Training resources and guidelines about best practices for healthcare facilities and medical providers are readily available. Conversely, there are not a substantial number of physicians easily identified as lesbian, gay, bisexual, transgender and queer (LGBTQ)-friendly. For LGBTQ patients, this is particularly the case in higher education and student health services. Medicine, as a culture, has historically focused on curing sexual orientation, rather than treating LGBTQ patients, becoming one cause of many non-heterosexual patients’ experiences of compromised health outcomes, dissatisfaction, discrimination, high rates of stress, and a decrease in healthcare seeking behaviors. Another cause can be because of physicians lacking cultural competencies. LGBTQ-friendly doctors do exist, and non-heterosexual patients specifically seek them out, but scant scholarship about the progression of becoming an LGBTQ-friendly doctor is available. The researcher uses grounded theory to examine the lived experiences of five college health physicians and finds these emerging themes: Interpersonal experiences, medical education, and specialized skills. Implications of the study for practice and research include: more comprehensive medical school curriculum and clinical exposure to LGBTQ patients is needed; identifying LGBTQ-friendly physicians for patients, trainees, colleagues, and administrators is necessary.

Made available in DSpace on 2013-01-07T15:55:03Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 16.pdf: 632579 bytes, checksum: 23f5237d9f480fc6e882e37ce8193c6c (MD5) Previous issue date: 2007 / Apresenta um estudo das atividades médicas na Província do Ceará na primeira metade do século XIX. Privilegiou-se a análise das ações e as conseqüências dessas atividades do final do século XVIII até meados do século XIX a partir da abordagem proporcionada pela bibliofilia relacionada à história das ciências.

Thesis (MTech (Business Administration))--Cape Peninsula University of Technology, 2017. / This paper reviews retention strategies for Lesotho’s doctors and nurses and presented an implementation framework to support and promote staff retention. . Based on the increasing necessity to retain doctors and nurses, the implementation framework becomes an essential element of retention strategy. A qualitative and quantitative research design technique using a self-managed questionnaire and interviews was adopted to gather data. The 120 doctors and nurses make up a sample. The information was statistically analysed using SPSS and grounded theory. Results identified that the current implementation strategy has failed to increase the retention rate of doctors and nurses. It is hoped that the implementation framework presented in this paper would help to achieve increased retention rate for doctors and nurses.

The 1858 Medical Act removed geographical boundary restrictions on medical qualifications conferred in the United Kingdom, yet historians have hitherto overlooked this aspect of the legislation. This thesis uses practitioners working in London who held a Scottish qualification between 1861 and 1921 as a case study to consider the implications of this feature of the Act. It uses a database constructed using the Medical Directory and follows a prosopographical approach to examine the careers of these practitioners and identifies several defining characteristics that were a consequence of their training and qualifications. The central argument is that Scottish degrees and licences conferred certain opportunities and restrictions on their holders, which could assist practitioners in their careers or limit the work they undertook in the capital. However, these characteristics were not uniform across the entire group. There were differences between those who held a corporation's licence and a university degree, and the increasing number of women in the medical profession revealed a gender divide that diminished the relevance of holding specific qualifications for women. Furthermore, the introduction of panel practice under the 1911 National Health Insurance Act added an extra dimension to these distinctions. Panel doctors could acquire a practice from the government regardless of their qualifications, meaning they were less reliant on their own connections and networks. Additionally, the ongoing tensions between panel and non-panel doctors introduced new divisions into the profession that, in some respects, overshadowed previous boundaries.

