Culture Competency Flashcards
The american medical assosc. defines cultural competency as…
the knowledge and interpersonal skills that allow providers to understand, appreciate, and work with individuals from cultures other than their own. It involves an AWARENESS AND ACCEPTANCE of cultural differences, SELF-AWARENESS, KNOWLEDGE of the patient’s culture, and ADAPTATION of skills.
around how many are foreign-born in the US?
43,000,000
define race
A local geographic or global human population distinguished as a more or less distinct group by genetically transmitted physical characteristics
refers to a person’s physical characteristics, such as bone structure and skin, hair, or eye color
define culture
The totality of socially transmitted behavior patterns, arts, beliefs, institutions, and all other products of human work and thought.
define ethnicity
Quality or affiliation of a sizable group of people sharing a common and distinctive racial, national, religious, linguistic, or cultural heritage
define social location
One’s position in society relative to others
what 4 main things must the culturally competent provider be able to do?
Ability to INTERVIEW AND ASSESS patients based on a psychological, social, biological, cultural, political, and spiritual model.
Ability to COMMUNICATE EFFECTIVELY AND USE INTERPRETERS
Ability to DIAGNOSE with an understanding of cultural differences in pathology, avoiding under-diagnosis and over-diagnosis.
Ability to FORMULATES TXT PLANS that are culturally sensitive to the patient and the family’s concept of health and illnesses.
3 questions to elicit pt’s explanatory model of illness
What do you think you have?
What do you think caused it?
What have you done to treat it?
what are the LEARN guidelines for?
guideline for cross-cultural communication
what does “LEARN” stand for?
Listen with empathy to patient’s perspective of problem (from their sociocultural context)
Explain your perception and concerns.
Acknowledge & discuss differences and similarities
Recommend treatment and course of action: (Pharmacological, psychological, social, spiritual, educational)
Negotiate treatment plan: (collaboration with patient & other health care team members)
how does the institute of medicine define health disparities?
racial or ethnic differences in the quality of healthcare that are not due to access-related factors or CLINICAL NEEDS, PREFERENCES, and APPROPRIATENESS OF INTERVENTION.”
how does the NIH define health disparities?
differences in the incidence, prevalence, mortality, and burden of diseases and other ADVERSE HEALTH CONDITIONS that exist among specific population groups IN THE US.
the US department of health and human services: “Despite __________________, racial and ethnic minorities continue to have higher rates of ____, ______ and _____ than non-minorities.”
continued advances in health care and technology
disease, disability and premature death
the US department of health and human services: what ethnicities “have higher rates of infant mortality, cardiovascular disease, diabetes, HIV infection/AIDS, cancer and lower rates of immunizations and cancer screening.”?
African Americans, Hispanics/Latinos, American Indians and Alaska Natives, Asian Americans, Native Hawaiians and Pacific Islanders
HHS, 2006: what are the causes for inadequate access to care?
Barriers to care: economic, geographic, linguistic, cultural and health care financing issues.
HHS, 2006: what are the causes for substandard quality of care?
patient-provider miscommunication, provider discrimination, stereotyping or prejudice.
HHS 2006: quality of care is usually rated on..?
Quality of care is usually rated on the four measures of effectiveness, patient safety, timeliness and patient centeredness
HHS, 2006: (discussing inadequate access to care)
“ Even when minorities have similar levels of access to _____, _____ and ______, the _____ and _____ of health care they receive are often poor.”
care, health insurance and education,
quality and intensity
US dept of HHS: “Healthy People 2020” is what?
National health objectives designed to
identify the most significant preventable threats to health
establish national goals to reduce these threats
4 overarching goals of “Healthy People 2020”
Four Overarching Goals
Goal 1: Increase quality and years of healthy life
Goal 2: Eliminate health disparities
Goal 3: Create social/physical environments that promote good health
Goal 4: Promote quality of life across life span
office of minority health:
National Standards – “…are intended to _____, _____ and ______ by establishing a blueprint for health and health care organizations…”
advance health equity, improve quality, and help eliminate health care disparities
