A qualitative analysis of immigrant population health practices in the Girona Healthcare Region

The research we present here forms part of a two-phase project - one quantitative and the other qualitative - assessing the use of primary health care services. This paper presents the qualitative phase of said research, which is aimed at ascertaining the needs, beliefs, barriers to access and health practices of the immigrant population in comparison with the native population, as well as the perceptions of healthcare professionals. Moroccan and sub-Saharan were the immigrants to who the qualitative phase was specifically addressed. The aims of this paper are as follows: to analyse any possible implications of family organisation in the health practices of the immigrant population; to ascertain social practices relating to illness; to understand the significances of sexual and reproductive health practices; and to ascertain the ideas and perceptions of immigrants, local people and professionals regarding health and the health system. Methods: qualitative research based on discursive analysis. Data gathering techniques consisted of discussion groups with health system users and semi-structured individual interviews with healthcare professionals. The sample was taken from the Basic Healthcare Areas of Salt and Banyoles (belonging to the Girona Healthcare Region), the discussion groups being comprised of (a) 6 immigrant Moroccan women, (b) 7 immigrant sub-Saharan African women and (c) 6 immigrant and native population men (2 native men, 2 Moroccan men and 2 sub-Saharan men); and the semi-structured interviews being conducted with the following healthcare professionals: (a) 3 gynaecologists, (b) 3 nurses and 1 administrative staff. Results: use of the healthcare system is linked to the perception of not being well, knowledge of the healthcare system, length of time resident in Spain and interiorization of traditional Western medicine as a cure mechanism. The divergences found among the groups of immigrants, local people and healthcare professionals with regard to healthcare education, use of the healthcare service, sexual and reproductive healthcare and reticence with regard to being attended by healthcare personnel of the opposite sex demonstrate a need to work with the immigrant population as a heterogeneous group. Conclusions: the results we have obtained support the idea that feeling unwell is a psycho-social process, as it takes place within a specific socio-cultural situation and spans a range of beliefs, perceptions and ideas regarding symptomology and how to treat it

La evaluación como instrumento de mejora de la calidad del aprendizaje. Propuesta de intervención psicopedagógica para el aprendizaje del idioma inglés

La evaluación del aprendizaje del inglés en las carreras que estudian esta lengua con fines específicos en la Universidad Central "Marta Abreu" de Las Villas da cuenta de niveles de competencia comunicativa que no se corresponden con las exigencias que los estudiantes encontrarán en la práctica profesional. El estudio se dirige a la mejora del proceso de enseñanza-aprendizaje del inglés centrado en modificaciones al proceso de evaluación. Este se concibe como proceso integrado a la enseñanza y el aprendizaje mediante el uso de formas alternativas de evaluación. Estas formas deben propiciar una evaluación formativa de la lengua en situaciones auténticas de comunicación. El trabajo se centra en la formación del profesor para introducir los cambios en sus prácticas evaluativas y como resultado se hacen factibles transformaciones a corto plazo que repercuten en un mejor aprendizaje de la lengua. La investigación se realizó desde una perspectiva interpretativa, utilizando una metodología cualitativa.