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We report a qualitative study of accounts of interpreted consultations in UK primary care. The study sought to explore how three Habermasian tensions between (a) system and lifeworld, (b) communicative and strategic action, and (c) interpersonal and macropolitical spheres played out in the triadic consultation between clinician, interpreter and patient. In(More)
Older people residents in care homes that only offer residential care rely on primary health care services for medical and nursing needs. Research has investigated the demands that care homes staff and residents make on general practice, but not the involvement of other members of the primary health care team. This paper describes two consecutive studies(More)
  • Nadia Robb
  • CMAJ : Canadian Medical Association journal…
  • 1996
Dr. Gary Gibson of Cambridge, Ont., went many years without identifying a single gay patient in his practice. When he "came out" about his homosexuality in 1981, about 15 of his patients revealed they were gay. Gibson, a professor of family medicine at the University of Western Ontario who is active in the College of Family Physicians of Canada, says such(More)
PURPOSE This article explores issues of trust in narratives of interpreted consultations in primary health care. DESIGN/METHODOLOGY/APPROACH The paper is based on empirical data from a qualitative study of accounts of interpreted consultations in U.K. primary care, undertaken in three north London boroughs. In a total of 69 individual interviews and two(More)
The following article describes the evaluation challenges faced in a cross-cultural substance abuse training program. Non-Southeast Asian instructors designed and taught courses for Cambodian and Vietnamese human service workers over a two-year period. Although cultural considerations were a central focus in the design of the program, instructors(More)
UK general practices operate in an environment of high linguistic diversity, because of recent large-scale immigration and of the NHS's commitment to provide a professional interpreter to any patient if needed. Much activity in general practice is co-ordinated and patterned into organisational routines (defined as repeated patterns of interdependent(More)
  • Nadia Robb
  • CMAJ : Canadian Medical Association journal…
  • 1995
Prince Edward Island has restructured its health care system by dismantling former decision-making bodies and establishing provincial and regional health boards and a policy council. The province hopes this move will make people think about health care in a more comprehensive way and strengthen community involvement in it. However, some sceptical physicians(More)
  • Nadia Robb
  • CMAJ : Canadian Medical Association journal…
  • 1996
A telephone information line is easing demand at the emergency departments of two hospitals in Moncton, NB. Although information lines aren't new, this program is different because nurses are using computer software that provides protocols for more than 900 areas of patient complaint. It helps them direct patients to the most appropriate care, which may(More)