Cultural Disparities In Health Care

Cultural diversity in the health care setting is increasing each year. Knowing how to care for patients of different religious and spiritual faiths is essential to providing high-quality, patient-centered care. The author of this paper will research three lesser-known religions; Taoism, Sikhism and Shamanism. Through this paper, she will provide a brief background on each of the three religions and present information regarding spiritual perspectives on healing, critical components of healing and health care considerations associated with each religion.

Introduction: Cultures, social, ethnicity, English proficiency are factors that my significantly affect the quality of healthcare. Patient’s perspective, values, beliefs and behavior are highly influenced by the sociocultural background pf the patient (1-5). These factors can affect dealing with patient’s symptoms, seeking care, pain toleration, care adherence, preventive measure, and health care expectations.

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).

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

This essay reviews key concepts of culture and diversity in the context of their role in causing and/or making worse disparities in health programs.

Although most American citizens today associate racial and ethnic disparities in public health care quality with socioeconomic status, a majority of studies performed conclude that these discrepancies are still highly prevalent when the factor of one’s socioeconomic status is taken out of the equation. Health disparities for a certain minority result in a higher number of illness, injury, and even mortality for that race or ethnicity in comparison to white Americans; therefore, health care disparities can be defined as differences between groups in health coverage, specifically focusing on both the quality and access to care. The Office of Management and Budget has created two ethnic categories for all American citizens to fit into, being either

In order to provide culturally safe and effective primary health care for all we must address the social determinants of health that result in health inequities across our population. Some of the key determinants of health inequities that are seen across most cultures are language, education, lack of appropriate health infrastructure, employment and racism.

Adapting to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence means to really listen to the patient, to find out and learn about the patient's beliefs of health and illness. To provide culturally appropriate care we need to know and to understand culturally influenced health behaviors. However, becoming culturally competent is a much more daunting task. Culture (and ethnicity) often influences a patient’s perceptions of health and illness. Therefore, if healthcare providers appear insensitive to cultural diversity, their actions may negatively affect the quality of the healthcare that they provide.

an American Indian male with diabetes who receives care at a non-tribal clinic. He reports that he does not feel much of a connection with his provider or his clinic, and says that he feels misunderstood when he tells his provider about his traditional healing practices.  He struggles to remember to take his medications and sometimes does not take them because he feels that they don’t work.

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,

Today, racial and ethnic disparities exist in the public healthcare system in the United States. It is strongly supported by data that depicts members of the minority groups receive disproportionately from different health issues such as diabetes, cardiovascular disease, cancer, and asthma, among other conditions. The main contributors to the racial and ethnic disparities in the public healthcare are the social determinants of the health external to the healthcare delivery system. In addition, social and economic status also affect people’s vulnerability to the disease and their accessibility to public health services. The article provides historical analysis that shows a deteriorating status in the

There are others areas of healthcare disparities to look into, such as immigrants and sexual orientation but for the purpose of this paper the following types will be the main areas discussed. The types of disparities of concern in this paper will include racial or ethnicity, gender, disabilities, socioeconomic, and geographic (Promotion, 2014). When looking into the racial or ethnic disparities, the population identifies themselves as racial or ethnic minority groups. Some examples of this population could

There are vulnerable groups that have significant problems in the health care system, due to this population being made vulnerable because of their financial circumstances or place of residence, health, age, race, mental or physical state. Access to health care across different populations are the main reason for current disparities in the United States health care system. Moreover, with a large amount attention being given to racial disparities in health, the meaning of race has come under increased scientific examination. (Sondik, 1997) Consequently, race remains to be one of the most politically charged topics in American life, because it's linked to sociocultural element often has led to classifications that have been ambiguous and improperly

I have been exposed to patients from many backgrounds and environments over the course of my education, including time spent in an urban clinic that primarily served low-income patients. Few experiences have been more humbling than observing a doctor carefully explain a treatment plan to a chronically homeless patient. It has helped me recognize a growing demand for healthcare professionals who seek to understand the needs of their patients, who are committed to service, and who work with their patients as active partners in healing.

Nursing can also be considered a cultural group; whereby the role of a nurse within the healthcare settings is strongly influenced by cultural beliefs about the importance of caring for those who are ill (Rogers-Clark et al., 2005). It is essential to provide effective nursing care in making cultural sensitivity, where health beliefs and practices may vary from culture to culture (Chan and Yau, 2009). Singapore is a multicultural Asian country which consist of Chinese, Malay and Indian ethnicities (Naser et al., 2012). Therefore, nurses working in a multicultural healthcare setting, must show respect towards patient’s custom of practice in order to provide an appropriate care (Tung, 2010). On the other hand, one should not make assumptions based on the patient's responses about religious preferences.