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K. Murphy Thesis

K. Murphy Thesis



Senior Thesis Presentation - "Socioeconomic Barriers Hinder Optimal Patient-Physician Relations: A Resource Manual for Women and their Health Care Providers"

Senior Thesis Presentation - "Socioeconomic Barriers Hinder Optimal Patient-Physician Relations: A Resource Manual for Women and their Health Care Providers"



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K. Murphy Thesis K. Murphy Thesis Presentation Transcript

  • Socioeconomic Barriers Hinder Optimal Patient-Physician Relations: A Resource Manual for Women and Their Health Care Providers Kristi Murphy March 17, 2009 Exercise Science Senior Thesis Presentation
  • PT Northwest
    • Sports Medicine Clinic in Corvallis, Oregon
    • Physical Therapist
    • Jason Ball
    • Physical Therapist Aide
  • Salem Hospital
    • Family Birth Center Clinic (FBCC)
    • Willamette Valley Midwives Clinic (WVMC)
    • Becky Fisher, program director of FBCC and WVMC
  • Family Birth Center Clinic 34% No Health Insurance 22% Community Prenatal Project 47% High-risk Patients 29% Oregon Health Plan 14% Private Health Insurance
  • Family Birth Center Clinic, cont.
    • Offers significant support and aid
      • Accepts all health insurance plans
      • Sliding fee scale
      • Helps with Oregon Health Plan application process
      • Helps absorb prenatal costs through charity funds, paying insurance premiums, etc.
  • Willamette Valley Midwives Clinic 39% High-risk Patients 11% No Health Insurance 50% Oregon Health Plan 39% Private Health Insurance
  • Patients of the Clinics
    • Large Hispanic base
    • Teenage mothers
    • Single mothers
    • Poorly educated
    • High occurrence of miscarriages
    • Unreliable transportation
  • Patient Noncompliance
    • Numerous factors strain patient-physician relations at the FBCC and WVMC
      • Patient’s socioeconomic status
    • Often makes compliance with health care recommendations difficult
    • Clinics’ staffs restricted due to lack of
      • Resources
      • Time
      • Finances
  • Rationale for Project
    • What could be done to improve the situation?
      • Pain and stress-relieving exercises & stretches
      • General pregnancy information
    • Importance of general health, physical activity, and education during pregnancy
    • Patient education observed to improve patient compliance
    • Create women’s health resource manual
  • Background Research
    • Current handouts
      • Salem Hospital
      • Other hospitals and birth clinics
    • Presentation to staff of FBCC and WVMC
      • Input, feedback, recommendations
    • Visited WVMC
      • Kathryn Nielsen, Certified Midwife
      • Patient interviews
      • Reviewed patient files
  • Background Research, cont.
    • Erin Devoy, Women’s Health Physical Therapist
    • Provided valuable literature and handouts
    • Recommended specific stretches and exercises
      • Visual Health Information Exercise Software (VHI)
  • Literature Review
    • Articles, handouts, advice
      • Physical Therapists
      • Midwives
      • Athletic Trainers
    • Strict inclusion criteria
      • Realistic expectations of patients, clinic, and staff members
  • Creation of Resource Manual
    • Three types of information
      • Informative handouts for patients
      • Suggested stretches and exercises
      • More technical/complex information for health care providers
    • Four main sections
      • Food/substance/behaviors
      • Common aches/complaints
      • General pain
      • Exercise and rehabilitation
  • Creation of the Resource Manual, cont.
    • Translation of all patient handouts included from English to Spanish
    • Assistance of many native and advanced Spanish speakers
  • Approval of Resource Manual
    • Dr. Judy Marvin
    • Dr. Lance Loberg
    • Becky Fisher
    • Staff of FBCC
    • Staff of WVMC
  • Limitations
    • Anecdotal and subjective evidence
      • Demographic data of patients
      • Literature review
  • Acknowledgments
    • Becky Fisher
    • Staffs of FBCC and WVMC
    • Erin Devoy
    • Stas Stavrianeas
    • Rachel Dunnington
    • Marco Fiallo
    • Luis Guerra
    • Alejandro Jimenez
    • Mayra Ledesma
    • Ali Maki