Oregon, especially the Portland metro area, has become an important relocation destination for migrants, including many from Africa (Curry, and Al 2010). According to data from the Immigrants and Refugees Community (2011) in Portland, there are more than 15,000 African migrants, and they are the fourth largest immigrant community in the area, which includes representations from over 28 African countries. This study is about migrant’ worldviews and healthcare preferences in Oregon. My study centers on African migrant’s health experiences within a broader context of how sending countries worldviews and health care system informs attitudes and healthcare preferences in Oregon. Focus groups, life histories and survey data were collected over a period of 18 months from participants of 12 countries living in Eugene and Portland, Oregon. The findings indicate that migrants worldviews results from prior socialization processes that shapes Africans and guides their interactions and healthcare preferences in the US healthcare system.

No description available.

Objective : to explore wheeled mobility use by First Nation Elders who live on reserves in Canada. Purpose: to gain an understanding of the importance of Elder cultural participation, the perceptions of the effects of participation on health, how cultural participation has changed since becoming a wheeled mobility user, the barriers to participation, and thoughts on how participation can be improved. Method: A database search of the literature was conducted in an iterative manner from September 2015-June 2017 to locate research related to wheeled mobility. The population of interest was First Nation Elders who live on reserve in Canada. All types of study designs and methods were considered. An interpretive phenomenological study was also conducted in order learn about the lived experiences of First Nation Elder wheeled mobility users in accessing the cultural elements of their communities. Data were collected using a demographic form and a semi-structured interview. Findings: The author did not find any studies on wheeled mobility use by Elders on reserve, or their impacts on cultural participation during the literature review. Several barriers to cultural participation were brought forward during the phenomenological study which included: lack of access to outdoors; lack of transportation; inaccessible paths of travel; lack of access at the events; and feelings of sigma and burden.

Thesis (M.S.P.H.)--University of South Florida, 2008. / Title from PDF of title page. Document formatted into pages; contains 77 pages. Includes bibliographical references.

Nos últimos anos temos encontrado estudos e pesquisas da área da saúde que dialogam com outras áreas do conhecimento, como as Ciências Sociais e Humanas. Esse interesse crescente, tanto em seus pressupostos teóricos como em seus métodos de pesquisas, embasam as teorias da Saúde Coletiva a partir dos campos de conhecimento e alicerçam seus referenciais em Ciências Sociais e Humanas, Epidemiologia, Ciências Políticas, Planejamento e Gestão. A Saúde Coletiva tem seu objeto de trabalho o processo saúde e doença discutido e posto em reflexão a partir também das relações sociais. Ao discutir diferentes explicações sobre esse processo, busca entender fenômenos, antes exclusivamente biológicos, em seus aspectos sociais, com ênfase em determinação social da saúde e doença, enquanto ressalta aspectos sociais, políticos, de classes, incorpora os sujeitos e seus modos de viver. É, portanto, nesse arcabouço teórico que a Saúde Bucal Coletiva se inscreve e propõe produção de conhecimento prática que conjuga o conhecimento do processo saúde-doença. Tal processo ultrapassa a visão biológica da doença e busca reescrever suas práticas de assistência e cuidado que a Odontologia, tanto como profissão quanto como prática social, centralizou e ditou também como política pública. Podemos dizer que a saúde bucal coletiva pensa na totalidade das ações e práticas relacionadas à boca, o que busca transcender e até reformular os limites clínicos da sua prática. É nesse contexto que as ações coletivas em saúde bucal serão revistas neste estudo, em perspectiva dessas ações, no processo civilizador assim como nos fala Norbert Elias. Para o descortinamento dessas ações, na perspectiva proposta, procedemos à análise de conteúdo pela óptica da obra Arqueologia do Saber de Michel Foucault (2009). Podemos inferir que, historicamente, a produção do cuidado em saúde bucal, bem como suas práticas clínicas (e mesmo quando elas se embasam pelos pressupostos da saúde coletiva), demonstram íntima e contínua relação de civilizar atos e ações da e para a sociedade. Na forma de discurso sem desvincular de um como proceder na sociedade, as ações coletivas assumiram destacado papel nas práticas e na política de saúde bucal, desde a década de 1990, e mantêm-se como verdade inexorável, mesmo que evidências não biológicas (ressaltamos aqui os fatores de determinação social para doenças bucais) insistam em desmistificar tais práticas. / In recent years we have found studies and research in the health field that dialogue with other areas of knowledge such as the Social Sciences and Humanities. This growing interest , both in their theoretical assumptions as in their research methods , underlie the theories of Public Health from the fields of knowledge and underpin their reference in the Social and Human Sciences, Epidemiology, Science Policy, Planning and Management Sciences. The Health Collective has its work object - the health and disease process - discussed and put into reflection also from the social relations and discuss different explanations of this process shall seek to understand phenomena before exclusively biological in its social aspects, emphasizing the social determinants of health and disease, emphasizing its social, political, class aspects, incorporating subjects and their ways of living . It is therefore within this theoretical framework that the Oral Health falls, with the proposal of knowledge production that combines a practical knowledge of health and disease that goes beyond the biological view of illness and seeks to rewrite their practical assistance and care process that dentistry as a profession and social practices , centralized as well as public policy dictated . We can say that public health dentistry think of all the actions and practices related to the mouth, which seeks to transcend and even reshape the boundaries of their clinical practice. It is in this context that collective actions in oral health will be reviewed in this study, from the perspective of these actions in the civilizing process as Norbert Elias tells us. For the unveiling of these actions within the proposed approach, we carried out a content analysis from the perspective of the work The Archaeology of Knowledge of Michel Foucault (2009). We can infer that, historically, the production of oral health care, as well as their clinical practices (and even when these assumptions underlie the collective health), demonstrate a close and continuing relationship \"civilize\" the acts and deeds and to society. As a speech and not an unlinked \"how to proceed in society\", the collective actions taken important role in the practical and oral health policy since the 1990s and remains inexorable truth even if no biological evidence (we emphasize here the factors of social determination for oral diseases) insist demystify such practices.

