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Health-care access in a rural area: ...

Brua, Charles R.

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Health-care access in a rural area: Perspectives from Russian-speaking immigrants, English-speaking doctors, and volunteer interpreters.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Health-care access in a rural area: Perspectives from Russian-speaking immigrants, English-speaking doctors, and volunteer interpreters./
Author:	Brua, Charles R.
Description:	249 p.
Notes:	Source: Dissertation Abstracts International, Volume: 70-11, Section: A, page: 4262.
Contained By:	Dissertation Abstracts International70-11A.
Subject:	Language, Linguistics. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3380880
ISBN:	9781109468533

Health-care access in a rural area: Perspectives from Russian-speaking immigrants, English-speaking doctors, and volunteer interpreters.
Brua, Charles R.

Health-care access in a rural area: Perspectives from Russian-speaking immigrants, English-speaking doctors, and volunteer interpreters. - 249 p.

Source: Dissertation Abstracts International, Volume: 70-11, Section: A, page: 4262.

Thesis (Ph.D.)--The Pennsylvania State University, 2009.

Health-care access for immigrants in the United States is often problematic because of language barriers, lack of health insurance, or differing expectations based on divergent medical systems in the U.S. and the immigrants' home countries. Such difficulties are exacerbated when a linguistic-minority population lives in a rural community that has limited health-care-access resources for non-English-speakers. In the current project, I investigate an immigrant community in an area of Pennsylvania that has recently become a destination for Russian-speaking immigrants. Their numbers have been estimated at 2,000 people. Some have strong proficiency in English, but many do not, especially the elderly. In the study context, there are very few medical personnel with language skills in both English and Russian, few intermediaries trained in medical interpretation for those languages, and a scarcity of Russian-language print materials.

ISBN: 9781109468533Subjects--Topical Terms:

1018079
Language, Linguistics.

Health-care access in a rural area: Perspectives from Russian-speaking immigrants, English-speaking doctors, and volunteer interpreters.
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100 1 $a Brua, Charles R. $3 1672821
245 1 0 $a Health-care access in a rural area: Perspectives from Russian-speaking immigrants, English-speaking doctors, and volunteer interpreters.
300 $a 249 p.
500 $a Source: Dissertation Abstracts International, Volume: 70-11, Section: A, page: 4262.
500 $a Adviser: Robert Schrauf.
502 $a Thesis (Ph.D.)--The Pennsylvania State University, 2009.
520 $a Health-care access for immigrants in the United States is often problematic because of language barriers, lack of health insurance, or differing expectations based on divergent medical systems in the U.S. and the immigrants' home countries. Such difficulties are exacerbated when a linguistic-minority population lives in a rural community that has limited health-care-access resources for non-English-speakers. In the current project, I investigate an immigrant community in an area of Pennsylvania that has recently become a destination for Russian-speaking immigrants. Their numbers have been estimated at 2,000 people. Some have strong proficiency in English, but many do not, especially the elderly. In the study context, there are very few medical personnel with language skills in both English and Russian, few intermediaries trained in medical interpretation for those languages, and a scarcity of Russian-language print materials.
520 $a Using a directed approach to content analysis, I analyze data from semi-structured interviews with three groups who have a significant stake in the issue of health-care access: recent Russian-speaking immigrants from the former Soviet Union (n=12); English-speaking staff members at a medical and social services facility where many of the immigrants seek help (n=5); and volunteer interpreters who act as go-betweens for Russian-speaking patients and Englishspeaking personnel (n=3).
520 $a Based on the coding and analysis of the data, particularly salient issues included: (1) the role of language as an entry point or impediment to health-care access (language and language accommodation) and (2) the impact of immigrant and U.S. health-care beliefs on medical behavior (health-care socialization). Regarding language and language accommodation, I consider the following questions using data from the stakeholders' interviews: (1) What kind of language accommodation is portrayed as desirable? (2) Who is responsible for providing the interpreter? (3) What roles do non-professional/non-naive interpreters take on? In regard to health-care socialization, I address the following issues using data from the stakeholders' interviews: (1) How are "good doctors" portrayed? (2) How are "good patients" portrayed? (3) How is use of medications portrayed? (4) What effects are associated with divergent logistics of the medical systems? (5) What attitudes surround prices, payments, and quality of care? In the three participant groups' discussion of these issues, there are areas of convergence. For instance, all share the sense that medical costs in the U.S. present a barrier to access, and all recognize the need for medical bilingualism in interpreters. There are also a number of potentially significant divergences, especially around attitudes toward medical compliance and use of medications, and the logistics of approach to medical care.
520 $a In the conclusion, I synthesize the research literature and my own empirical findings to suggest ways of increasing the health-care access of the Russian-speaking community in the study context and, by extension, of other linguistic-minority groups in areas far from the resources available in large cities.
590 $a School code: 0176.
650 4 $a Language, Linguistics. $3 1018079
650 4 $a Anthropology, Medical and Forensic. $3 1020279
690 $a 0290
690 $a 0339
710 2 $a The Pennsylvania State University. $3 699896
773 0 $t Dissertation Abstracts International $g 70-11A.
790 1 0 $a Schrauf, Robert, $e advisor
790 $a 0176
791 $a Ph.D.
792 $a 2009
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3380880