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10th Annual Utah's Health Services Research Conference - Data Collection Through the Eyes of the Newly Arrived: Debra Penney
- 1. Data Collection Through the Eyes of the Newly Arrived Deb Penney, MS, CNM, MPH March 16, 2015 1 Exploring the Primary Health Care Encounter
- 2. 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
- 3. 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
- 4. Provider Perceptions Knowledge about Iraqi women obtained directly from the Iraqi patients PTSD, depression, insomnia Demanding Educated Comparisons Fusing identities 4
- 5. 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
- 6. Types of Data Use Computer use For interpretation (Marti) For gathering/storing patient data Positive aspects As resource information Observed use by providers 6
- 7. 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
- 8. Templates Full medical, family, social history Repetitive Not consistent with the chief complaint Culturally distressing 8
- 9. 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
- 10. Being Understood Restructuring the health encounter Increased knowledge of the individual Time to communicate understand assess, diagnose translate 10
- 11. Restructuring • Critical reflection of the templates to gather data • Use of Health guides/interpreters • Social workers, Case managers • Adjustable time based on patient/family needs • Mental health and financial resources 11