model was used as a theoretical foundation for this study. Data from the 2009-2010 National Health and Nutrition Examination Survey were analyzed descriptively and via logistic regression. Findings confirmed higher prevalence of depression among Hispanic adults compared with non-Hispanic White adults, and that a lower degree of acculturation was consistently associated with a decreased likelihood of depression among Hispanics. No mediating effect of inflammation on the relationship between acculturation and depression was observed. The findings from this study are intended for use by health care providers, health educators, and public health practitioners to improve depression prevention, diagnosis, and treatment opportunities within this population and to accordingly to affect positive social change.

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Klein, Jenny. "ACCULTURATION, SOCIAL ACCEPTANCE, AND ADJUSTMENT OF EARLY ADOLESCENTS." Master's thesis, University of Central Florida, 2005. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2446.

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A majority of research regarding disruptive behavior disorders in youth has focused primarily upon Caucasian children and adolescents. As a result, more investigation of the unique characteristics of youth from ethnically diverse backgrounds, particularly those from Hispanic American and African American backgrounds, is needed (Balls Organista, Organista, & Kurasaki, 2003). This study investigated the relationships between several characteristics (e.g., ethnic identity, socioeconomic status, social acceptance, and emotional and behavioral symptoms) of early adolescents belonging to diverse ethnic groups. Results suggested that socioeconomic status and degree of early adolescents' social acceptance were important factors in predicting the development of internalizing and externalizing behavior problems in this age group. Additionally, perceived social acceptance moderated significantly the relationships between SES and depression, anxiety, and self-concept. Considering these results, useful treatments may be developed that enhance early adolescents' abilities to assess realistically their own social skills and interact appropriately within different social spheres. Increased self-appraisals of acceptance within social situations may modify negative effects (e.g., higher reports of anxiety and depression) of extreme socioeconomic circumstances, particularly for early adolescents experiencing low-income or poverty conditions within their family and/or their community.
M.S.
Department of Psychology
Arts and Sciences
Psychology

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Al-Yaemni, Asmaa Abdullah. "Does universal health care system in Saudi Arabia achieve equity in health and health care?" Thesis, University of Liverpool, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.526777.

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Vargas, Persephone Panajon. "Acculturation, Dietary Pattern and Health Indicators Among Filipino American Immigrants in New Jersey." Thesis, The William Paterson University of New Jersey, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3681391.

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This study describes the acculturation, dietary habits and health status indicators among first generation Filipino American immigrants and investigates the relationship among these variables. A non-experimental, quantitative, descriptive, cross-sectional design (n=210) was used in the study. Acculturation was measured using the Short Acculturation Scale for Filipino Americans (ASASFA). Dietary pattern was measured using the Dietary Acculturation Questionnaire for Filipino Americans (DAQFA) and the Block's Short Food Frequency Questionnaire (SFFQ). Health indicators included Body Mass Index (BMI), waist circumference and waist-hip ratio (WHR). Using the American guidelines, 36.6% women and 61.9% men were overweight or obese, 23.9% women and 19.7% men had increased waist circumference and 60.4% women and 67.1% men had increased WHR. Using Asian guidelines, overweight/obesity rates increased to 67.9% women and 86.9% men, increased waist circumference was 50.7% women and 50% men. Western dietary intake was significantly correlated with caloric intake (p<.01), percent fat intake (p<.05), BMI (p<.01) and waist circumference (p<.05). Caloric intake was significantly correlated with BMI (p<.01) and waist circumference (p<.01). Fat intake had a significant positive correlation with BMI (p<.05). Filipino American immigrants have increased risks in diet-related chronic diseases including increased BMI, waist, WHR and increased fat intake. The results of this study provide health care providers with information on the importance of using appropriate anthropometric measurement guidelines in screening for health risks and the importance of dietary assessment and nutritional counselling in this population.

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Damore, Deborah Rose. "H.H.S.C. Spiritual Health Care Centre, integrated spiritual health care graduate academic programme." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0015/MQ55440.pdf.

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Claassens, Mareli Misha. "Responsibility in health care." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/4280.

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Snyder, Hannah. "Health Care Customer Creativity." Doctoral thesis, Linköpings universitet, Logistik- och kvalitetsutveckling, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-125723.

