Linguistic/Language Barriers
Another common problem among the Asian population in Flushing, Queens would be the large number of linguistic and cultural barriers that may attribute to the large factor of lower cancer preventive screening rates. While there are a growing number of small private offices opening up in Flushing to cater to the influx of Asian immigrants, a large percentage preferred to seek health care in their language opposed to English. Especially in Chinese cultural trends, the older generation of Chinese people tend to be quieter and less likely to voice their ailments or treatment options with doctors. Ultimately, there may be physician bias which could have a lasting impact on diagnosis and management if they understood
There is a clear evidence that links Clinician-patient communication to patient satisfaction, treatment adherence and health outcomes. The understanding and the appreciation of cultural differences highly influence the communication and the plan of treatment (6, 7). Failure of physicians in understanding sociocultural differences between themselves and their patients might results in lower quality of health care (8).
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).
Have you ever been to the doctor and don't quite understand what the provider is telling you, or are you a healthcare worker and you don't understand your patients? Should the healthcare provider get diversity training or should they maybe learn new languages? More than ever before, healthcare professionals are subjected to dealing with a number of immense and different cultural diversities. While diversity is often a term used to refer specifically to cultural differences, diversity applies to all the qualities that make people different. Diversity requires more than knowing about individual differences and it key for overcoming cross-cultural barriers in healthcare.
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
Immigrants are faced with a lot of barriers when it comes to taking full advantage of basic preventive care services available to them. Of the diverse population of immigrants coming to the United States, over half (53%) of them are older Hispanics from Latin America (Strunk, Townsend-Rocchiccioli, & Sanford, 2013). This paper focuses on US-dwelling Hispanics, aged 65 years old and above. This paper will depict how failing to acculturate, lacking financial resources, and having limited ability to communicate in English pose a challenge for the older Hispanic population to obtain high quality and cost-effective patient care.
Department of Health,” 2011). The United States is composed of many different groups of people and diverse cultures. It is unfortunate that even today someone’s culture or race is a factor in determining the health care they receive and the quality of the care they receive (“Eliminating
The first way was that Asian Americans were viewed as perfect and not having any health disparities. The second consequence was that Asian Americans are often lumped together and not divided into individual nationalities. These two consequences have led to a lack of resources being allocated to healthcare providers learning of Asian American health care concerns (Yi, Kwon, Sacks, & Trinh-Shevrin,
Asian Americans (AAS) are diverse ethnic group’s origins from the Far East Southeast Asia and Indian continents. More than 800 languages are spoken among AAS. They are one of the fastest growing populations in the US. 43 percent increase between 2000 & 2010. There are 15.5 million Asian Americans living in the United States (2012 Census Bureau population). Even if all Asian Americans have the same traits, such as strong family values, importance in educations, following tradition and valuing personal relationship, still there are many differences in language and culture among Asian American groups as well. In 2012, the total private insurance coverage for Asian Americans was 68.8 percent, as compared to 74.4 percent for the non-Hispanic White population. 15 percent of Asian Americans were uninsured, as compared to 10.4 percent non-Hispanic White Americans.
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
VACF acknowledges that for many physicians and healthcare providers, Vietnamese American cultural values may be difficult to understand, but is necessary in reducing these health disparities. To assist with this, VACF has partnered up with bilingual healthcare providers including local physicians, clinics, and hospitals who are culturally aware. The ideology behind this is to help improve patient-physician communication, patient adherence to treatment, and the likelihood of patient follow-up and check-up among Vietnamese Americans. Further services include outreach, education, patient navigation, free screenings, and care coordination. All of these services provided by VACF are intended to empower community clients with the proper tools to tailor their own cancer care
As the diverse populations of the United States (U.S.) continues to grow the need for cultural competency in healthcare delivery requires culturally competent healthcare providers. Each population has its own particular norms and practices that guide their lifestyles; therefore, a challenge arises for health care providers to learn to provide culturally sensitive care to clients from diverse cultural backgrounds (Waite and Calamaro 2010). The ever changing population of the U.S. signifies a much needed change in health care delivery to different cultures. The U.S. Bureau of Census (1992) predicts that by the year 2020 only 53 % of the population will be of white European decent.
Racial and ethnic disparities can be a touchy subject when talking among many circle of people, even so with some Caucasian sub-group.US Census reported that 1 in 4 Americans are of a race other than white; 1 in 3 children are African American, Hispanic, or Asian; and 1 in 10 people are of foreign-born. When majority dictated make all decisions and the minorities does not have any power. This cultural diversity can have inferences with our health care. Ethnic culture affects our beliefs, health, illness, and medications, as well as how we interact with our healthcare providers, and even how we comply with our prescribed medications, as well as mental health status (Cultural diversity and Medication Safety , 2003).
Cole Rudnai QUESTIONS Section 1. Cultural Differences in Cancer care PART I. Discuss the importance of delivering culturally competent care to patients of diverse races and ethnicities. Cultural competence is majorly important because it helps people to obtain the knowledge to function effectively within the cultural practices, needs, and beliefs presented by patients and their communities. As people of diverse cultures and belief systems may look at health and illness in a completely different way that most Americans do, medical students need to learn to recognize and consider the way in which the patient wants things to be done. Cultural competence is complicated because health-care professionals must be educated to avoid stereotyping,
After the IOM conducted a few studies using clinical data abstracted from patients, it was found that minorities do not receive the same needed treatment than caucasians do. However, some researchers, patients might react differently to treatment because of their racial and ethnic backgrounds. One factor for this justification, is the fact that some patients have racial differences in attitudes and behavior causing them to reject or delay getting treatment. Many people's cultural backgrounds impact their medical decisions. In addition, research suggest that many doctors may be justify when diagnosing and treating minority patients. As a result, researchers believe that these aspects are linked together with providers attitudes. In most cases providers have to use these disparities to diagnose treatment to patients. A
These findings suggest that factors such as patient and physician attitudes, as well as race concordance, play a role