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Through the eyes of patients: A phen...
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Smith, Nancy Lynn.
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Through the eyes of patients: A phenomenological study of Medicaid.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Through the eyes of patients: A phenomenological study of Medicaid./
作者:
Smith, Nancy Lynn.
面頁冊數:
218 p.
附註:
Source: Dissertation Abstracts International, Volume: 58-10, Section: A, page: 4064.
Contained By:
Dissertation Abstracts International58-10A.
標題:
Political Science, Public Administration. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=9810984
ISBN:
0591616688
Through the eyes of patients: A phenomenological study of Medicaid.
Smith, Nancy Lynn.
Through the eyes of patients: A phenomenological study of Medicaid.
- 218 p.
Source: Dissertation Abstracts International, Volume: 58-10, Section: A, page: 4064.
Thesis (Ph.D.)--University of Colorado at Denver, 1997.
This inquiry, grounded in hermeneutic phenomenological perspectives, was conducted to discover the patient's experience as a participant in the Medicaid program. The purpose was to describe and interpret the patient's experience and to sensitize health care and public policy professionals regarding the particular experience.
ISBN: 0591616688Subjects--Topical Terms:
1017438
Political Science, Public Administration.
Through the eyes of patients: A phenomenological study of Medicaid.
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Source: Dissertation Abstracts International, Volume: 58-10, Section: A, page: 4064.
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Director: Peter deLeon.
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Thesis (Ph.D.)--University of Colorado at Denver, 1997.
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This inquiry, grounded in hermeneutic phenomenological perspectives, was conducted to discover the patient's experience as a participant in the Medicaid program. The purpose was to describe and interpret the patient's experience and to sensitize health care and public policy professionals regarding the particular experience.
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Patients in the inquiry were volunteer participants. Data were generated from audiotaped and transcribed interviews and the researcher's journal. Participants were recruited from a federally qualified community health center in Boulder County, Colorado.
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The data analysis was guided by the hermeneutic phenomenologic approach of van Manen. The analysis included several levels of reflection. The first level of reflection revealed the descriptions and themes of the patients. The patients' metaphor of an Uncertain Journey in their search for health care emerged. In the second reflection, other literature sources were used to illuminate the experiences of the patients. The themes were linguistically transformed into five metathemes: Spatiality: Standing in the Second Line for Health Care; Embodiment: Choosing to Risk; Temporality: Waiting for Health Care; Relationality: A Compromise to Autonomy and Liberty; and Self-Advocacy: Creating Hope. Through continued and deepening reflection, the theory of meaning Power and Control: Counterbalance to Moral Responsibility and the Boundaries of Community was revealed. Using a conceptual framework drawn from bioethics, the themes, metathemes, and patients' metaphor were integrated to develop the theory and to come to understand the meaning of the lived experience of the Medicaid patients. Their individual stories are included.
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This research makes a strong plea for further research exploring the health care providers' and system administrators' experiences with Medicaid patients. Also called for is revised curricula for health care professionals to include sensitization to diversity and social responsibility. Other implications for education and future research in public policy are discussed.
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