Cultural Considerations In Health Care

As the United States becomes more and more culturally diverse one cannot help but be exposed to various cultures and worldviews. America has long been called the melting pot, and that term has never been truer than it is today. According to Green and Reinckens (2013) the U.S. Census Bureau estimates that by the year 2041 the U.S. population will be a majority minority. In other words, less than half of the population will be non-Hispanic, single race Caucasian. This growing diversity makes cultural competence in healthcare a necessary

An individuals ethnicity and culture is an integral part of their life that influences their perceptions of both health and illness (Andrews & Boyle, 2016). Culture is the accumulated knowledge, values, personal and social behavior, customs, language, and religious beliefs of an ethnic group that are learned and practiced. With this being said, with the rapid rise of individuals of diverse cultural backgrounds, being aware of the perceptions of different cultures is essential in providing culturally competent care. The purpose of this paper is to explore the diverse cultural background of the patient involved in one of the four videos that were allotted to choose from and discuss their perception of health and illness. Furthermore, the overarching

The text list several factors that contribute to healthcare disparities, social, economic status, access to medical care, lack of insurance, unemployment, lack of knowledge of healthcare processes and procedures within society, transportation issues and many other factors that contribute to healthcare disparities. Being knowledgeable of cultural competency has several advantages, cultural competence provides relief to the patient when the patient feels comfortable with their physician a bond is developed and patients are less likely to file malpractice claims. Displaying cultural competency increases the quality of services and patient satisfaction.

There continues to be racial and ethnic disparities in the United States, and these problems need to be addressed since the rate of racial/ethnic populations in the country are steadily rising. According to the 2001 United States Census, “racial/ethnic minority populations are growing at such a fast rate that by 2050 more than 50% of the population will belong to a minority group” (Weech-Maldonado, Al-Amin, Nishimi, Salam, 2011). Race and ethnicity should not determine the levels of health care people receive. Certain races have genetic predispositions for certain diseases and that fact cannot be changed. However, the differences among race for things such as treatment, access to health care, and availability of medicine should not be as great as they are. One of the most important disparities that exists between racial/ethnic groups is access to care, specifically how access to care is limited due to treatment not being tailored to the needs of different minorities.

Healthy People 2020 discusses a number of special population’s that have barriers to care including; race, age sex, sexual identity, age, disability, socioeconomic, and location; this post will discuss race (ethnic) group.  There are a number of races mentioned in healthy people 2020, such as, Asian, American Indian, Alaskan, Latino and African American (Healthy People 2020, n.d.). Access to health care in an ethnic group is multifaceted from the lack of trust, lack of health care education, discrimination and cost of care including health insurance. According to Howard, Peace, & Howard (2014), African Americans have a greater risk of three preventable diseases, hypertension, renal failure and bacterial infections stating; “no other disease

The government funds healthcare for many demographics in the U.S . . the access to healthcare ranges in care from racial background and ethnics. Hispanics are less likely to receive healthcare coverage because of the demographics. Hispanics may not be able to afford healthcare as to why they do not receive it. Language barriers between Caucasian’s and physicians may hinder diagnosis of conditions. Caucasians are less likely to get checked for colon cancer or high blood pressure from a healthcare provider. African American is usually checked for this disease. African Americans are more likely to have one of these diseases so being checked by a phycians is common. Individuals that live in neighborhoods that are less fortunate do not know information

Among minorities such as Asians, Hispanics, Indians, Native Americans, and Middle Easterners, the African American race has been affected tremendously by the health disparities in the United States. Currently, African Americans have significantly higher mortality rates from cardiovascular and cerebrovascular disease, cancer, diabetes, HIV, unintentional injuries, pregnancy, sudden infant death syndrome, and homicide than do whites Americans (Fiscella & Williams, 2004). While African Americans may lead in these categories, other minorities are not far behind in experiencing health disparities.

In a perfect world, race, ethnicity and culture would have no negative effect on the medical care we receive, yet problems do arise and it affects the quality of care the patient receives. Language barrier, poor socioeconomic status, and poor health literacy also contribute to health care disparity. For Lia, it was more than her skin color, it was all of the above, her parents did not speak English and they were illiterate. They had trouble understanding the American healthcare system, had trouble or little interest in adjusting to or understanding the American culture. They didn’t work, which in addition to cross cultural misunderstanding, helped contribute to animosity between the Hmong and the host community, because some in the Merced area did not like or appreciate the fact that some Hmong did not work and relied on welfare to make ends meet. All these factors, contributed to the poor quality of

healthcare system (Elchoufani, 2018). Attaining a good health is the ultimate goal for all people and the overall population, so it is important that people study the interactions between race, gender, and socioeconomic status in this matter (ASPPH, n.d.). People in communities with lower socioeconomic status typically encounter fewer options for healthy food and a lack of health education as well as health care. All in all, studying minority health allows us to find methods in making health care more accessible for under-resourced populations, along with determining methods out services and resources can be dispersed to the populations which are more prone to certain illnesses (ASPPH, n.d.). The studying which results in better methods all benefit towards guiding the U.S. population to overall health

With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).

In 2008, the death rates for infants was 53% higher for AI/AN women compared with non-Hispanic white women (Centers for Diseas Control, 2015). This is a significant disparity between these two populations. Good health is influenced by race, ethnicity, socioeconomic state, geographic locale, education, and lack of health insurance to name just a few (Healthy People, 2015). The comparison and contrast identified in previous paragraphs clearly presents the existing health disparity of AI/AN’s population.

In the United States today cultural diversity is growing more prevalent every day. The report from the Institute of Medicine (IOM: Unequal treatment, 2002) presented information that racial and ethnic minorities of all ages receive lower quality health care compared to their non-minority counterparts. Every effort should be made to stop the disparities surrounding cultural differences while attempting to understand the cultural health behaviors, increase cultural

Medical researcher, Dr. Leonard Egede, wrote "Race, Ethnicity, culture and disparities in healthcare," published in June of 2006 in the Journal of General Internal Medicine. He explains that patients of minority ethnicity experience greater morbidity and mortality from different chronic diseases than non- minorities. In his article, minority patients are more vulnerable populations and include groups that do not receive health care services. According to Dr. Egede, the Institution of Medicine (IOM) racial and ethnic disparities still exist in health care, since they are connected with worse outcomes in many cases, are not acceptable. Also, IOM reports that there are some interesting views in regard to comprehending and recognizing the sources of disparities, assisting factors, planning and measuring effective interventions to eliminate racial and ethnic disparities in health care. The role of IOM is significant because it provides suggestions and directs the importance of data collection that impacts

When it comes to healthcare racial disparities continue to be an ongoing issue. In fact racial disparities have been a topic of discussion since desegregation. The US Department of Health and Human Services, in 1984 published a report that called attention to the healthcare disparities. The report was called Heath, United States 1983(Dougher, 2015). Within the context of the report there lies a passage that describes the major disparities that are within the burden of illness and death that is experienced by African Americans and other minorities, “despite significant progress in the overall health of the nation” (Dougher, 2015). It was evident that there was a serious lack of health care minorities.

Culture has more than one definition. It can be defined as the language spoken throughout a group of people or even the beliefs practiced. In the professional field of nursing, nurses are required to do more than administer medication or change bandages on a patient. To be able to fulfill a nurse’s job requirements, a nurse must learn to be culturally competent. Cultural competency in the professional field of nursing means to care and respect the patient whether or not the health care provider is in agreement with the patient’s decisions.