Paper Spirits and Flower Sacrifices: Hmong Shamans in the 21st Century

2018 ◽  
Vol 30 (2) ◽  
pp. 132-136 ◽  
Author(s):  
Deborah Helsel
Keyword(s):  
Health Care ◽  
Urban Areas ◽  
Older Patients ◽  
The United States ◽  
Traditional Healers ◽  
Health Care Needs ◽  
Care Needs ◽  
Convenience Sample ◽  
Healing Rituals ◽  
Semistructured Interviews

Introduction: Fresno, California, is home to more than 30,000 Hmong. The purpose of this research was to explore the utilization of Hmong shamans 40 years after the first Hmong immigrants arrived in the United States. Hmong shamanism is examined to identify and analyze changes to shamans’ practices or patients. Methods: Using grounded theory, semistructured interviews were conducted with a convenience sample of 20 shamans in their homes. Transcribed data were qualitatively analyzed. Results: Shamans continue to train and practice in this community; utilization by older patients persists while young adult patients have become the fastest-growing group of users. Healing rituals have changed in response to the legalities of animal sacrifice in urban areas and the time demands of work schedules. Discussion: Nurses’ awareness that the availability of biomedicine does not preclude the continuing or recurring utilization of traditional healers can facilitate understanding of culturally defined health care needs.

scholarly journals Health Care Today: Whom Do We Really Care About

2020 ◽  
pp. 002436392095166
Author(s):  
Brother Ignatius Perkins
Keyword(s):  
Health Care ◽  
Common Good ◽  
Human Person ◽  
The United States ◽  
American People ◽  
Health Care Needs ◽  
Care Needs ◽  
Moral Issues ◽  
The Common ◽  
The Continuum

Health services in the United States, driven by moral relativism, technology, financial algorithms, present draconian threats to the ability of these services to respond to the health care needs of the American people. Critical moral issues must be addressed, resolved, and serve as the foundation for a renewed health care system that fulfills the call for the common good and provides services in response to the question “who do we really care about.” Millions of our brothers and sisters continue to join the ranks of the uninsured and unemployed. What is urgently needed is a fair, equitable, accessible, affordable, and, most importantly, an ethical system of health care where the dignity and freedom of the human person, across the continuum of life from conception to natural death, is once again recognized as the summit of the work before us.

scholarly journals ‘Who is going to explain it to me so that I understand?’ Health care needs and experiences of older patients with advanced heart failure

2012 ◽  
Vol 9 (4) ◽  
pp. 297-303 ◽  
Author(s):  
Miriam G. Gerlich ◽  
Katharina Klindtworth ◽  
Peter Oster ◽  
Mathias Pfisterer ◽  
Klaus Hager ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Older Patients ◽  
Advanced Heart Failure ◽  
Health Care Needs ◽  
Care Needs

scholarly journals Oncology Patients’ Experiences With Novel Electronic Patient Portals to Support Care and Treatment: Qualitative Study With Early Users and Nonusers of Portals in Alberta, Canada (Preprint)

2021 ◽  
Author(s):  
Amanda D Santos ◽  
Vera Caine ◽  
Paula J Robson ◽  
Linda Watson ◽  
Jacob C Easaw ◽  
...  
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Clinical Information ◽  
The United States ◽  
Patient Portal ◽  
Health Care Needs ◽  
Care Providers ◽  
Patient Portals ◽  
Care Needs ◽  
Oncology Patients

BACKGROUND With the current proliferation of clinical information technologies internationally, patient portals are increasingly being adopted in health care. Research, conducted mostly in the United States, shows that oncology patients have a keen interest in portals to gain access to and track comprehensive personal health information. In Canada, patient portals are relatively new and research into their use and effects is currently emerging. There is a need to understand oncology patients’ experiences of using eHealth tools and to ground these experiences in local sociopolitical contexts of technology implementation, while seeking to devise strategies to enhance portal benefits. OBJECTIVE The purpose of this study was to explore the experiences of oncology patients and their family caregivers when using electronic patient portals to support their health care needs. We focused on how Alberta’s unique, 2-portal context shapes experiences of early portal adopters and nonadopters, in anticipation of a province-wide rollout of a clinical information system in oncology facilities. METHODS This qualitative descriptive study employed individual semistructured interviews and demographic surveys with 11 participants. Interviews were audio-recorded and transcribed verbatim. Data were analyzed thematically. The study was approved by the University of Alberta Human Research Ethics Board. RESULTS Participants currently living with nonactive cancer discussed an online patient portal as one among many tools (including the internet, phone, videoconferencing, print-out reports) available to make sense of their diagnosis and treatment, maintain connections with health care providers, and engage with information. In the Fall of 2020, most participants had access to 1 of 2 of Alberta’s patient portals and identified ways in which this portal was supportive (or not) of their ongoing health care needs. Four major themes, reflecting the participants’ broader concerns within which the portal use was occurring, were generated from the data: (1) experiencing doubt and the desire for transparency; (2) seeking to become an informed and active member of the health care team; (3) encountering complexity; and (4) emphasizing the importance of the patient–provider relationship. CONCLUSIONS Although people diagnosed with cancer and their family caregivers considered an online patient portal as beneficial, they identified several areas that limit how portals support their oncology care. Providers of health care portals are invited to recognize these limitations and work toward addressing them.

