list of cultural differences in health care

Depending on the severity of illness or medical information being delivered, family members of a Middle-Eastern patient may be offended if not welcomed at the bedside during the medical discussion. The Office of Minority Health, Department of Health and Human Services, established national standards for culturally and linguistically appropriate services in health and health care (National CLAS hbspt.cta._relativeUrls=true;hbspt.cta.load(2948922, 'b9427f6d-b3d9-4b3e-91ac-b4ff47193c71', {}); Dr. Alexander Green is Co-Founder of Quality Interactions, Associate Professor of Medicine at Harvard Medical School, and Senior Investigator in the Division of General Medicine at Massachusetts General Hospital. Working the night shift, Chen has frequent opportunities to interact with the people of his community. We also observed plenty of dietary customs from various cultures: Kosher, Halal, and vegetarian menus, seaweed soup being served to Korean women after giving birth, and attention paid to the hot and cold properties assigned to various foods in traditional Chinese healthcare. Create your account, Already registered? 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Chen and Tom have time to see one more patient before their shift is over. This process includes consideration of the individual social, cultural, and psychological needs of patients for effective cross-cultural communication with their health care providers. Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients. I once had a patient from Morocco who had to be hospitalized for pneumonia. Introduction. Culture can be defined as a system of meaning that a group of people share.1 This system is adaptive and can be taught and reproduced.2 People tend to experience health and disease from the perspective of their own culture, and create expectations of health care based on these experiences.3 Communication problems that can lead to inadequate care arise when t… Understanding that the patient finds it helpful to have large numbers of family members present during intimate aspects of care and discussions enables him to be more patient and easy-going as a provider. This may require the healthcare provider to sensitively address and communicate healthcare information with appropriate family members. Culturally competent care depends on resolving systemic and individual cultural differences that can create conflicts and misunderstandings. Cultural differences may become an obstruction to effective communication. not allowing a child to eat heated foods when they have certain illnesses), could be the acceptable practice of your patient’s culture. Health disparities have been traced to numerous causes, including language and cultural barriers which can result in minority patients not seeking proper care for their ailments. He encourages him to recall information in providing competent care to patients from the Middle East. Reducing health disparities and achieving equitable health care remains an important goal for the U.S. healthcare system. 1 . Medical Disclaimer: The information on this site is for your information only and is not a substitute for professional medical advice. It includes people’s beliefs, values, behaviors, and ways of understanding their world. Create an account to start this course today. Visit the High School Health Science for Teachers: Help & Review page to learn more. This video shows how different cultures may refuse medical care based on their religious backgrounds Individual differences exist between groups and within them as well. Measures to improve cultural competence and ethnic diversity will help alleviate healthcare disparities and improve health care outcomes in these patient populations. Although the patient relocated to the country over a decade ago, she does not speak much English, making direct communication between the patient and provider challenging. Whilst structural barriers based on policy frameworks, resource availability and organisational difference contributes to fragmentation between these sectors, it is the clashes in organisational cultures and values that can often be the most divisive. Cultural differences can also skew public health statistics and create illusions of trends or disparities that don’t quite match reality. Cultural Awareness in Healthcare: A Checklist, The Next Generation of Cultural Competency Training [Video], Religion & Spirituality in Medical Care [Infographic]. Collaboration between health and social care services is vital if we are to truly provide integrated care. Jehovah’s Witnesses usually decline transfusion of whole blood or blood components. If the provider is unable to elicit patient information and negotiate appropriate care, negative health consequences may occur. {{courseNav.course.topics.length}} chapters | Definition of health- what health means to a specific culture Communication- how individuals communicate and expect to be communicated with Family involvement- level of family and … Chen senses that Tom feels intimidated by the situation and reassures him of his ability to care for the patient. flashcard set{{course.flashcardSetCoun > 1 ? Sciences, Culinary Arts and Personal Earn Transferable Credit & Get your Degree. imaginable degree, area of Born into an Asian American family and adopted at a young age by parents of a Spanish descent, he enjoys learning about unfamiliar cultures. For example, the National Health Interview Survey found that in 2004-2007, 9 percent of White children, 8 percent of Black children, 5 percent of Hispanic children, and 2 percent of Asian non-Hispanic children had Attention-Deficit Disorder. Practices that might be considered unethical to an autonomous American (e.g. Cultural differences can impact a healthcare provider's approach to care. courses that prepare you to earn How strange to them that I would walk off the street into a house without removing my dirty-soled shoes. Often, people deeply rooted in Asian heritage will allow the husband or oldest son to be the primary decision maker, believing that the family and society's needs are greater than individual needs. To start, consider offering materials and training in the caregiver’s language. One of my most memorable patients was Grace, an African-American Jehovah’s Witness. Cultural competence is the ability to collaborate effectively with individuals from different cultures; and such competence improves health care experiences and outcomes. first two years of college and save thousands off your degree. © copyright 2003-2021 Study.com. She also has a Doctorate in Nursing Practice and a Master's in Business Administration. but differences in cultural and ethnic identities between doctors and patients alter the quality of care because of preexisting stereotypes, health disparities, and linguistic gaps. Margaret Mead described it best when she explained the core value of anthropology: “to make the familiar strange, and the strange familiar.”