“Dance and forget your sickness” - An ethnological study of the interaction between patients and the medical conceptual world, and the role of music in a healing process. This study is based on interviews with four people. It describes their experiences with the health care system and the role of music in their lives. What these people have in common is that their illnesses are not verifiable from a normal medical perspective. The overall purpose is to describe this interaction with medical care and discuss what role music might have in the mitigation of the perceived illness. The patient-healthcare interaction is analysed from a theoretical discourse perspective. The analysis reveals some of the mechanisms in the medical establishment’s discourse that reinforce its own conclusions by simplifying what is actually quite complex; the inner world of the patient. Considering the powerful position medical science has taken in our modern world it is relevant for medicine to be able to respond to and manage health problems arising in complex personal processes, or what can be described as existential illness. This study describes how the current healthcare establishment has come to focus unilaterally on physical health, supplanting the existential dimension of health that it cannot respond to. The results of this study showed that all people experienced that (current established) healthcare alone could not cure their illness in a satisfactory manner. The study also showed that music played a major role in the relief of specific symptoms. Music also helped patients find meaning, despite their illness, as part of a greater cultural and social world. / <p>daniel@varia.nu</p><p>070-2884547</p>

Nos últimos anos temos encontrado estudos e pesquisas da área da saúde que dialogam com outras áreas do conhecimento, como as Ciências Sociais e Humanas. Esse interesse crescente, tanto em seus pressupostos teóricos como em seus métodos de pesquisas, embasam as teorias da Saúde Coletiva a partir dos campos de conhecimento e alicerçam seus referenciais em Ciências Sociais e Humanas, Epidemiologia, Ciências Políticas, Planejamento e Gestão. A Saúde Coletiva tem seu objeto de trabalho o processo saúde e doença discutido e posto em reflexão a partir também das relações sociais. Ao discutir diferentes explicações sobre esse processo, busca entender fenômenos, antes exclusivamente biológicos, em seus aspectos sociais, com ênfase em determinação social da saúde e doença, enquanto ressalta aspectos sociais, políticos, de classes, incorpora os sujeitos e seus modos de viver. É, portanto, nesse arcabouço teórico que a Saúde Bucal Coletiva se inscreve e propõe produção de conhecimento prática que conjuga o conhecimento do processo saúde-doença. Tal processo ultrapassa a visão biológica da doença e busca reescrever suas práticas de assistência e cuidado que a Odontologia, tanto como profissão quanto como prática social, centralizou e ditou também como política pública. Podemos dizer que a saúde bucal coletiva pensa na totalidade das ações e práticas relacionadas à boca, o que busca transcender e até reformular os limites clínicos da sua prática. É nesse contexto que as ações coletivas em saúde bucal serão revistas neste estudo, em perspectiva dessas ações, no processo civilizador assim como nos fala Norbert Elias. Para o descortinamento dessas ações, na perspectiva proposta, procedemos à análise de conteúdo pela óptica da obra Arqueologia do Saber de Michel Foucault (2009). Podemos inferir que, historicamente, a produção do cuidado em saúde bucal, bem como suas práticas clínicas (e mesmo quando elas se embasam pelos pressupostos da saúde coletiva), demonstram íntima e contínua relação de civilizar atos e ações da e para a sociedade. Na forma de discurso sem desvincular de um como proceder na sociedade, as ações coletivas assumiram destacado papel nas práticas e na política de saúde bucal, desde a década de 1990, e mantêm-se como verdade inexorável, mesmo que evidências não biológicas (ressaltamos aqui os fatores de determinação social para doenças bucais) insistam em desmistificar tais práticas. / In recent years we have found studies and research in the health field that dialogue with other areas of