Culture and Medicine I and II Flashcards
____ tend to receive lower quality health care, even when access-related factors, such as patients’ income or insurance status are controlled
racial and ethnic minorities tend to receive lower quality health care, even when access-related factors, such as patients’ income or insurance status are controlled
describe 3 things that lead to the differences in care between non-minority and minority
describe the core paradox
how could well-meaning and highly educated health professional, working in their usual circumstances with diverse populations of patients, create a pattern of care that appears to be discriminatory?
describe possible explanations to the core paradox
- bias: no evidence suggests that providers are more likely than the general public to express biases, but some evidence suggests that unconscious biases may exist
- uncertainty: a plausible hypothesis, particularly when providers treat patients that are dissimilar in cultural or linguistic background
- stereotyping: evidence suggests that physicians, like everyone else, use these “cognitive shortcuts”
describe overgeneralization
- individual variation exists within cultures
- cultural descriptions will not apply to each individual within a culture
describe ethnocentrism
the tendency to assume that one’s own way of life (culture) is superior to the culture of others
name the 3 elements of ethno-medical systems
- theory of etiology of illness
- techniques for diagnosing illness
- methods for appropriate therapy
individuals’ ideas about health, illness and healing emerge from ____
individuals ‘ ideas about health, illness and healing emerge from cultures
describe the hot-cold theory of disease
describe ORT in Pakistan
describe culture-bound syndromes
- clusters of symptoms, signs and behavioral changes, the presentation of which is unique to a particular culture
- members of the culture recognize the syndrome and respond to it in a standardized way
- the conditions often have symbolic meaning–moral, social or psychological–to the victim and to those around him or her
- the condition often links an individual case of illness with wider concerns, including his/her relationship with the community, supernatural forces, and/or the environment
describe amok
describe Ataque de Nervios
describe koro
describe the explanatory model of illness
- the explanatory model is an individual’s personal interpretation of disease
- open communication, beginning with the patient’s explanatory model, fosters mutual respect and is the key to cultural insight