Advancing Effective Communicationcommunication, Cultural Competence, and Patient- and Family-Centered Care Quality Safety Equity

According to the U.S Department of Health and Human Services (Kassandra, A., 2015), the issue of health disparities have impacted many people’s lives in the community where the minority groups do not have equal access to the quality health care. These

Communication in the healthcare field may be a little different for some people. Healthcare requires the communication to have a purpose, and that purpose is revolved around a person’s needs. A patient with good staff communication during

Cultural safety and patient centred care are terms commonly used in the training of health care professionals. Each term focuses on best practice techniques while promoting a holistic manner of care for patients. As a concept, it enhances the professional and ethical role of health practitioners. Cultural safety and patient centred care are aspects which are crucial for health professionals who strive to deliver the highest level of quality care to all patients (Nguyen, 2008). This essay will analyse and demonstrate that cultural safety is patient centred care by using examples from practice. Through this it will discuss professional standards, science, health policies and health models.

Disparities In Care: Case Study 1 Southern Regional Health System try to provide health care to an diverse population in Jackson, Mississippi. Their mission is to provide “excellent quality care for all” and provide care that doesn’t discriminate or is “color blind” (Olden, 2015, pg. 328). One of the central ideas of this establishment is to make the established health care services efficient without disparate. “Understanding the demographic and socioeconomic composition of U.S. racial and ethnic groups is important because these characteristics are associated with health risk factors, disease prevalence, and access to care, which in turn drive health care utilization and expenditures” (National Center for Health Statistics, 2015). Health care disparities include, but not limited

By 2001 it was brutally apparent that the U.S. Health Care system was in dire need of a reform in regards to quality and patient safety. Following two separate reports issued by The Institute of Medicine (IOM), To Err is Human (1999) and Crossing the Quality Chasm: A New Health Care System for the 21st Century(2001) the U.S. Congress requested the IOM review quality processes across multiple government funded health care programs. And understandably, “these reports described America’s healthcare system as a tangled, highly fragmented web that often wastes resources by duplicating efforts, leaving unaccountable gaps in coverage, and failing to build on the strengths of all health professionals” (Brown J., p. I – 15, 2013). Thus, the Committee on the Quality of Health Care in America released 6 aims to address key dimensions that require improvement in our health care system. These aims propose that our system needs to strive to be more Safe, Effective, Patient-Centered, Timely, Efficient, and Equitable (STEEEP). All of which were created to help overhaul our current health care system and, more importantly, narrow the quality chasm.

It is important for policy makers to create services that are culturally sensitive since the United States is a culturally diverse country; moreover, Healthcare professionals needs to be culturally competent so that they can guide policy makers in making sustainable systems for individual communities. “Efforts to improve cultural competence among health care professionals and organizations would contribute to improving the quality of health care for all consumers” (GeorgeTown Health Policy Institutes, 2004, para 31). Language barrier is another culture issue that prevents the community from getting the care that they deserve. “Cultural and language differences and socioeconomic status interact with and contribute to low health literacy, defined as the inability to understand or act on medical/therapeutic instructions” (Shaw, Huebner, Armin, Orzech, & Vivian, 2009, p.1). There should be health policy addressing this issue because of the confusion and inappropriate treatment that many

Despite improvements, differences persist in health care quality among racial and ethnic minority groups. People in low-income families also experience poorer quality care (U.S. Department of Health and Human Services, 2013). Access to care measures include facilitators and barriers to care and health care utilization experiences of subgroups defined by race and ethnicity, income, education, availability of health insurance, limited English proficiency, and availability of a usual source of care (Mandal, 2014).

Although the United States is a leader in healthcare innovation and spends more money on health care than any other industrialized nation, not all people in the United State benefit equally from this progress as a health care disparity exists between racial and ethnic minorities and white Americans. Health care disparity is defined as “a particular type of health difference that is closely linked with social or economic disadvantage…adversely affecting groups of people who have systematically experienced greater social and/or economic obstacles to health and/or clean environment based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (National Partnership for Action to End Health Disparities [NPAEHD], 2011, p. 3). Overwhelming evidence shows that racial and ethnic minorities receive inferior quality health care compared to white Americans, and multiple factors contribute to these disparities, including geography, lack of access to adequate health coverage, communication difficulties between patients and providers, cultural barriers, and lack of access to providers (American College of Physicians,

According to the Centers for Disease Control (CDC), “health equity is achieved when every person has the opportunity to attain his or her full health potential and no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances” (U.S. Department of Health and Human Services, 2015). Satcher (2010) reports that health inequities are “systematic, avoidable, and unjust” disparities (p. 6). He also states that the World Health Organization (WHO) concluded that social conditions are the most important determinant of a person’s health. Social conditions “determine access to health services and influence lifestyle choices” (Satcher, 2010, p. 6). These determinants must be addressed in order to reduce health inequity. Inequity can be

For this paper and hereinafter health disparity is defined as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.”(healthypeople.gov). This definition is from Healthy People 2020, the guide for the Nation’s health promotion.

People often interpret the word disparities as only having to do with race or ethnicity, however the term goes beyond that and includes sex, sexual identity, age, disability, socioeconomic status, and geographic location (“U.S. Department of Health,” 2011). The goal of Healthy People has changed over the decades, at first it was to reduce health disparities, then it was to eliminate disparities, and now for 2020 it is to achieve health equality, eliminate disparities, and improve the health of all groups of people (“U.S. Department of Health,” 2011).

In this assignment I am going to be explaining the factors that may influence communication and interpersonal in health and social care environments and also I am going to be explaining the strategies used in health and social care environments to overcome barriers to effective communication and interpersonal interactions. I will be including sensory deprivation, foreign language, jargon, slang, dialect, acronyms, cultural differences, distress, emotional difficulties, health issues and environmental problems, misinterpretation of message, aggression, assertion and how they can be overcome.

This assignment is centred on effective interpersonal interaction and good communication in health and social care which is achieved through the use of multiple communication methods and techniques and the analysis of how certain types of people think and communicate.

The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse

Defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural and linguistic needs (Georgetown University, 2004) Cultural competence is an ideal that spans across not only healthcare, but also law enforcement. Utilizing the same mindset as the healthcare industry, law enforcement has the dubious task of deciphering how to provide a service meant for all and ensure that the needs of all citizens and businesses are met. According to Terry Cross (1988), culturally competent agencies are characterized by acceptance and respect for difference, continuing self-assessment regarding culture, careful attention to the dynamics of difference, continuous expansion of cultural knowledge and resources, and a variety of adaptations to service models in order to better meet the needs of minority populations. The culturally competent agency works to hire unbiased employees, seeks advice and consultation from the minority community and actively decides what it is and is not capable of providing to minority clients.