Diversity in Healthcare Setting

Question 1

What is an example of healthcare differences?

Answer 1

triage
microaggression
health care access–administrative difficulties
**can be somewhat discriminative

Question 2

T/F Racial and ethnic minorities tend to receive lower quality of healthcare.

Answer 2

True.

Ex: maybe don’t educate the patient on the type of treatment they will receive.

Question 3

What are some potential sources of disparities?

Answer 3

Medical decisions under time pressure
Healthcare provider prejudice/bias
Patient response: mistrust and refusal
**this is less discrimination, but more stereotypes used for lack of time.

Question 4

What are some common barriers in immigrant populations?

Answer 4

barrier of fear & mistrust
children don’t get healthcare b/c parents assume they are also ineligible
difficulty promoting public assistance via word of mouth

Question 5

Which ethnicity has the highest rate of asthma?

Answer 5

African Americans
260% higher emergency room visit rate for asthma than white
250% higher hospitalization rate
500% higher death rate from asthma

Question 6

Which ethnicity has more serious mental health problems?

Answer 6

Native American

more likely to have depression, anxiety, substance abuse, suicide

Question 7

Which ethnicity has higher chance to die from diabetes?

Answer 7

hispanic

Question 8

Which diseases are Asian Americans more likely to have?

Answer 8

Hep B
Tuberculosis
Cervical Cancer

Question 9

T/F Older Asian American women have highest suicide rate of all women over 65yo.

Answer 9

True

Question 10

T/F African American adolescents have almost 2x the rate of attempted suicides than that of similarly aged.

Answer 10

False. Asian American

Question 11

T/F Ethnicity should be observed, rather than reported.

Answer 11

False. It should be reported by patient.

Question 12

A Kenyan, an African-American, and a Haitian would all be considered ______ identical - ‘‘black”. But they have different risk factors.

Answer 12

racially

Question 13

T/F It is acceptable to consider the medications of another culture to be “not real”.

Answer 13

False. You should be respectful & ask questions & make sure that it is not harmful.

Question 14

What is the LEARN model?

Answer 14

Listen to patient’s perspective
Explain and share one’s own perspective
Acknowledge differences and similarities between these two perspectives
Recommend a treatment plan
Negotiate a mutually agreed-on treatment plan

Question 15

What is the 6 steps model? This is specific to _____ patients.

Answer 15

**specific to immigrant patients
Involve immigrants in their own health care.
Learn more about culture, starting with my own.
Speak the language, or use a trained interpreter.
Ask the right questions and look for answers.
Pay attention to financial issues.
Find resources and form partnerships.