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Information about ongoing health services research and public health projects
| Surgical noncompliance in Hmong immigrants.
(Archived Project) |
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|---|---|
| Investigator (PI): | Hu, Jun |
| Performing Organization (PO): |
(Current): Emory University, College of Arts and Sciences, Department of Sociology |
| Supporting Agency (SA): | Agency for Healthcare Research and Quality (AHRQ) |
| Initial Year: | 1996 |
| Final Year: | 1997 |
| Record Source/Award ID: | CRISP/R03HS09336 |
| Award Type: | Grant |
| Abstract: | As modern medicine increasingly comes to depend on technology and standardized procedures, noncompliance has become a widespread problem in medical practices, often causing harm to patients. With a multidisciplinary approach to understand and overcome this problem, the current project will test two hypotheses. The first is that there are culturally shaped perceptual differences between medical professionals and patients, and the second is that the perceptual differences and the structure of medical practice affect outcomes of the medical interaction and patients health. The project will specifically focus on surgeons as representative of medical professionals, and Hmong as representative of a non-western population. Data will be collected through combined fieldwork techniques, including participant observation, case studies, unstructured and semi-structured interviews, and key respondents, facilitated with audio and video recordings. A total of 50 medical encounters will be videotaped, and 150 interviews will be conducted, including 50 with surgeons, 50 with the Hmong patients in Valley Children's Hospital, and 50 with ordinary Hmong in Fresno, California. Falsification of the hypotheses will rely on qualitative and quantitative analysis of three categories of variables. Two independent variables include the Hmong cultural constructions of illness and healing practices, and the structure of modern medical practices. The principal dependent variables are the outcomes of medical interactions, either the acceptance or rejection of surgical advice. This project has both theoretical and practical significance. It will contribute to medical anthropology, which has focused on traditional and non-western populations, and to medical sociology, which has focused on medical encounters in the Western clinical settings. On a practical level, the study will contribute to current medical education and medical practices on the delivery of more effective health care. |
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| Country: | United States |
| State: | Georgia |
| Zip Code: | 30322 |
| UI: | 97102720 |
| Project Status: | Archived |
