Culture and Medicine I and II Flashcards

1
Q

____ tend to receive lower quality health care, even when access-related factors, such as patients’ income or insurance status are controlled

A

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

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2
Q

describe 3 things that lead to the differences in care between non-minority and minority

A
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3
Q

describe the core paradox

A

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?

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4
Q

describe possible explanations to the core paradox

A
  • 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”
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5
Q

describe overgeneralization

A
  • individual variation exists within cultures
  • cultural descriptions will not apply to each individual within a culture
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6
Q

describe ethnocentrism

A

the tendency to assume that one’s own way of life (culture) is superior to the culture of others

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7
Q

name the 3 elements of ethno-medical systems

A
  1. theory of etiology of illness
  2. techniques for diagnosing illness
  3. methods for appropriate therapy
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8
Q

individuals’ ideas about health, illness and healing emerge from ____

A

individuals ‘ ideas about health, illness and healing emerge from cultures

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9
Q

describe the hot-cold theory of disease

A
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10
Q

describe ORT in Pakistan

A
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11
Q

describe culture-bound syndromes

A
  • 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
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12
Q

describe amok

A
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13
Q

describe Ataque de Nervios

A
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14
Q

describe koro

A
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15
Q

describe the explanatory model of illness

A
  • 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
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16
Q

describe questions for eliciting a patient’s explanatory model of sickness (Kleinman)

A
17
Q

describe CLAS standards

A