November 30 2014 BHS414 CASE MOD4 Essay

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.

Care Expenditures by Race/Ethnicity, Economic Status, and Family Structure." Social Science Quarterly (University of Texas Press), vol. 76, no. 1, Mar. 1995, pp. 158-177. EBSCOhost, westproxy.lib.hawaii.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=pbh&AN=9504181515&site=ehost-live&scope=site.

Healthcare inequality mainly revolves around the disparity in the quality of health and health services among different population groups in the society. It touches on the accessibility of health insurance and thus the accessibility of quality healthcare services among the different population groups. There disparities in the access to quality healthcare among the different races and ethnicities, social classes and between the two genders. These disparities are mainly influenced by and are reflective of the differences in access to health insurance among these population groups. These disparities ultimately lead to similar disparities in healthcare services access, health outcomes and the presence of disease among these different population groups. There are several factors that influence access to health insurance and quality health services, referred to as determinants of health among the populations. There are cultural, environmental social and economic determinants to health which create an unfair playing ground for the different population groups in American society. This paper examines the social determinants to health, the extent to which they affect access to health insurance and quality healthcare and ways in which they can be reversed to enable equal access to health insurance and health care services among these populations. The issue of disparities in access to health insurance and by extension access to quality healthcare services is important because it affects

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.

Access to health care ervices is different betweeen races and it is influenced by geography, income. culture and the types of health coverage.

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

The United States is a country of diversity represented by many different cultures. It has been proven that culture has a significant impact on health beliefs and behaviors (Edelman, et al, 2014), therefore it is imperative that health care providers, especially nurses, be culturally competent in their delivery of care. It is not enough to merely be aware of the prominent origins and statistics of different cultures and ethnicities, but rather it is crucial to be inquisitive and focus on the family and individual as practices differ and evolve over time. Rachel Spector developed a Heritage Assessment interview as a useful tool to aid in understanding how strongly an individual or family subscribes to specific cultural traditions and

Comparing the three interviews, it is apparent that all three cultures could require a different healthcare approach. It is interesting to see the family dynamics, and pasts all play a role in their healthcare decision-making and thoughts. Being aware that each family dynamic is unique it is important to avoid stereotypes, and get

Inside the confines of the United States, millions of people are not able to enjoy prosperity, wealth, and privilege which remains to be a rare commodity despite our countries inured financial ability. Health is one of the aspects that remain stagnant. Various people with different ethnicities face many of the same health risks, but they also have fears unique to their racial, ethnic, cultural upbringings. To gain an understanding of these modifications and formulation of race responses requires an individual to study more in depth their surroundings. The health care delivery systems are not exempt from disparities. Such disparities cause a need for improvement in the areas of social interaction, economic viability, environmental awareness, or occupational security. Some investigators have examined concerns related to stigma, social support, lack of a home, and poor cultural understanding by providers. Along with a plethora of researchers who have lots of knowledge on this issue, I wanted to further investigate how socioeconomic factors have a huge mark on race and health disparities in the United States.

Amaniz has experience healthcare from both sides of the spectrum. Since she had lived in the United States and in Syria, she was able to compare and contrast healthcare and cultural. She described how different her father's viewpoint on healthcare was different from her mother's viewpoint. When asked how people of different cultures want to receive healthcare, she responded, "I believe that no matter what culture you are from, you

In the United States it is estimated that by 2043, nonwhite racial and ethnic populations will compose more than 50 percent of all Americas, (Yan and Fitzpatrick, 2016). Areas like Central Ohio will see an increase in their diverse population. This means that more people who are of a diverse culture will have to use medical services. As of right now, there are many health disparities when it comes to the ethnic population. With a shift in demographics, the health sector in various central Ohio counties has proven that they are not prepared enough to handle a diverse community. There are many reasons as to why cultural competence is lacking in health care. From racism, lack of proper education, lack of diversity in the workforce,

Providers need to provide every viable option to their patients despite their race or inability to pay. The patient needs to be aware of the options so they can make an informed decision. The patient’s rights should not be taken away because of their inability to pay. There are also disparities in patient care based on a patient’s culture. The lack of awareness around different cultural practices can interfere with the care seniors receive. Providers need to be aware of cultural practices in order to deliver culturally competent care to their patients (Byrd, n.d). This includes ensuring patient receive care that addresses these areas “available, accessible, affordable, and acceptable” (Byrd, n.d).

My diversity and culture are important to attributes for me in becoming a healthcare worker. These attributes help me understands the patient better and their emotions during the time. As a first generation Chinese immigrant, I was the one who my relatives would call if they have any help that involved English. Most of the trips involved hospital visits, after a few trips with my relatives when I was in my teenage years. I understood the emotions that my relatives go through. The constant worries that they had if their visit is covered if the condition is lasting, and their ability to continue to work. It was those trips to the doctor's office that helped me understand the things that people go through when they’re in the waiting room of a

Sociocultural differences, according to Ellis and Hartley (2008), also affect access. If a patient feels uncomfortable in a health care setting related to their socioeconomic status or they feel their beliefs are not respected, they are hesitant to use services provided (Ellis & Hartley, 2008). Awareness and sensitivity to different lifestyles and beliefs can lessen misconceptions and minimize

Shi, Leiyu and Gregory D Stevens. "Disparities in Access to Care and Satisfaction among U.S. Children: The Roles of Race/Ethnicity and Poverty Status." Public Health Reports (Washington, D.C.: 1974), vol. 120, no. 4, July 2005, pp. 431-441.