M.Tech. / The World Health Organization (WHO) defines African Traditional Medicine (ATM) as comprising of indigenous experiences of different cultures, approaches, knowledge and beliefs, which incorporates plant, animal and mineral-based medicines together with spiritual therapies in the treatment, diagnostic and the prevention of disease (WHO, 2008). It is estimated that up to 70-80% of the black population in South Africa consult African Traditional Healers (ATH) for their health care needs before or together with the use of other health care providers (Truter, 2007). According to Truter (2007) this is because many in the black population find ATH to be more accessible, familiar and more knowledgeable concerning culture-bound syndromes and traditions. Homoeopathy is a form of natural medicine that takes a holistic approach to the treatment of patients. As part of a holistic approach, Homoeopaths are required to understand their patient’s frame of reference and their life world. As many of the black patients who consult Homoeopaths also consult ATH, it is important for the Homoeopathic practitioner to understand these patients in order to ensure positive doctor-patient relationships. The aim of this qualitative phenomenological study was to explore and describe the experiences of black people consulting ATH in Tshwane and from this information, make guidelines for improved meaningful interactions between Homoeopathic practitioners and their patients who consult ATH. This was a contextual, qualitative and phenomenological research design. Ten black participants who consulted with ATH were interviewed. The participants were recruited by means of purposive sampling. African Traditional Healers were identified through the Kara Heritage Institute in Tshwane, an institution dealing with indigenous knowledge systems. Volunteers were recruited through advertisements (Appendix A) which were placed at the designated working areas of ATH with their permission. Participants completed the information and consent form (Appendix C).

This thesis presents a methodology for, and a case study of, the transformation of a social representation. The basis of the thesis is derived from an understanding of representations as a complex, dynamic, pluralistic phenomena that both exist in time and draw their form and meaning from past and present knowledge(s). We are guided by an interest in understanding how one might study a social representation that is already an entrenched social phenomena and how one might go about studying such an entity in a systematic fashion over time. We devised a method through which data can be aggregated over a bound, measurable unit of time and analyzed systematically into core and peripheral systems, allowing for the study of transformation of representation of long duration. Our methodology thus embeds social representations in particular historical, temporal moments in order to assess the structural formation of the representation. To assess the applicability of our methodology, we undertook a study of the social representation of physicians in televised medical dramas. The case of the physician was selected because of their existence as a known social phenomenon of long-duration with a prominent, continuous social presence. In our exploration of this case, we sought to answer two questions. The first asks, ‘what is the social representation of the physician as presented in televised medical dramas’, while the second queries is ‘if and how this social representation has changed over time’. We present thus not only the identification and transformation of a representation, that of the physician, but we also offer a methodology with which to do so. Our methodology demonstrates that exploring representations in the past as a way to study the transformation of social representation has potential to generate new knowledge about old things. While the study of newly emerging phenomena presents an ideal time to study social representations, the study of older representations offers the opportunity to better understand how knowledge is created, changed, and re-created.

This is an exploratory study intended to determine whether certain physicians in primary practice utilize the services of social workers and social agencies. An attempt is made to find out how much primary care physicians know about the role and functions of medical social workers, and whether and for what services they refer patients to medical social workers. The information obtained may be useful in promoting better working relationships between the two professions.

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<p> This thesis is an empirical exploration into a range of issues related to the economics of the utilization of physician services. Physicians play an important role in a health care system as physicians are a patient's primary point of contact with the health care system and physicians are predominantly responsible for directing how patients use other health care resources. In particular, physicians are at the center of Canada's universal public insurance system with first dollar coverage for medically necessary physician and hospital services.</p> <p> The thesis comprises three separate essays. The first essay has a methodological focus on statistically modeling and predicting the use of general practitioners (GPs) when use is measured as the number of GP visits. The essay compared a state-of-the-art parametric latent class negative binomial model to a nonparametric kernel conditional density estimator, and evaluated how well each was able to fit the observed data and predict physician use.</p> <p> The second and third essays look at more substantive policy questions. The second essay investigates how the supply of GPs and specialists affects the mix of physician services received by individuals. A persistent concern in many health care systems is how variations in the supply of physicians will impact the use of physician services. The results suggest concerns about concerns of patient access and receipt of care in the presence of a shortage of specialists may be mitigated, all else equal, if patients are able to substitute GP services for specialist services.</p> <p> The third essay examines income-related inequity in the use of physician services by asthmatics and diabetics, relative to the general population, and the contributions of different factors to income-related inequality using the concentration index approach.</p> / Thesis / Doctor of Philosophy (PhD)