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Traditional Chinese medicine in San Francisco health planning : = Implications for a Pacific Rim city.

紀錄類型:	書目-語言資料,手稿 : Monograph/item
正題名/作者:	Traditional Chinese medicine in San Francisco health planning :/
其他題名:	Implications for a Pacific Rim city.
作者:	Kass, Richard Allan.
面頁冊數:	1 online resource (185 pages)
附註:	Source: Dissertations Abstracts International, Volume: 52-08, Section: A.
Contained By:	Dissertations Abstracts International52-08A.
標題:	Social work. -
電子資源:	click for full text (PQDT)
ISBN:	9798207790695

Traditional Chinese medicine in San Francisco health planning : = Implications for a Pacific Rim city.
Kass, Richard Allan.

Traditional Chinese medicine in San Francisco health planning :Implications for a Pacific Rim city. - 1 online resource (185 pages)

Source: Dissertations Abstracts International, Volume: 52-08, Section: A.

Thesis (Ph.D.)--University of California, Berkeley, 1990.

Includes bibliographical references

The purpose of this dissertation was twofold: (1) to provide background material on the Asian American culture and dual health care system in San Francisco; (2) to examine how Traditional Chinese pulse diagnosis (a renowned ancient diagnostic technique) can be used to help integrate the dual health care system in San Francisco. The overarching vision for the project is a culturally responsive health care system in San Francisco which effectively controls the spread of chronic disease. Data collection was carried out at On Lok Senior Health Services in San Francisco. Ten subjects were examined by two Traditional Chinese physicians; one using a Traditional hand palpation method and the other using a computer assisted pulse detection device. The physicians examined the pulse of the same 10 subjects and attempted to: (1) obtain the same pulse readings on a given subject (a test of the reliability of pulse diagnosis); (2) match subjects with their corresponding medical files on the basis of pulse analysis alone (a test of the validity of pulse diagnosis). Three precautions against experimenter bias were observed: (1) the subjects sat behind a screen with only the diagnostically relevant area of their wrists visible to the two physicians (a special glove was worn) (2) no contact was allowed between the two examining physicians at any time during the study; (3) the pulse examination schedule was altered in the middle of the day in order to avoid any detectable patterns. In the general and individual pulse assessment sections the physicians achieved a significant p $<$.0001 reliability finding. These sections dealt with: depth, intensity, amplitude, frequency, rhythm, length, type, temperature, quantity, texture, and width measurements of the pulse. The results represented 79% and 70% of possible matches respectively. A significant p =.023 result (80% of possible matches) was obtained in the depth/sub 1 pulse category; a significant p =.0078 result (100% of possible matches) was obtained in the frequency/sub 1 pulse category; and a significant p $<$.0002 result (100% of possible matches) was obtained in the frequency/sub 2 pulse category. No significant findings were obtained in the remaining four categories (depth/sub 2, intensity/sub 1, intensity/ sub 2, amplitude/sub 1), which represented 25%, 29%, 50%, and 29% of possible matches respectively. These findings suggested that pulse diagnosis is very reliable in some areas and not in others. Other findings suggested that there may be some validity to Traditional Chinese pulse diagnosis; one of the physicians was able to achieve a significant result (p $<$.047) for six correct subject/medical file matches when 1st, 2nd, & 3rd choices were taken into account. However, this conclusion must be tempered in light of a serious methodological problem which may have influenced the results.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798207790695Subjects--Topical Terms:

1008643
Social work.
Subjects--Index Terms:

CaliforniaIndex Terms--Genre/Form:

554714
Electronic books.

Traditional Chinese medicine in San Francisco health planning : = Implications for a Pacific Rim city.
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504 $a Includes bibliographical references
520 $a The purpose of this dissertation was twofold: (1) to provide background material on the Asian American culture and dual health care system in San Francisco; (2) to examine how Traditional Chinese pulse diagnosis (a renowned ancient diagnostic technique) can be used to help integrate the dual health care system in San Francisco. The overarching vision for the project is a culturally responsive health care system in San Francisco which effectively controls the spread of chronic disease. Data collection was carried out at On Lok Senior Health Services in San Francisco. Ten subjects were examined by two Traditional Chinese physicians; one using a Traditional hand palpation method and the other using a computer assisted pulse detection device. The physicians examined the pulse of the same 10 subjects and attempted to: (1) obtain the same pulse readings on a given subject (a test of the reliability of pulse diagnosis); (2) match subjects with their corresponding medical files on the basis of pulse analysis alone (a test of the validity of pulse diagnosis). Three precautions against experimenter bias were observed: (1) the subjects sat behind a screen with only the diagnostically relevant area of their wrists visible to the two physicians (a special glove was worn) (2) no contact was allowed between the two examining physicians at any time during the study; (3) the pulse examination schedule was altered in the middle of the day in order to avoid any detectable patterns. In the general and individual pulse assessment sections the physicians achieved a significant p $<$.0001 reliability finding. These sections dealt with: depth, intensity, amplitude, frequency, rhythm, length, type, temperature, quantity, texture, and width measurements of the pulse. The results represented 79% and 70% of possible matches respectively. A significant p =.023 result (80% of possible matches) was obtained in the depth/sub 1 pulse category; a significant p =.0078 result (100% of possible matches) was obtained in the frequency/sub 1 pulse category; and a significant p $<$.0002 result (100% of possible matches) was obtained in the frequency/sub 2 pulse category. No significant findings were obtained in the remaining four categories (depth/sub 2, intensity/sub 1, intensity/ sub 2, amplitude/sub 1), which represented 25%, 29%, 50%, and 29% of possible matches respectively. These findings suggested that pulse diagnosis is very reliable in some areas and not in others. Other findings suggested that there may be some validity to Traditional Chinese pulse diagnosis; one of the physicians was able to achieve a significant result (p $<$.047) for six correct subject/medical file matches when 1st, 2nd, & 3rd choices were taken into account. However, this conclusion must be tempered in light of a serious methodological problem which may have influenced the results.
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538 $a Mode of access: World Wide Web
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650 4 $a Cultural anthropology. $3 1179959
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