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Updated: Jan 4, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Prioritizing Health Equity: Patient Perspectives from a Clinic-Based PhotoVoice Qualitative Study
Susi L Keefe1, Raie M Gessesse1, Emily R Lincoln1
1Public Health Sciences, Hamline University, St. Paul, Minnesota.
Abstract:
Purpose: This article explores the results of community-engaged PhotoVoice research with the Family Tree Clinic (FTC) in St. Paul, MN. FTC has >45 years of experience providing sexual, reproductive, and primary health care, with a central mission of overcoming issues for their patients including those of poverty, oppression, lack of access, and discrimination in meeting health care needs. Methods: This research presents the findings of social justice-inspired PhotoVoice focus groups with patients of the clinic that asked two central questions: "Why do you choose Family Tree Clinic" and "What stands in the way of achieving your goals for your health?" Results: When health equity is a central priority and evident in clinic culture, practices, and policies, patients articulate positive experiences despite real structural and systemic barriers outside the clinic. Conclusion: We offer suggestions for a health equity-oriented approach to clinic care.
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