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Fieldnote May 9 2023 - 6:02pm

3/29 fieldnote

 

        這周是我們第一次參與文建站的活動,我和Annabelle見到了李金妹、李金蘭阿嬤兩姊妹,還有何秀妹阿嬤。金蘭阿嬤的五官深邃,總覺得看起來有點酷;金妹阿嬤看起來很聰明,而且相當健談,說話很有條理;秀妹阿嬤則是非常的活潑可愛,說話有很多生動的小動作。

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seanw146

1) “…what would happen if race and insurance status no longer determined who had access to the standard of care?

…in addition to removing some of the obvious economic barriers at the point of care, the clinicians and researchers considered paying for transportation costs and other incentives as well as addressing comorbid conditions ranging from drug addiction to mental illness. They also implemented improvements in community-based care, conceived to make AIDS care more convenient and socially acceptable for patients. The goal was to make sure that nothing within the medical system or the surrounding community prevented poor and otherwise marginalized patients from receiving the standard of care.

The results registered just a few years later were dramatic: racial, gender, injection-drug use, and socioeconomic disparities in outcomes largely disappeared within the study population [35].”

2)            “This model [PIH’s model], with conventional clinic-based (distal) services complemented by home-based (more proximal) care, is deemed by some to be the world's most effective way of removing structural barriers to quality care for AIDS and other chronic diseases.”

3)            “While some interventions are straightforward, we also have to recognize that there is an enormous flaw in the dominant model of medical care: as long as medical services are sold as commodities, they will remain available only to those who can purchase them.”