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Socioeconomic Barriers Hinder Optimal Patient-Physician Relations: A Resource Manual for Women and Their Health Care Provi...
PT Northwest <ul><li>Sports Medicine Clinic in Corvallis, Oregon </li></ul><ul><li>Physical Therapist  </li></ul><ul><li>J...
Salem Hospital <ul><li>Family Birth Center Clinic (FBCC) </li></ul><ul><li>Willamette Valley Midwives Clinic (WVMC) </li><...
 
 
Family Birth Center Clinic 34% No Health Insurance 22% Community Prenatal Project 47% High-risk Patients 29% Oregon Health...
Family Birth Center Clinic, cont. <ul><li>Offers significant support and aid </li></ul><ul><ul><li>Accepts all health insu...
 
 
Willamette Valley Midwives Clinic 39% High-risk Patients 11% No Health Insurance 50% Oregon Health Plan 39% Private Health...
 
Patients of the Clinics <ul><li>Large Hispanic base </li></ul><ul><li>Teenage mothers </li></ul><ul><li>Single mothers </l...
Patient Noncompliance <ul><li>Numerous factors strain patient-physician relations at the FBCC and WVMC </li></ul><ul><ul><...
Rationale for Project <ul><li>What could be done to improve the situation? </li></ul><ul><ul><li>Pain and stress-relieving...
Background Research <ul><li>Current handouts </li></ul><ul><ul><li>Salem Hospital </li></ul></ul><ul><ul><li>Other hospita...
Background Research, cont. <ul><li>Erin Devoy, Women’s Health Physical Therapist </li></ul><ul><li>Provided valuable liter...
Literature Review <ul><li>Articles, handouts, advice </li></ul><ul><ul><li>Physical Therapists </li></ul></ul><ul><ul><li>...
Creation of Resource Manual <ul><li>Three types of information </li></ul><ul><ul><li>Informative handouts for patients </l...
Creation of the Resource Manual, cont. <ul><li>Translation of all patient handouts included from English to Spanish </li><...
Approval of Resource Manual <ul><li>Dr. Judy Marvin </li></ul><ul><li>Dr. Lance Loberg </li></ul><ul><li>Becky Fisher </li...
Limitations <ul><li>Anecdotal and subjective evidence </li></ul><ul><ul><li>Demographic data of patients </li></ul></ul><u...
Acknowledgments <ul><li>Becky Fisher </li></ul><ul><li>Staffs of FBCC and WVMC </li></ul><ul><li>Erin Devoy </li></ul><ul>...
 
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K. Murphy Thesis

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Senior Thesis Presentation - &quot;Socioeconomic Barriers Hinder Optimal Patient-Physician Relations: A Resource Manual for Women and their Health Care Providers&quot;

