Problem Multicultural disparities serve as a gap within the health care system. However, all remarkable leaders and or administrator share commonalities to try and bring about a resolution for multicultural disparities. In fact, an integral part of multicultural disparities stems from attitudes, no access to resources, health behaviors, and organization not validating a change is needed. More importantly, health disparities, continue to plague the population. Multicultural Health Care: A Quality Improvement Guide. (2006, p. 3) states “health care disparity is a difference in treatment provided to members of different racial or ethnic groups that are not justified by the underlying health condition or treatment preferences of patients.” The …show more content…
The gap within multicultural health care has thus far led to racism, stereotyping, and discrimination. Furthermore, healthcare leaders have not identified what intervention is appropriate to close the gap on cultural competence. Wilson, Sin, & Conlon, (2010, p. 361) states, “it is important to recognize that certain organizational factors may act as constraints on the ability of individuals to engage.” However, administrators and other leaders that are involved with healthcare disparities have created multiple platforms to access care but have not leveraged the cultural differences. Also, administrators and leaders that have partaken in the health care system will improve quality, continue multicultural education, implement new health care policies, and provide adequate resources. The facts remain, A Framework for a Systems Approach to Health Care Delivery, (2001) states “In any large system that has many subsystems, achieving high operating performance for each subsystem while taking into account the mutual influence of subsystems on each other and on the system as a whole can be a daunting task.” Health care organizations view multicultural inequality as a non-factor thus …show more content…
A resolution to decrease multicultural health care disparities is a challenge, but it starts at the government level. The government must acknowledge that multiple problems exist. Consequently, a budget must be implemented to begin to incorporate a resolution for multicultural disparities. The provisions of the health care reform may start the process to better care. Nevertheless, bridging the gap in multicultural health care disparities also requires thorough training, education, and teamwork of all individuals that are involved in the healthcare system. Therefore, there are several ways to start bridging the gap. For example, developing an awareness of cultural values, learning worldview’s, eliminating biases, and acquiring interpersonal skills (Multicultural Competence Engaging in Difficult Dialogues that are Inherent in Teaching about Diversity, 2015). Also, leaders that are involved in health care disparities have not addressed the battle of working within a broken health care system. Multicultural inequality started due to disproportionately underrepresented ethnic minorities, which are uninsured or
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
In the last twenty years, the rising number of disparities in health and healthcare has increased simultaneously with the influx of minorities within the population (Baldwin, 2003) A4. As the size of an ethnically diverse population steadily continues to increase, so will the level of complexities of patients’ health needs, which nurses and other healthcare staff will be expected to address (Black, 2008) A1. The issue of racial, ethnic and health disparities for minorities exists for several complex reasons, however, even with this being widely known, very little action has been taken to try and correct it (Baldwin, 2003) A4. Research findings suggest that without actively implementing cultural diversity within the healthcare workforce, quality in healthcare will decline while health disparities continue to rise (Lowe & Archibald, 2009) A3. So although the shortage of nursing staff should be a high-priority for change in the U.S., the need for more registered nurses with racially
The research conducted in this publication can support my claims of the measures that can be taken to reduce health disparities. Interventions may be one method that can be implemented in patient care and the results has shown to be positive in this publication. However, the
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 increasing population of immigrants in the United States has contributed to health disparities in the health care system. Cultural competence can remove health disparities by eliminating personal biases, and treating every person with respect. Simply recognizing and accepting different cultures is not enough, one must be able to consistently recognize and understand the differences in order to be culturally competent. Knowledge and culturally competent practices are a must for nurses to deliver quality care in our rapidly changing multicultural world (Edelman, 2014 p. 25).
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
With this increased research and effort, Americans would be able to intervene and make positive impacts with the state, tribal, and local levels to best address health disparities and inequalities. In efforts to thwart ethnic and minority disparities, The Department of Health and Human Services (HHS) passed the HHS Disparities Action Plan in order to establish “a nation free of disparities in health and health care, (Cooper 97)” and to implement a series of priorities, strategies, actions, and goals to achieve this vision. States, local communities, private organizations, and providers have additionally engaged in efforts to reduce health disparities. With the HHS Disparities Action Plan, the Department continuously assess policies and programs on racial and ethnic health disparities, watching to see which policies make an impact on the level of health care received by minorities. Similarly, The Affordable Care Act (ACA) health coverage expansions significantly increase coverage options for low and moderate income populations and particularly benefit the “vulnerable populations.” The ACA also includes provisions to strengthen the safety-net delivery system, improve
The human resources department is an essential aspect to any healthcare organization. In order to reduce these disparities HR departments and their organizations recruit, train and educate a more diverse workforce (Fried, & Fottler, 2011, pg. 301). These diverse workforce employees will continue to be the new norm as the population increases. One of the main objectives of the human resource department is to make their employees culturally aware and provide them with the cultural intelligence that it takes to furnish their patients with the best quality
Barriers in health care can lead to disparities in meeting health needs and receiving appropriate care, including preventive services and the prevention of unnecessary hospitalizations (HealthyPeople.gov, 2012). In their 2008 annual report, the Agency for Healthcare Research and Quality lists several disparities’ in health care. They report that racial and ethnic minorities in the United States
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
Health disparities are present in our health care system. Whether it be racial, educational, or environmental, these disparities exist and are detrimental to health care outcomes. While there have been recent advancements in how to eliminate or reduce these disparities, there is still a major inequity in health care for all individuals.
The answer is no simple or a single solution. Rather, the answers must address the range of causes of disparities (inequalities in education, housing, and health insurance) and empower multiple levels of change ( patients, providers, health systems, policymakers, communities). These levels of change are most commonly found in the fundamental public health Socio-Ecological model. In this model, there are 5 levels, intrapersonal, interpersonal, community, institutions and policy, that could be focused on when implementing solutions to public health concerns, which health disparities would be considered. One method that should be looked at very closely in the institutional level of the model is reorganizing the curriculum of physician education in order to incorporate cultural competency. Such training can improve provider knowledge, attitudes and skills, which may be an important precursor to addressing unconscious provider bias. Drawing upon evidence in social cognitive psychology, Van Rhys Burgess have outlined strategies and skills for healthcare providers to prevent unconscious racial biases from influencing the clinical encounter. Their framework includes: 1) Enhancing internal motivation and avoiding external pressure to reduce bias, 2) Enhancing understanding of the psychosocial basis of bias, 3) Enhancing providers’ confidence in their
Disparities in healthcare are a real and urgent problem in our nation. There is indisputable data supporting the fact that disparities exist not only across different racial groups, but also across the cultural and economic stratification of our society. Moreover, there is even data showing disparities among each of these respective groups along gender lines. So what can be done about these disparities to assure that all patients receive equal and adequate care? Well, there are certainly many political and governmental changes or modifications that would go a long way towards narrowing the gaps in healthcare, but such changes are beyond the scope of this paper. Instead, I will focus on the steps that I,
One of the points raised in IOM’s article to prove that racism is a prevalent cause of health care disparity is the way the health care system is set-up, meaning at times, some hospitals and clinics can adopt a policy to contain health care cost, but may pose hindrances to minority patients’ capability to access the care.
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.