Medical Education in Transition: The Report of The Robert Wood Johnson Commission on Medical Education: The Sciences of Medical Practice

PEDIATRICS ◽  
1992 ◽  
Vol 90 (2) ◽  
pp. 273-274
Author(s):  
ROBERT J. HAGGERTY ◽  
FREDRIC D. BURG
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Clinical Epidemiology ◽  
The United States ◽  
Biomedical Science ◽  
Health Care Needs ◽  
Basic Sciences ◽  
Care Needs ◽  
The Past ◽  
Current Curriculum

Since the beginning of the 1980s, criticism of medical education in the United States has increased. At the same time, while biomedical science has undergone a revolution, medical education has been all too often mired in the same post-Flexnerian mode. Even today, basic sciences are often taught with no connection to clinical practice and with little connection among the basic sciences. Social and behavioral sciences, and the newer disciplines of clinical epidemiology and information sciences, may not be taught at all or only in a token manner. Criticism of the current curriculum has been increasing, and at least 11 national commissions in the past 40 years have made observations like "Medical education has kept only fitful pace with changes in biomedical science and health care needs."1

Adolescents with special health care needs in the United States: prevalence, profile and charges for physical and emotional conditions

2003 ◽  
Vol 32 (2) ◽  
pp. 148-149
Author(s):  
Susan M. Yussman ◽  
Sheryl A. Ryan ◽  
Jonathan D. Klein ◽  
Peggy Auinger ◽  
Andrew W. Dick ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
The United States ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health

scholarly journals Unmet health care needs of elderly residing on urban areas of Sunsari District, Nepal. A Cross Sectional Study

2019 ◽  
Author(s):  
Mukesh Poudel ◽  
Asmita Ojha ◽  
Deepak Kumar Yadav ◽  
Ram Bilakshan Sah ◽  
Avaniendra Chakravartty ◽  
...  
Keyword(s):  
Health Care ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Ageing Population ◽  
Health Care Needs ◽  
Sectional Study ◽  
Care Needs ◽  
Cross Sectional ◽  
Unmet Health Care Needs

Abstract Background : Global ageing population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that results in new challenges to meet the additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed.Objective : This study aimed to assess the unmet health care needs among elderly.Methodology : A Community based, House to House, Cross sectional study was conducted in urban areas of sunsari district using face to face interview. Sample size of 530 elderly were selected by Systematic proportionate random sampling technique.Results : This study unfurled the prevalence of unmet need for consultation for Near vision 52.3%, Far vision 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 %, and of at least one Unmet Health care need to be 64.9%. At least one unmet health need was significantly associated with higher odds among elderly of age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, distance of health facility > 30 mins, and those with depressive symptoms.Conclusion : The study highlighted higher prevalence and associated factors related to unmet health care needs among elderly. There is an urgent need to promote geriatric health services and make it available at the primary health care level.

scholarly journals Unmet health care needs of elderly residing on urban areas of Sunsari District, Nepal. A Cross Sectional Study

2020 ◽  
Author(s):  
Mukesh Poudel ◽  
Asmita Ojha ◽  
Deepak Kumar Yadav ◽  
Ram Bilakshan Sah ◽  
Avaniendra Chakravartty ◽  
...  
Keyword(s):  
Health Care ◽  
Urban Areas ◽  
National Health System ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Health Care Needs ◽  
Sectional Study ◽  
Care Needs ◽  
Cross Sectional ◽  
Unmet Health Care Needs

Abstract Background: The global aging population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed. This study aimed to assess the unmet health care needs among elderly. Methods: A Community based, House to House, Cross-sectional study was conducted in urban areas of the sunsari district using face to face interviews. The sample size of 530 elderly was selected by a systematic proportionate random sampling technique. Results: This study unfurled the prevalence of unmet need for consultation for Nearsightedness 52.3%, Farsightedness 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 % among those with these specific health needs and of at least one Unmet Health care need to be 64.9% among the studied participants. At least one unmet health need was significantly associated with higher odds among elderly age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, the distance of health facility > 30 mins, and those with depressive symptoms. Conclusion: The study highlighted the higher prevalence and associated factors related to unmet health care needs among the elderly which should be addressed to promote healthy ageing. There is an urgent need to promote geriatric health services and make it available at the primary health care level the first level of contact with a national health system.

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