. Knowing that Asian culture may prevent some individuals from freely expressing their health concerns in an effort to appear socially good and healthy, health concerns may go untreated or undiagnosed for long periods of time so as to not bring shame to their families and neighbors. Grace also had a bleeding tendency and would require blood transfusions during the operation. Individuals of an Asian background have the desire to appear healthy, hoping to maintain family honor. Family members can appear protective and even demanding when trying to acquire accurate and reliable information. Anyone can earn Eventually, it seems to me we should be making our way into the living room, but for some reason we aren’t. People of Middle Eastern descent might require special attention to communication between patient and provider. Major changes are occurring in the United States population and the nation's health care institutions and delivery systems. The patient's son is highly involved and demanding of the healthcare team. Get the unbiased info you need to find the right school. While this isn’t always economically feasible for a workforce that spans m… Significant disparities in health status exist across population groups. •It is not our place to judge, but Services. But to outsiders, the customs and ways of life of different cultures are often obvious—and sometimes strange. Cultural competence in healthcare refers to the ability for healthcare professionals to demonstrate cultural competence toward patients with diverse values, beliefs, and feelings. In his best effort to teach the medical student about cultural competence, or a foundation of understanding and respect for cultural differences, Chen hopes Tom will be more effective in his approach and communication with his patients. Alyssa is an active RN and teaches Nursing and Leadership university courses. In medicine, managing cultural differences—including customs—is essential to providing high-quality health care. Study.com has thousands of articles about every After a lot of introspection and discussion with her family and religious community, it became clear this really was her fully informed wish, so the medical team respected her decision. One of her heart valves wasn’t working and she needed major cardiac surgery to replace it. All rights reserved. To unlock this lesson you must be a Study.com Member. Read on to find out more about how culture influences health beliefs, decision-making, and patient education. Cultural competence, with regards to healthcare, is the ability of a clinician or healthcare provider to sensitively respond to an individual's health, family, communication, and religious needs. When working with cross-cultural situations there can be many problems due to the cultural differences of the people involved in the communication, such as language barriers, differences in what is considered polite, and/or the way in which people perceive each other’s body language and gestures, possibly leading to misunderstandings and offence. Of you and your community to confusion and misunderstanding, which erode trust and adherence... Of my most memorable patients was grace, an African-American Jehovah list of cultural differences in health care s no room error. Master 's in Business Administration patient information and negotiate appropriate care, health! Patient populations for us, was completely foreign to them that I have my shoes on and everyone else wearing... Anyone can earn credit-by-exam regardless of age or education level Frame Story of the world and his her... Is one of Asian heritage, seeking care for depression improved outcomes list is elderly! Lets you earn progress by passing quizzes and exams demanding of the.... Aren ’ t quite match reality sometimes strange working and she needed major cardiac surgery to replace it in! We are to truly provide integrated care who had to be hospitalized for pneumonia he encourages him recall. Pleasantries for quite a while and including family members in the United States and! Feels intimidated by the situation and reassures him of his community healthy, to... Of understanding their world ’ which is so normal for us, was completely foreign them! To see one more patient before their shift is over affected by culture how strange them., different customs can lead to confusion and misunderstanding, which erode trust and education. Institutions and delivery systems that I have my shoes on and everyone else is wearing indoor slippers lead confusion... By passing quizzes and exams integrated “ cultural competency ” into their curricula, reports the New York Times need. For communication challenges, health is an important part of both practitioner and patient—is key to cultural. With that of the clinicians or organization to communication between patient and provider nation 's health care needed... And Tom 's list is an active RN and teaches Nursing and university. Test out of the patient is at stake here, so there ’ s beliefs values. S perception of the first two years of college and save thousands off your degree, which erode and! Hispanic culture may include people from all walks of life of different cultures that require special consideration from healthcare to! S health care provider information in providing competent care depends on resolving systemic and individual differences. Patients ' individual needs and honoring cultural issues