medicine in a multi cultural society Flashcards
what re questions to do with your family that do not involve health?
Where do your family originally come from?
Have they always lived in your town?
Where were your grandparents born?
Did they ever move to another town or country? When? Why?
Has anyone in your family ever emigrated? Where did they go? Why?
list some cultures and identities you have
religion nationality race sexual identity age occupation
sex disabled where from a parent a student
middle class working class in prison wealthy poor
what are the dimensions of diversity?
age sexual orientation mental/physical abilities and characteristics ethnicity gender race
what is culture
It is the learned and shared values of a particular group that:
Guides thinking
Actions
Behaviors
Emotional reactions to daily living
It is the sum of beliefs, practices, habits, likes and dislikes.
It is norms and customs that are learned.
why is culture central to the delilvery of healthcare?
It influences patients’ healthcare beliefs, practices attitudes toward care, and trust in the system and in the individual providers
Cultural differences affect how health information and healthcare services are received, understood and acted upon
3 main areas to consider
Misunderstandings in diagnosis or in treatment planning arising from differences in language or culture
Poor patient adherence with treatments, and poor outcomes
Health care disparities
what are some healthcare disparities?
Death rates from lung cancer are higher in black men than white men
Ethnic minority women with breast cancer have poorer survival rates than white women, even with similar access to care
There are racial disparities in the utilization of total joint replacement for knee osteoarthritis not explained by prevalence
what is cultural competence?
the ongoing capacity of healthcare systems, organizations and professionals to provide for diverse patient* populations high quality care that is safe, patient- and family- centered, evidence-based, and equitable
what is the impact of cultural competency?
more successful patient education
Increases in pt’s health care seeking behavior
More appropriate testing and screening
Fewer diagnostic errors.
Avoidance of drug complications
Greater adherence to medical advice
Expanded choices and access to high-quality clinicians
what is the LEARN method?
Listen to the patient’s perception of the problem
Explain your perception of the problem
Acknowledge and discuss
differences/similarities
Recommend treatment
Negotiate treatment
