Question

Mr. S is a 62-year-old man with multiple chronic illnesses, including severe chronic obstructive pulmonary disease (COPD). He is chronically ill and frequently hospitalized for his COPD exacerbation. Mr. S was once a jubilant and productive member of society. He was a circus clown and traveled all over the world with a world-renowned circus company. As he became more ill, his circus company “let him go.” Mr. S has no family members and is marginally housed. After multiple ICU admissions, he exhausted his private insurance and now receives his medical care at the county’s public hospital.

He is now homeless and on public assistance for his medical care. As he nears his end-stage COPD care, he will require long-term oxygen therapy. However, he is unable to obtain an oxygen tank for use outside the hospital because he is homeless. Potential surgical interventions such as lung volume reduction surgery and an experimental lung transplant are being considered.

Mr. S is now stable and requires a portable oxygen tank for use upon discharge.

Intersectionality Theory was developed as a means to actually study and address non-medical disease factors as potential pieces of the process in a medically defined illness. This allows health and disease to be studied at different intersections of identity, social position, oppression or privilege, and policies or institutional practices.

• Using this as a framework to start you discussion, address Intersectionality Theory in your practice in healthcare as a primary care provider.

• Discuss basic measures of health Mr S. with COPD requires oxygen use, and health services utilization using Intersectionality Theory.

Answer 1

Illness and primary health care are interdependent and intersecting practices. Both embodied and material biomedical processes affect how patients are differently inculcated in the primary healthcare system.

Although the science of translating research into practice is moderately new, there is some guiding evidence of what implementation interventions to use in facilitating patient safety practices. However, there is no magic bullet for translating what known from research into practice, several strategies may be needed. Additionally, what works on one context of care may or may not work in another setting, thereby suggesting that context variable matter in implementation.

Health care performance assesses have already been described in measures of supply and demand and study design assessing effectiveness, efficiency and acceptability service including the measure of structure, process, service, quality and outcome of health care.

Ideally need is the major determinants of health care utilization, but other factors clearly have an impact. They include poverty and its correlates, geographic area of residence, race and ethnicity, sex, age, language spoken and disability status.

Internationally theory proposed to address the non-additivity of effects of sex/gender and race, ethnicity but extendable to the domain, allow for the potential to study health and at different through improving the validity and greater attention to both heterogeneities of effects causuall processes producing health inequalities. moreover, intersectional population health research may serve to both tests and generates, new theory, nevertheless it's implementation within health research to detect has been primarily through qualitative research.