Week 9 - Patient Centered Care and Cultural Competency

Question 1

What is patient centered anesthesia care?

Answer 1

It is critical to improving quality, improving safety, and reducing health care cost

Concept of shared decision-making by establishing a patient partnership through sharing information and evidence, acknowledging patient preferences and ideas, identifying choices, and negotiating decisions and agreeing upon an action

Question 2

What are the 8 dimensions of patient-centered care?

Answer 2

• Patients’ Preferences
• Emotional Support
• Physical Comfort
• Information & Education
• Continuity & Transition
• Coordination of Care
• Access to Care
• Family & Friends

Question 3

What are the four core concepts of patient centered care?

Answer 3

Dignity and Respect

Information Sharing

Participation

Collaboration

Question 4

Explain the Dignity and Respect core concepts of patient centered care

Answer 4

Anesthetists must listen to and respect the patient’s point of view and choices

The anesthesia plan should incorporate the patient and family knowledge, values, beliefs, and cultural background

Question 5

Explain the Information Sharing core concepts of patient centered care

Answer 5

Anesthetists should communicate and share complete and unbiased information with patients and families in a useful and affirming way

The information should be timely, complete, and accurate so that shared decision-making can occur

Question 6

Explain the Participation core concepts of patient centered care

Answer 6

Patients and families should participate in decision-making at the level of their choice

Question 7

Explain the Collaboration core concepts of patient centered care

Answer 7

Patients, families, health care professionals, and health care leaders should collaborate on all aspects of health care

*Delivery of care, policy and program development, implementation and evaluation, professional education

Question 8

What are the 6 dimensions for improving health care quality as defined by the institute of medicine?

Answer 8

• Safety
• Timely
• Effective
• Efficient
• Equitable
• PATIENT CENTERED

Question 9

What are the components of the Triple Aim?

Answer 9

Experience of Care

Population Health

Per Capita Cost

Question 10

How are patient centered care and cultural competence related?

Answer 10

Patient-centered care is culturally competent and culturally competent care is patient-centered

• primary goal of the patient-centeredness movement has been to provide individualized care and restore an emphasis on personal relationships
• primary aim of the cultural competence movement has been to increase health equity and reduce disparities by concentrating on people of color and other disadvantaged populations

Question 11

What does each letter in the L.E.A.R.N. Model of Cross-Cultural Communication stand for?

Answer 11

• Listen w/ sympathy and understanding to the pt’s perception of the problem
• Explain your perceptions of the problem
• Acknowledge and discuss the differences and similarities
• Recommend treatment
• Negotiate agreement

Question 12

What does each letter in the R.E.S.P.E.C.T. Model of Cross-Cultural Communication?

Answer 12

Rapport
Empathy
Support
Partnership
Explanations
Cultural Competence
Trust

Question 13

Explain the component Rapport in the R.E.S.P.E.C.T. Model of Cross-Cultural Communication

Answer 13

• Connect on a social level
• Seek the patient’s point of view
• Consciously attempt to suspend judgment
• Recognize and avoid making assumptions

Question 14

Explain the component Empathy in the R.E.S.P.E.C.T. Model of Cross-Cultural Communication

Answer 14

• Remember that the patient has come to you for help
• Seek out and understand the patient’s rationale for his or her behaviors or illness
• Verbally acknowledge and legitimize the patient’s feelings

Question 15

Explain the component Support in the R.E.S.P.E.C.T. Model of Cross-Cultural Communication

Answer 15

• Ask about and try to understand barriers to care and compliance
• Help the patient overcome barriers
• Involve family members if appropriate
• Reassure the patient you are and will be available to help

Question 16

Explain the component Partnership in the R.E.S.P.E.C.T. Model of Cross-Cultural Communication

Answer 16

• Be flexible with regard to issues of control
• Negotiate roles when necessary
• Stress that you will be working together to address medical problems

Question 17

Explain the component Explanations in the R.E.S.P.E.C.T. Model of Cross-Cultural Communication

Answer 17

• Check often for understanding

- Use verbal clarification techniques

Question 18

Explain the component Cultural Competence in the R.E.S.P.E.C.T. Model of Cross-Cultural Communication

Answer 18

• Respect the patient and his or her culture and beliefs
• Understand that the patient’s view of you may be identified by ethnic or cultural stereotypes
• Be aware of your own biases and preconceptions
• Know your limitations in addressing medical issues across cultures
• Understand your personal style and recognize when it may not be working with a given patient

Question 19

Explain the component Trust in the R.E.S.P.E.C.T. Model of Cross-Cultural Communication

Answer 19

• Self–disclosure may be an issue for some patients who are not accustomed to Western medical approaches
• Take the necessary time and consciously work to establish trust