Heritage Assessment

In the poem Heritage by Linda Hogan, Hogan uses the tone of the speaker to demonstrate the shame and hatred she has toward her family, but also the desire for her family’s original heritage. The speaker describes each family member and how they represent their heritage. When describing each member, the speaker’s tone changes based on how she feels about them. The reader can identify the tone by Hogan’s word choices and the positive and negative outlooks on each member of the family.

Today in society there are many diverse culture and ethnic backgrounds, each with their own habits, traditions, preferences, and of these includes health. Different needs of the whole person should be evaluated in detail. This paper will discuss results from three different cultures through the interviewing of them using the Heritage Assessment Tool. It will also review, compare, and address health traditions between the cultures as well as identify common health traditions based on cultural heritage. The purpose is to evaluate and discuss how families subscribe to these traditions/practices, address health

The purpose of this paper is to inform readers on the culturally competent strategies that ameliorate health disparities in this country. Over the years health issues have increase rapidly. There are different ethnic backgrounds shows that their health plays a big role culturally and also diversity.

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.

The findings of the interviews are identified in the table below (information including but not limited to what is listed). These families of different cultures ascribed their health traditions to different things. The African American family states that their health traditions are passed down by elders (grandparents), of both sexes. The Mexican American family ascribes their traditions to the women of the family, stating that it is a female responsibility to pass down traditions regarding heath. The Caucasian American family states that they received their knowledge of health from what is or has been proved by science, and usually each mother of the household is responsible for the health of the family.

About 36.6% of the population in the U.S belong to or identifies as one of the 5 ethnic minority groups. These groups are Native Hawaiian, Hispanic or Latino, American Indian or Alaska Native, Asian, African American or Black, or Pacific Islander. The U.S has the most expensive health care system in the world yet many of these minority groups are worse off in regards to socioeconomic and health care status if compared to white Americans. It is plain to see this health disparity when some communities have death rates comparable to 3rd world countries.

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.

The Institute of Medicine’s Report on Unequal Treatment: Confronting Racial/Ethical Disparities in Health Care states that cultural bias is one contributor to racial and ethnic minorities having higher rates of poor health outcomes than Whites in the case of disease; even when income, employment

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).

Many factors contribute to differing racial and ethnic health needs, including culture norms, religious mandates, and health disparities. The health disparities refers to specific differences in disease incidence, health outcomes, quality of health care and access to health care services that exist across racial and ethnic groups (Mandal, 2014). Disparities may result from inadequate access to care, poor quality of care, cultural issues and social determinants.

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,

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).

The incidence of cancer is higher in Black Americans, both men and women, than non-Hispanic Whites. Men are more likely to have lung, pancreatic and stomach cancer. They are more likely to die from prostate cancer. Black African American women are 36% more likely to die from breast cancer.

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

More Diverse Healthcare Professionals lead to positive patient outcomes. Racial and ethnic minorities have higher rates of poor health outcomes than white in the case of disease, even when income, employment status and insurance coverage are controlled. Cultural bias is one contributor to this, according to the IOM Report Unequal Treatment: