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1、TheLanguageBarrierinPrimaryCare:PerspectivesofRefugeesandAsylumSeekersDepartmentofGeneralPracticeHealthServicesResearchSeminarDecember13th2005AnneMacFarlane,DepartmentofGeneralPractice,NUI,GalwayUnprecedentedPatternsofMigrationAnneMacFarlane,DepartmentofGeneralPractice,HSR
2、SeminarDecember,13th2005ResearchaboutRefugeeandAsylumSeekerHealthLanguagedifferences,communicationdifficultiesRefugees,asylumseekers,servicesproviders(primaryandsecondarycare)UseofinterpretersFormalinterpreters(telephone/facetofaceinterpreting)Informalinterpreters(Friendsa
3、ndrelatives)AnneMacFarlane,DepartmentofGeneralPractice,HSRSeminarDecember,13th2005CommunicationMattersGeneralPracticeandnursingBiopsychosocialmodelofhealthParticipationofpatientsPatientagendaPatientnarrativesShareddecisionmakingAnneMacFarlane,DepartmentofGeneralPractice,HS
4、RSeminarDecember,13th2005CAReCommunicationwithAsylumSeekersandRefugeesConductanin-depthexplorationoftheimpactoflanguageasabarrierinprimarycareDocumentexperiencesofrefugees,asylumseekers&primarycareprovidersIdentifykeyfeaturesofthelanguagebarrieranditsimpactExploresolutions
5、andstrategiesforservicedevelopmentandimprovementAnneMacFarlane,DepartmentofGeneralPractice,HSRSeminarDecember,13th2005PerspectivesofRefugeesandAsylumSeekersAimistodocumentexperiencesofrefugeesandasylumwhohaveexperienceofaccessingandusingprimarycarewithlittleornoEnglishAnne
6、MacFarlane,DepartmentofGeneralPractice,HSRSeminar,December13th2005ResearchApproachParticipatoryLearningandAction(PLA)MoreradicalformoforganisationalactionresearchDerivedfromParticipatoryRuralAppraisal(Chambers,1994c)“growingfamilyofapproachesandmethodsthatenablelocalpeople
7、toshare,enhanceandanalysetheirknowledgeoflifeandconditions,toplanandtoact.AnneMacFarlane,DepartmentofGeneralPractice,HSRSeminar,December13th2005PLAKeyCharacteristicsMeaningfulparticipationofcommunitymembers;acknowledginglocalexpertiseFocusonconcreteactionsarisingoutofdatac
8、ollectionEqualrelationshipbetweenthe‘researcher’andthe‘researched’Doingresearch‘withpeopl