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Crafting and stimulating service innovation is considered a main research priority and remains a challenge for service providers. One suggested component of stimulating service innovation is customer creativity. Customers who adapt, modify and transform services or products to better suit themselves are increasingly being recognized as a source of competitive value and innovation. It has been proposed that understanding and supporting the customer’s value creating practices is the key to creating and sustaining value over time in health care. Health services directly address a customer’s well-being and have a significant impact on his or her quality of life. In these types of services, the service outcome is highly dependent on the activities of the individual customer. Health care services often require customers to participate extensively, over long periods of time, with limited support and control. Health services also stretch far beyond the particular service setting into the customer’s daily life. While research, policy, and legislation have all emphasized the active role of health care customers, such customers have traditionally had few opportunities to design their health care services. Nevertheless, health care customers solve health-related problems and engage in self-care and medical decision-making on a day-to-day basis, although this creativity is often unknown to the service provider. To understand how health care customers can enable service innovation, this thesis seeks to conceptualize and investigate the concept of customer creativity in health care. The thesis focuses on customer creativity, not only as an outcome, but also as a dynamic and contextualized process that can be enhanced. The thesis combines insights from health care research with service and innovation research to provide build a framework for health care customer creativity. Building on five papers, the research develops an understanding for health care customer creativity. The individual papers are based on systematic literature reviews as well as empirical data in the form of customers’ ideas for service innovation collected through diaries. The results of the thesis suggest that despite the negative nature of the service, health care customers are creative. Given the opportunity, health care customers can provide creative ideas and solutions on a multitude of aspects, both within and outside the health care setting. This provides the potential to view the health care experience through the customers’ eyes and take part in their creativity in spheres where the service providers have not traditionally had any access. This thesis contributes to the literature by providing a framework for health care customer creativity that recognizes the concept as a complex interplay of factors operating at the individual, contextual, and situational levels. The proposed framework specifies the health care specific factors upon which customer creativity depends, with the intention of positing potential research directions and developing an enriched theory of health care customer creativity.

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Polaha, Jodi. "Primary Care Behavioral Health." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6676.

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Chou, Caroline. "Selfies for Health Care." Scholarship @ Claremont, 2019. https://scholarship.claremont.edu/cmc_theses/2277.

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Presently, self-tracking applications are used to help patients with chronic illness management. For example, applications ask users to track mood through online diaries or snap photos of their food content in order to analyze patterns correlated to their chronic disease. Although these health care applications are on the market today, there still exists a fundamental challenge in motivating participants to consistently update and enter information. Therefore, the focus of this thesis is on reducing the fatigue from using these applications. Pulling from user social media data will almost completely eliminate the capture burden placed on participants, since users will only have to continue to use social media as they regularly do. Instead of analyzing manually inputted data, patterns can be found between social media data and chronic diseases. A Microsoft Research team found indicators in public user Twitter data associated with the onset of a depressive episode. They were able to create a predictor tool, predicting the onset of a depressive episode, with 70 percent accuracy. Using this research alongside expert feedback, our aim is to design an interface used by both clinician and patient that will provide them with a timeline marking spikes in Twitter indicators correlated to a patient’s depressive episode.

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Ling, Meng-Chun. "Senior health care system." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2785.

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Senior Health Care System (SHCS) is created for users to enter participants' conditions and store information in a central database. When users are ready for quarterly assessments the system generates a simple summary that can be reviewed, modified, and saved as part of the summary assessments, which are required by Federal and California law.

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Ahmed, Rukhsana. "Assessing the role of cultural differences on health care receivers' perceptions of health care providers' cultural competence in health care interactions." Ohio : Ohio University, 2007. http://www.ohiolink.edu/etd/view.cgi?ohiou1178244318.

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Bumgarner, D., K. Owens, J. Correll, W. T. Dalton, and Jodi Polaha. "Primary Behavioral Health Care in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6597.

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Florini, Marita A. "Primary care providers' perception of care coordination needs and strategies in adult primary care practice." Thesis, State University of New York at Binghamton, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3630859.

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Problem: Medical and nursing literature poorly identify primary care providers' (PCP) relationship to care coordination (CC). Primary care providers' education, experience, and perspective, contribute to: (a) assessments of patient's care coordination needs, and (b) variability in behavior to address needs. Dissimilar approaches to CC by PCPs affect work relationships and office flow.

Purpose: To pre-pilot a new tool describing PCPs' knowledge, perception, and behavior regarding CC. Methods: Primary care physicians, nurse practitioners, and physician assistants were surveyed.

Analysis: Frequencies and percentages provided sample characteristics. Descriptive statistics analyzed provider responses within and between groups. Narratives were analyzed for themes. Tool refinement is suggested however, the tool does describe PCPs and CC activities.

Significance: A tool was developed to evaluate areas of CC activity performed by PCPs. Information from surveys of PCPs can illuminate behaviors that lead to improved work flow, efficiency, and patient outcomes. Doctors of Nursing Practice who are PCPs contribute to primary care CC through leadership, experience, and descriptive evidence.

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Farrell, Kathy, and University of Lethbridge Faculty of Education. "Health care professionals' perceptions of health promotion." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1996, 1996. http://hdl.handle.net/10133/34.