knowledge such as the Social Sciences and Humanities. This growing interest , both in their theoretical assumptions as in their research methods , underlie the theories of Public Health from the fields of knowledge and underpin their reference in the Social and Human Sciences, Epidemiology, Science Policy, Planning and Management Sciences. The Health Collective has its work object - the health and disease process - discussed and put into reflection also from the social relations and discuss different explanations of this process shall seek to understand phenomena before exclusively biological in its social aspects, emphasizing the social determinants of health and disease, emphasizing its social, political, class aspects, incorporating subjects and their ways of living . It is therefore within this theoretical framework that the Oral Health falls, with the proposal of knowledge production that combines a practical knowledge of health and disease that goes beyond the biological view of illness and seeks to rewrite their practical assistance and care process that dentistry as a profession and social practices , centralized as well as public policy dictated . We can say that public health dentistry think of all the actions and practices related to the mouth, which seeks to transcend and even reshape the boundaries of their clinical practice. It is in this context that collective actions in oral health will be reviewed in this study, from the perspective of these actions in the civilizing process as Norbert Elias tells us. For the unveiling of these actions within the proposed approach, we carried out a content analysis from the perspective of the work The Archaeology of Knowledge of Michel Foucault (2009). We can infer that, historically, the production of oral health care, as well as their clinical practices (and even when these assumptions underlie the collective health), demonstrate a close and continuing relationship \"civilize\" the acts and deeds and to society. As a speech and not an unlinked \"how to proceed in society\", the collective actions taken important role in the practical and oral health policy since the 1990s and remains inexorable truth even if no biological evidence (we emphasize here the factors of social determination for oral diseases) insist demystify such practices.

Indiana University-Purdue University Indianapolis (IUPUI) / Creating a culture of health within an organization offers benefits such as reducing costs and supporting employees in becoming and staying healthy. A variety of health and wellness programs within an organization are important for establishing a culture of health. These programs are supported communicatively to encourage employee participation and healthful behavior changes. Recognized for their success in creating a culture of health, a group of organizations, distinguished as 5-Star AchieveWELL organizations, offer an opportunity to identify messaging strategies effective at promoting health and wellness within the workplace and therefore, creating a culture of health. The goals of this study included learning successful organization’s communication strategies utilized to create a culture of health, understanding how new employees are socialized into this culture, identifying how employees may resist the culture, and exploring how resistance is addressed. Based on in-depth interviews with 19 5-Star AchieveWELL organizational representatives and grounded theory analysis of collected data, evident themes related to the goals of this study were identified. Key communication strategies to support a culture of health include using multiple communication channels, demonstrating leadership support, and being willing to adapt and change over time. New employees are socialized into the culture of health during the recruitment process as well as new employee orientation. Resistance to health and wellness occurs in the form of non-participation and employee push-back, with this resistance often being met with compassion. These results offer practical implications for organizations desiring to create a culture of health as well as theoretical implications for scholars studying organizational socialization.

No description available.

