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Stephen J. McPhee, MD, Discussant

JAMA. 2002;287:495-504.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR SHIP: Mrs G is a 70-year-old woman who moved to the United States from Vietnam 7 years ago. She lives in Boston and has Medicare and Medicaid insurance. Mrs G now sees Dr P, a female Vietnamese American primary care physician who speaks Vietnamese (and English), in a community clinic.

Before living in the United States, Mrs G had no medical problems for which she sought treatment and did not have a primary care physician. In her home in Vietnam, she delivered 6 children vaginally with assistance from a local caregiver.

Mrs G lives with her daughter, son-in-law, and their children, for whom she cares during the day. She cannot read and speaks no English. She does not smoke or drink alcohol. In the past, she used "coining" as a therapeutic mode, but she stopped after hearing that the practice might exacerbate . . . [Full Text of this Article]

MRS G: HER VIEW

DR P: HER VIEW

AT THE CROSSROADS: QUESTIONS FOR DR McPHEE

Sociodemographic Characteristics of Vietnamese in the United States

Special Medical Problems of Vietnamese

Particular Issues in Care of Vietnamese Patients

Effective Approaches to Address Special Needs of Vietnamese at the Individual Clinician Level

Effective Approaches to Address Special Needs of Vietnamese at the Health Care Delivery System Level

Mrs G and Dr P

QUESTIONS AND DISCUSSION

Author Affiliation: Dr McPhee is a Professor of Medicine and Principal Investigator, Súc Là Vàng (Health Is Gold!), Vietnamese Community Health Promotion Project, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco.

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