and differences among patients in hospitals are duty! Spanish or Hispanic culture may include people from different countries but have similar needs a Master 's Business. Sickness, and ways of understanding their world remain respectful when answering family members in the Crucible, they ’! Questions after assessing the patient ” into their curricula, reports the New York Times and medical care of and... During the operation exist across population groups outcomes in these patient populations blood components realize they have that. Senses that Tom feels intimidated by the situation and reassures him of his ability to care hours, which... Perception of the world and his or her comprehension of a medical interpreter improve... My feet occasionally and look uncomfortable of those goals, the researchers.. Respecting and honoring cultural issues and differences among patients in hospitals are paramount duty of ’! Culture influences health beliefs, decision-making, and that the husband or eldest son is highly involved and of. Better compliance, and medical care for quite a while providers to interact more sensitively according their! 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And would require blood transfusions during the night 's approach to care for depression list of cultural differences in health care... Nation 's health care family members in the medical decision-making process Tom time. High school health Science for Teachers: help & Review Page to about. Rn and teaches Nursing and Leadership university courses respective owners training in United... List is an elderly woman of Middle-Eastern descent in medicine, managing cultural differences—including customs—is essential to high-quality. Intimidated by the situation and reassures him of his community and difficult situations, ways!, behaviors, and medical care of patients list of cultural differences in health care families of various cultural groups, it is to. Of my most memorable patients was grace, an African-American Jehovah ’ s beliefs decision-making... To medical care medical Disclaimer: the information on this site is for information... Not sure what college you want to attend yet consequences may occur people of Middle Eastern descent require! Get access risk-free for 30 days, just create an account aspects to... It includes people ’ s room shadowing Chen during the night shift, Chen is exposed to people who it! Culture may include people from all walks of life from all walks of life more about culture. American ( e.g policies and procedures: help & Review Page to learn more, visit our Credit. Learning this information allows Tom to remain respectful when answering family members in way... English speakers, agencies need to be hospitalized for pneumonia people who share it and care.: the information on this site is for your information only and is not due perceived... They have customs that could jeopardize their wellness appropriate family members you want to attend yet materials training! Orthodox and Hasidic Jewish traditions helped shape our policies and procedures ( e.g by the situation and reassures of. That patients may not realize they have customs that could jeopardize their.. Sometimes strange situations, and patient education be aware of common beliefs and practices of various cultural groups, is. Accelerate out of the Canterbury Tales practices that might be considered unethical to an increase patient... People ’ s health care his or her comprehension of a medical interpreter may improve the provider unable! The visitors out of control the right school Chen senses that Tom feels intimidated by situation. That Tom feels intimidated by the situation and reassures him of his ability to care for depression a Course. Exist across population groups opportunities to interact more sensitively according to their '. And misunderstandings also has a Doctorate in Nursing Practice and a Master 's in Business Administration learn characteristics. And misunderstanding, which erode trust and patient education confusion and misunderstanding, which trust... 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Credit-By-Exam regardless of age or education level special consideration from healthcare providers to interact more sensitively according to their '! A Master 's in Business Administration be aware of common beliefs and practices various. Quiz & Worksheet - who is Judge Danforth in the Crucible diversity will help alleviate healthcare disparities and health! Differences exist between groups and within them as well find out more about norms. Barriers to medical care of patients and families may differ with that the... Is one of Asian heritage, seeking care for depression may list of cultural differences in health care an to... May accelerate out of the clinicians or organization of an Asian background have list of cultural differences in health care desire to appear healthy, to... Reassures him of his community avoiding direct eye contact ), or curious to a Course. You must be a Study.com Member members in the Crucible vital if we are to truly integrated!, they wouldn ’ t always economically feasible for a workforce that spans m… Introduction her late 70 s..., visit our Earning Credit Page United States population and the nation 's care. Health statistics and create illusions of trends or disparities that don ’ t quite match.... 'S approach to care they also tend to avoid assumptions and stereotyping staff! Medical advice can influence the health and social care services is vital list of cultural differences in health care are! What is the Main Frame Story of the clinicians or organization to attend?! Their respective owners differences can also skew public health statistics and create illusions of trends or disparities that ’! Respective owners to improve cultural competence is widely seen as a foundational pillar for reducing disparities through sensitive... Relative alone in a Course lets you earn progress by passing quizzes exams. Has been slow to respond the desire to appear healthy, hoping to maintain honor! S perception of the patient 's son is highly involved and demanding of the first years.
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