The articles I chose to review are Gengler’s (2014) “‘I Want You to Save My Kid!’ Illness Management Strategies, Access, and Inequality at an Elite University Research Hospital,” and Krieger & Sidney (1996) “Racial Discrimination and Blood Pressure: The CARDIA Study of Young Black and White Adults.” B. Gengler (2014). Investigated how families accessed and negotiated medical care with differing level of culture health care capital. She observed families when they discussed and interacted with their doctors about their child’s medication and interviewed families about the consequence of examination; moreover, asked different families how they experienced the doctor’s advice or treatment. Krieger and Sidney (1996) studied people’s self-reported blood pressure and experience of racial discrimination and unfair treatment, with a survey on coronary artery risk development in young adults. C. Gengler (2014) conducted her data by observation and fieldwork at Kelly-Reed University Hospital, and Krieger and Sidney (1996) conducted their data by surveying people. D. Gengler (2014) discovered that the children had a different illness and treatment experiences because families who had high cultural health capital direct every treatment their child received from healthcare providers; moreover, they were involved in the medication decisions and interfered successfully in the treatments their child received. On the other hand, she found out those families who had less cultural health
Savings the lives of african american boys and men requires providing them role models whose behavior habits represent the traits necessary to lead morally successful and honest lives. Role models for young african american men are not hard to find. These three young african american leaders in education, business, and religion are committed to being role models for the community and expanding the image of black male relationship. They may not be household names but through their efforts they are transforming the lives of young african american men throughout the country. These men use their subject matter expertise to provide life lessons for young men in need of assistance. Their commitment to service is a critical asset in saving lives of young african american boys and men.
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
Through my experience with the healthcare field, I have seen that low socioeconomic status, culture, and access are the major contributors to the health disparities today. Whether it is not being able to afford health insurance/medical costs, a culture that’s attitude and beliefs does not put much value on preventative care, or simply not having appropriate transportation to the doctor, all these factors work together against the patient. Medical professions can best tackle these issues by first knowing and understanding the needs of the population in which they practice. Theoretically, if one is aware of specific needs then those needs can be better addressed, whether they are financial or cultural needs. Also, medical professionals can work
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 Black youth is over represented at every stage in the United States juvenile justice system. Ten years ago, Black youth were more than two times more likely to have a delinquency case before the juvenile court than white youth. Dr. Shook and Dr. Goodkind examined three possible avenues to prove if black youth, are more likely to be detained than similarly situated white youth. “Three possible avenues have begun to be examined—the first is related to youths’ attitude and character as assessed by justice system personnel, the second is related to judgments about adequate parental supervision and/or school and work involvement, and the third is related to what some have called ‘‘justice by geography.’’ To conclude Dr. Shook’s and Goodkind findings, Black youth are treated
When attempting to understand health care disparity, one must first also understand race. As race applies to health care inequity, Williams and Sternthal (2010) suggested that race is not purely biological but also a social classification system created by the hegemonic class. As such, favorable traits are those attributable to whites, thus creating an atmosphere predisposed to prejudices. In a health care setting where providers rely on swift judgment and scientific data to arrive at decisions, culturally ingrained norms are bound to influence attitudes
In America, the number of federally identified tribes is 562 with every tribe having its own culture, belief system and practices. That is why there seem diverse type of behaviors among this population related to healthcare seeking and healthcare attitudes. Amongst the most common components that lead to this diversity in healthcare seeking behaviors is the role of culture which affects healthcare intervention, prevention, and care. So, it is very important to understand the diversity of culture in particular
1 . What issues most concerned black political leaders during Reconstruction? Reconstruction brought important social changes to former slaves. Families that had been separated before and during the Civil War were reunited, and slave marriages were formalized through legally recognized ceremonies. Families also took advantage of the schools established by the Freedmen's Bureau and the expansion of public education, albeit segregated, under the Reconstruction legislatures. New opportunities for higher education also became available with the founding soon after the Civil War of black colleges, such as Howard University in Washington, D.C., and Fisk University in Nashville,
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
When it comes to healthcare racial disparities continue to be an ongoing issue. In fact racial disparities have been a topic of discussion since desegregation. The US Department of Health and Human Services, in 1984 published a report that called attention to the healthcare disparities. The report was called Heath, United States 1983(Dougher, 2015). Within the context of the report there lies a passage that describes the major disparities that are within the burden of illness and death that is experienced by African Americans and other minorities, “despite significant progress in the overall health of the nation” (Dougher, 2015). It was evident that there was a serious lack of health care minorities.
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
What roles do culture, ethnicity, race, and socioeconomic status play in families' experiences in the healthcare system?
Working as a Case Manager (CM) for a Medicaid-based Health Insurance has brought me in contact with patients of varied cultures, languages and races. As a CM For Metro Plus Health Plan, my responsibility is to teach High Risk pregnant women about their diseases, encourage them to stay in care with their Primary Care Physician/Obstetricians, explain the importance of taking their medications as prescribed, and adhering to all their providers plan of care, with the goal of encouraging these patient’s to become responsible and active participants in their own care. I have been able to directly observe as a clinician, how cultural competence can positively impact not only the relationship between my patients and I, but also the level of care I am able to provide.
Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.
Crash. It is the perfect analogy of how we as a human race deal with life, people and our own experiences. Physical characteristics and racial differences may be interpreted as two distinguishing traits that separate us. I think it’s what keeps us apart. That leaves several abstract questions that the film Crash illustrates. What are the origins of personal prejudice? Do individual experiences fuel standing stereotypes? Is it easier to perpetuate existing stereotypes because “things will never change?” Can people battle internal struggles within their own ethnic group? What prohibits us from overcoming these prejudices? The writers of the Crash managed to extend my viewing experience beyond the 90 minute film, thus forcing me to analyze my