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K. Murphy Thesis

  1. 1. Socioeconomic Barriers Hinder Optimal Patient-Physician Relations: A Resource Manual for Women and Their Health Care Providers Kristi Murphy March 17, 2009 Exercise Science Senior Thesis Presentation
  2. 2. PT Northwest <ul><li>Sports Medicine Clinic in Corvallis, Oregon </li></ul><ul><li>Physical Therapist </li></ul><ul><li>Jason Ball </li></ul><ul><li>Physical Therapist Aide </li></ul>
  3. 3. Salem Hospital <ul><li>Family Birth Center Clinic (FBCC) </li></ul><ul><li>Willamette Valley Midwives Clinic (WVMC) </li></ul><ul><li>Becky Fisher, program director of FBCC and WVMC </li></ul>
  4. 6. Family Birth Center Clinic 34% No Health Insurance 22% Community Prenatal Project 47% High-risk Patients 29% Oregon Health Plan 14% Private Health Insurance
  5. 7. Family Birth Center Clinic, cont. <ul><li>Offers significant support and aid </li></ul><ul><ul><li>Accepts all health insurance plans </li></ul></ul><ul><ul><li>Sliding fee scale </li></ul></ul><ul><ul><li>Helps with Oregon Health Plan application process </li></ul></ul><ul><ul><li>Helps absorb prenatal costs through charity funds, paying insurance premiums, etc. </li></ul></ul>
  6. 10. Willamette Valley Midwives Clinic 39% High-risk Patients 11% No Health Insurance 50% Oregon Health Plan 39% Private Health Insurance
  7. 12. Patients of the Clinics <ul><li>Large Hispanic base </li></ul><ul><li>Teenage mothers </li></ul><ul><li>Single mothers </li></ul><ul><li>Poorly educated </li></ul><ul><li>High occurrence of miscarriages </li></ul><ul><li>Unreliable transportation </li></ul>
  8. 13. Patient Noncompliance <ul><li>Numerous factors strain patient-physician relations at the FBCC and WVMC </li></ul><ul><ul><li>Patient’s socioeconomic status </li></ul></ul><ul><li>Often makes compliance with health care recommendations difficult </li></ul><ul><li>Clinics’ staffs restricted due to lack of </li></ul><ul><ul><li>Resources </li></ul></ul><ul><ul><li>Time </li></ul></ul><ul><ul><li>Finances </li></ul></ul>
  9. 14. Rationale for Project <ul><li>What could be done to improve the situation? </li></ul><ul><ul><li>Pain and stress-relieving exercises & stretches </li></ul></ul><ul><ul><li>General pregnancy information </li></ul></ul><ul><li>Importance of general health, physical activity, and education during pregnancy </li></ul><ul><li>Patient education observed to improve patient compliance </li></ul><ul><li>Create women’s health resource manual </li></ul>
  10. 15. Background Research <ul><li>Current handouts </li></ul><ul><ul><li>Salem Hospital </li></ul></ul><ul><ul><li>Other hospitals and birth clinics </li></ul></ul><ul><li>Presentation to staff of FBCC and WVMC </li></ul><ul><ul><li>Input, feedback, recommendations </li></ul></ul><ul><li>Visited WVMC </li></ul><ul><ul><li>Kathryn Nielsen, Certified Midwife </li></ul></ul><ul><ul><li>Patient interviews </li></ul></ul><ul><ul><li>Reviewed patient files </li></ul></ul>
  11. 16. Background Research, cont. <ul><li>Erin Devoy, Women’s Health Physical Therapist </li></ul><ul><li>Provided valuable literature and handouts </li></ul><ul><li>Recommended specific stretches and exercises </li></ul><ul><ul><li>Visual Health Information Exercise Software (VHI) </li></ul></ul>
  12. 17. Literature Review <ul><li>Articles, handouts, advice </li></ul><ul><ul><li>Physical Therapists </li></ul></ul><ul><ul><li>Midwives </li></ul></ul><ul><ul><li>Athletic Trainers </li></ul></ul><ul><li>Strict inclusion criteria </li></ul><ul><ul><li>Realistic expectations of patients, clinic, and staff members </li></ul></ul>
  13. 18. Creation of Resource Manual <ul><li>Three types of information </li></ul><ul><ul><li>Informative handouts for patients </li></ul></ul><ul><ul><li>Suggested stretches and exercises </li></ul></ul><ul><ul><li>More technical/complex information for health care providers </li></ul></ul><ul><li>Four main sections </li></ul><ul><ul><li>Food/substance/behaviors </li></ul></ul><ul><ul><li>Common aches/complaints </li></ul></ul><ul><ul><li>General pain </li></ul></ul><ul><ul><li>Exercise and rehabilitation </li></ul></ul>
  14. 19. Creation of the Resource Manual, cont. <ul><li>Translation of all patient handouts included from English to Spanish </li></ul><ul><li>Assistance of many native and advanced Spanish speakers </li></ul>
  15. 20. Approval of Resource Manual <ul><li>Dr. Judy Marvin </li></ul><ul><li>Dr. Lance Loberg </li></ul><ul><li>Becky Fisher </li></ul><ul><li>Staff of FBCC </li></ul><ul><li>Staff of WVMC </li></ul>
  16. 21. Limitations <ul><li>Anecdotal and subjective evidence </li></ul><ul><ul><li>Demographic data of patients </li></ul></ul><ul><ul><li>Literature review </li></ul></ul>
  17. 22. Acknowledgments <ul><li>Becky Fisher </li></ul><ul><li>Staffs of FBCC and WVMC </li></ul><ul><li>Erin Devoy </li></ul><ul><li>Stas Stavrianeas </li></ul><ul><li>Rachel Dunnington </li></ul><ul><li>Marco Fiallo </li></ul><ul><li>Luis Guerra </li></ul><ul><li>Alejandro Jimenez </li></ul><ul><li>Mayra Ledesma </li></ul><ul><li>Ali Maki </li></ul>

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