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The concept of health promotion is an alternative and emerging orientation. Here the belief is that all people have strengths and are capable of determining their own needs, finding their own answers, and solving their own problems. Most health care professional have been educated in the medical model of health. In this model, the health care professional, especially the physician, plays an active part as an expert on disease; the patient or client has essentially a passive role, and the disease rather than the person is the focus. The role of health care professionals in health promotion is an important one and will continue to expand with the new focus of the province of Alberta's health system. The focus of that system, and other health systems in Canada and abroad, is increasingly upon health promotion rather than disease treatment. The purpose of this study was to determine the perceptions of a variety of health care professionals working in the community and in the hospital setting relating to health promotion. The study takes a non-experimental approach utilizing a descriptive design. All professional staff including registered nurses, occupational therapists, recreational therapists, physiotherapists, respiratory therapists, social workers, dental workers, nutritionists, speech-language pathologists, and physicians working in Palliser Health Authority were asked to participate in the survey. Two hundred and thirteen staff responded to a questionnaire desgined to reflect their perceptions on the importance of health promotion, determinants of health, principles of health promotion, and skills and knowledge of health promotion. Staff were also asked to identify health promotion activities occuring at their work site, possible barriers to health promotion, and what was needed regarding training and support. Some of the major findings include: 1) Staff perceive health promotion to be an important part of their job. However staff working in the community perceive health promotion to be more important than those working in the hospital. Physicians were the least positive about questions pertaining to the importance of health promotion. 2) Staff perceive that the purpose of health promotion is to strengthen peoples' control over their health, but responses also indicate uncertainty concerning how control is to be defined and effected. 3) When asked to identify health promotion activities at their work site, the majority of staff pointed to the provision of information to individuals and groups. Community development was listed by very few staff. 4) When staff were asked to identify barriers to health promotion they identified the following in the order: lack of resources, old attitudes about health and health promotion, lack of support from the organization and doctors, lack of knowledge/education, and lack of communication between health care workers.
v, 101 leaves : ill. ; 28 cm.

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Liebe-Harkort, Carola. "Oral Health Care and Humanitarian Health Praxis." Thesis, Röda Korsets Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2276.

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Abstract:

Background: Oral and dental diseases is a major part of the global disease burden. Poor oral health has a significant impact on the general well-being of people. In contrast with prior decades high rates of oral diseases may be found in low- and middle income countries. Populations that are particularly vulnerable are more likely to develop poor oral health. As a consequence of human distress related to war, poverty and natural disasters the accomplishments of humanitarian aid organizations has a direct impact on people´s health and well-being. Purpose: The aim of the present study is to examine the International Red Cross and Red Crescent Movement as well as Doctors without borders concerning documents and guidelines on oral health. A further aim is to explore the knowledge of oral health related topics of delegates from the International Federation of the Red Cross and Red Crescent Societies (IFRC). Method: The study is designed as a literature review and a questionnaire survey. Results: Within the International Red Cross and Red Crescent Movement and Doctors Without Borders there are a limited number of guidelines on oral health and they are rarely mentioned in the same documents as non-communicable diseases (NCDs). The responses of the study revealed that the participants generally have a limited knowledge about measures on oral health in the IFRC. Conclusion: Both the literature review and the questionnaire survey study confirms that there is an absence of clear and specific guidelines on oral health care related activities within IFRC.
Bakgrund: Mun- och tandsjukdomar utgör en stor del av den globala sjukdomsbördan. Dålig mun- och tandhälsa har en stark påverkan på det allmänna välbefinnandet. I motsats till tidigare, ses idag höga frekvenser av karies även i låg- och medelinkomstländer. Populationer vilka befinner sig i extra utsatta kontexter löper större risk att utveckla dålig munhälsa. Som en följd av mänskligt lidande i form av händelser relaterade till krig, fattigdom och naturkatastrofer har aktiviteter utförda av humanitära hjälporganisationer en direkt inverkan på hälsa och välbefinnande. Syfte: Syftet med föreliggande studie är att studera dokument och riktlinjer rörande munhälsa inom Internationella Röda korset och Röda halvmånen och Läkare utan gränser. Ett ytterligare syfte är att undersöka kunskapen om hälsorelaterade frågor kring munhälsa hos delegater från Internationella federationen för Röda Korset och Röda Halvmånen (IFRC). Metod: Studien är utförd som en litteratur-sammanställning och som en enkätundersökning. Resultat: Inom Internationella Röda korset och Röda halvmånen samt Läkare utan gränser återfinns begränsat antal riktlinjer rörande oral hälsa vilka dock sällan nämns i samma dokument som icke-smittsamma sjukdomar (NCDs). Av enkätsvaren i studien framgår det att de medverkande generellt har en begränsad kunskap kring åtgärder rörande munhälsa inom IFRC. Konklusion: Deltagarna i denna studie bekräftar resultaten i litteraturstudien om en avsaknad av tydliga och konkreta riktlinjer för munhygienrelaterade aktiviteter inom IFRC.

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Dissertations / Theses on the topic 'Acculturation and Health Care'

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