Culture Health Flashcards
Culture
Culture: shared beliefs and attitudes of a group
Cultural Competency
Cultural Competency: possessing knowledge, awareness, and respect for other cultures
Cultural Humility
Cultural Humility: Understanding of and respect for patients’ values, beliefs and expectation while being aware of one’s own assumptions and value system, with the ability to adapt care to be congruent with the patient’s expectations and preference
Cross-cultural Communication
Cross-cultural Communication: looks at how people from differing cultural backgrounds communicate, in similar and different ways among themselves, and how they endeavour to communicate across cultures.
Health Belief Model
Health Belief Model: a psychological model that attempts to explain and predict health behaviors. This is done by focusing on the attitudes and beliefs of individuals.
• Explores patient’s perceptions as related to preventive behavior.
• Considers likelihood of getting an illness, severity of illness if acquired, and barriers to engaging in preventive behavior
Explanatory Model of Illness
Explanatory Model of Illness: reveals how people make sense of their illness and their experiences of it
• What do you think caused your problem?
• What do you call it?
• Why do you think it started and when did it start?
• What have you done about it?
• What worries you about it the most?
• How severe is it?
• How does it effect your life?
Kleinmann’s Questions
Stages of Change Model
Stages of Change Model: Following a series of steps in changing behavior. 1990s, Helpful for tobacco, drug, and alcohol abuse
CLAS Standards
CLAS Standards: intended to advance health equity, improve quality, and help eliminate health care disparities by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services
Negotiating Change
Negotiating Change: Negotiate options that will be mutually acceptable to you and your patient and that do not contradict, but rather incorporate, your patient’s beliefs
Generalization of Healthcare vs. Patient wants
EBM/RCT vs. Every option pursued
Cost effective in aggregate vs. Individual care
Prevention vs. Care When Ill
Most value with least resources vs. Timeliness & Efficiency
Knowledge and Problem Solving v. Kindness and Communication
Accuracy w/ Ambiguity v. Hope w/ Certainty
Reimbursement/Insurance v. Continuity/Private
Components of Culture
i. Socioethnic Domains
1. Ethnicity
2. Nationality
3. Language
4. Heritage
5. Economic
6. Educational
ii. Time: Different generations have different perspectives on things
iii. Ideology: Belief / Religion
iv. Organizational domains: Cultures that emerge based on organizations that you are involved with. (i.e. where you work, medical, industrial, etc.)
