Doctoral Dissertation Research: Negotiating Care in Intercultural Integrative Medicine

博士论文研究：跨文化整合医学中的谈判护理

• 批准号: 1459453
• 负责人: Kathleen DeWalt
• 金额: $ 0.32万
• 依托单位: University of Pittsburgh
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1459453&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Negotiating; Care

Providing culturally appropriate care for diverse populations has become a significant challenge for health care systems. There is significant debate among healthcare professionals about appropriate methods of practice in intercultural integrative settings. Common approaches have included training traditional birth attendants and incorporating ethnomedical practices within biomedical facilities. But significant questions remain about the how intercultural communication and healthcare delivery are transformed through these interventions. This project, which trains a graduate student in how to conduct rigorous, empirically-grounded scientific fieldwork, examines how biomedical practitioners negotiate medical authority and social inequalities within intercultural healthcare settings. The results of this research will be shared with healthcare professionals, and among anthropologists and other social scientists interested in studies of biomedicine and healthcare inequalities. Findings from this study will be presented to the participating clinic, and disseminated through academic and non-academic publications, presentations, and reports in English and Spanish with the aim of developing care outcomes and strategies for improving intercultural health care.Trisha Netsch Lopez, under the supervision of Dr. Kathleen DeWalt, will explore how conflicts over the delivery of healthcare in intercultural contexts are reflected, reproduced, or contradicted implicitly within everyday interactions between healthcare providers. The study will take place at an intercultural health clinic in Ecuador, a setting internationally recognized by biomedical health professionals for its inclusion of intercultural healthcare in delivery methods. This research examines the most intrinsic challenges to culturally appropriate health programs: who has the authority to define the role of culture, the limits of participation, and the direct and indirect beneficiaries of such programs. It will also make important contributions to medical and linguistic anthropology by combining linguistic and ethnographic methods to explore the intersection of political discourses of health and everyday care encounters. The study will combine quantitative and qualitative linguistic analyses of maternal health appointments with policy document analysis and interviews with health care providers, health officials, indigenous activists, and community members. This combination of methods allow for a multi-level analysis to understand how the act of intercultural communication shapes/is shaped by political discourses of culturally appropriate health care and indigenous rights, as well as the needs and viewpoints of patients, providers, and the surrounding community.

为各种人群提供适当的文化护理已成为医疗保健系统的重大挑战。医疗保健专业人员在跨文化综合环境中有关适当的实践方法存在重大辩论。常见方法包括培训传统的亲生服务员，并将人类医学实践纳入生物医学设施。但是，关于如何通过这些干预措施改变跨文化交流和医疗保健服务的重大问题。该项目培训研究生如何进行严格的，经验的科学现场工作，研究了生物医学从业人员如何在跨文化医疗保健环境中谈判医疗机构和社会不平等。这项研究的结果将与医疗保健专业人员，人类学家和对生物医学和医疗保健研究感兴趣的其他社会科学家分享。这项研究的结果将提交参与诊所，并通过英语和西班牙语的学术和非学术出版物，演讲和报告进行分散，以制定护理成果和改善跨文化卫生保健的策略。Trishanetsch Lopez lopez lopez lopez探索了Kathleen Dewalt博士的监督，将探讨Kathleen Dewalt博士的指导，探讨了凯瑟琳·德沃尔（Kathleen Dewalt）的反映。在医疗保健提供者之间的日常互动中，隐含地矛盾。这项研究将在厄瓜多尔的一家跨文化健康诊所举行，这是一项由生物医学卫生专业人员国际认可的环境，因为它将跨文化保健包括在分娩方法中。这项研究研究了对文化适当的健康计划的最内在挑战：谁有权定义文化的作用，参与的局限性以及此类计划的直接和间接受益者。它还将通过结合语言和人种学方法来探索健康与日常护理遭遇的政治话语的交集，从而为医学和语言人类学做出重要贡献。该研究将结合孕产妇健康任命的定量和定性语言分析与政策文件分析以及对医疗保健提供者，卫生官员，土著活动家和社区成员的访谈。 这种方法的结合允许多层次分析，可以理解跨文化交流形状/如何受到文化适当的医疗保健和土著权利的政治话语的影响，以及患者，提供者和周围社区的需求和观点。