A Política Nacional de Humanização (PNH) objetiva promover a Reforma Sanitária considerando como centrais as relações estabelecidas no cotidiano. Apesar de sua complexidade, a humanização, muitas vezes, é banalizada no cotidiano, mantendo-se como foco apenas a qualidade das relações entre profissionais de saúde e usuários. O âmbito da gestão, incluindo as relações de trabalho, é debatido no campo teórico, mas pouco explorado empiricamente. Esta pesquisa tem como objetivo compreender como a humanização da gestão, a partir do modelo adotado pela política (Cogestão), é considerada e praticada pelos profissionais no cotidiano da Atenção Básica. Delineamos como contexto de análise duas unidades de saúde, uma tradicional (Unidade Básica de Saúde - UBS) e uma com Estratégia Saúde da Família (Núcleo de Saúde da Família - NSF). A construção do corpus foi realizada em duas etapas. Na primeira, imersão no campo, realizamos observações registrando em notas de campo aspectos importantes do contexto e da interação entre os profissionais. Esta imersão nos forneceu subsídios para a segunda etapa, entrevistas grupais ou individuais, e para análise geral do corpus. Utilizamos roteiro semiestruturado nas entrevistas, construído a partir da análise dos diários de campo para abarcar as especificidades de cada contexto. As conversas foram gravadas em áudio e transcritas na íntegra. A análise dos diários objetivou descrever o modo de funcionamento de cada unidade, e a análise das entrevistas, descrever os sentidos sobre humanização da gestão e os sentidos sobre as práticas que os profissionais identificam como sendo humanização da gestão. Os resultados são apresentados para cada unidade a partir de três focos: o contextual, a dinâmica relacional e a produção de sentidos. Esses aspectos são analisados separadamente, embora na prática estejam imbricados e se retroalimentem. Descrevemos elementos contextuais e relacionais que contribuem ou dificultam a construção (no caso da UBS) ou manutenção (no caso do NSF) de uma cultura participativa e gestão compartilhada. Quanto aos sentidos, em ambos os contextos, a participação na tomada de decisões, o trabalho em equipe e a resolutividade das ações são identificados como sendo gestão humanizada, porém difere o que significam esses aspectos e suas práticas em cada unidade. Concluímos que, para haver uma gestão compartilhada, é necessário trabalhar as relações e o modo como os profissionais constroem sentido sobre elas. Somente criar momentos de conversa coletiva não geram, necessariamente, a participação e a gestão compartilhada, pois o modo como esses espaços irão funcionar depende diretamente da maneira como a equipe compreende e constrói a si mesma. Nossa tese descreve a cultura participativa, aspecto central da gestão compartilhada, como uma construção social, algo que se dá nas relações e na linguagem. Portanto, para se desenvolver um modelo de gestão compartilhada, é necessário trabalhar com os profissionais o processo grupal. A Psicologia Social, os estudos sobre grupos, e, em especial, a epistemologia construcionista social podem oferecer recursos para este trabalho de construção da cultura participativa. Assim, esperamos, com essa pesquisa, contribuir para o incremento da literatura e para a prática da cogestão no contexto da Atenção Básica. / The National Humanization Policy (NHP) goal is to promote the Sanitary Reform focusing the centrality of daily relationships. Despite its complexity, humanization is often understood only as the quality of relationships between health professionals and users, thus undermining its potential. Management issues, including work relations, are debated in the theoretical field but little explored empirically. This research aims to understand how the humanization of management - based on the model adopted by the policy, the Co-management - is considered and practiced by health professionals in the daily work of Primary Care context. Two health units were included in the research, one traditional (Basic Health Unit - BHU) and one with the Family Health Strategy (Family Health Nucleus - FHN). The corpus construction was carried out in two stages. During the first one, immersion in the field, we observed some context aspects and the interaction of health professionals, which were written as field notes. This immersion provided subsidies for the second stage, group or individual interviews, and for general analysis of the corpus. A semi-structured script, which was constructed from the analysis of the field notes to cover each contexts specificities, guided the interviews. The conversations were audio-recorded and full transcribed. The analysis of field notes describes the way each health unit works, and the analysis of interviews describes the meanings about management humanization and the practices identified as such by health professionals. The results are separated for each unit, from three focuses: the contextual, the relational dynamics and the meaning-making process. These aspects are analyzed separately, although in practice they overlap. We describe contextual and relational elements that contribute to or hamper the construction (in the case of BHU) or maintenance (in the case of FHN) of a participatory culture and shared management. In regard of the meanings, in both contexts participation in decision-making, teamwork and actions focused in resolution of demands are identified as humanized management, but what these aspects and practices mean, differ in each context analyzed. We concluded it is necessary, in order to construct a co-management culture, to act on the stablished relationships, and, at the same time, on how professionals understand and signify their practices together. Moments of collective talk do not necessarily generate participation and shared management. It is how these moments work that matters and this will depend directly on how the team understands and builds itself. Our thesis describes participatory culture, a central aspect of co-management, as a social construction, something that occurs in relationships and language. Therefore, in order to develop a co-management model, it is necessary to work the group process involved in daily activities. Social Psychology, group studies, and especially social constructionist epistemology provide resources to work the group process in order to build participatory culture and comanagement. Therefore, we hope to contribute to increase the literature and the practice of co-management in Primary Care context.