The US population is becoming more diverse.
In 2014 whites made up 62.2% of the population
In 2060 Minorities will comprise 56.4% of the population
For those under 18 minorities already comprise 48% of the population
The patient care we provide must be ready to handle this growing cultural diversity.
Diversity care is strategically important to our healthcare organization.
Path to cultural based care.
Many policy makers note the rising cultural diversity and the resulting disparate healthcare
This included Health and Human Services (HHS), the Office of Civil Rights (OCR), and Office of Minority Health.
In 1994 OMH and HHS was mandated by Congress to develop the capacity of healthcare professionals to address cultural and linguistic barriers to
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The Political opportunities
Congress and the President had both identified the an issue with care of minority and ethnic populations.
The current medical literature had indented cultural and language barriers as access and delivery of healthcare.
There was non consistent definition or policy
HHS and OMH had a policy that had broad support and had been through public review.
All led to implementation of the CLAS standards
The healthcare administrators input into CLAS standards
Help develop standard definitions across all of healthcare.
Insure implementation was feasible, realistic and affordable.
Insure the implementation did not interfere with current healthcare needs.
Identify and resolve barriers to implementation.
Identify key stakeholders that need to be involved.
Benefits to our system
Improve our market share among cultural diverse patient populations
Savings on some services previously outsourced by have a cultural diverse staff
Increased patient and provider satisfaction.
More efficient use of staff time by decreasing communication delays
Facilitating earlier discharge by enhanced communications.
ClAS
The United States is a nation of immigrants; they have virtually every culture of the world within its borders. Due to this reason, there must be a certain level of cultural competency within its people. A comparison and contrast will be made to compare the Hispanic cultural views on medical care to the American cultural views toward medical care. I chose to explore Hispanic culture because of my background but most importantly due to its richness of unique characteristics. I will provide an overview on how heredity, culture, and environment can influence behavior in the medical office. Furthermore, I will express my opinion about why a medical assistant,
Cultural diversity in the health care setting is increasing each year. Knowing how to care for patients of different religious and spiritual faiths is essential to providing high-quality, patient-centered care. The author of this paper will research three lesser-known religions; Taoism, Sikhism and Shamanism. Through this paper, she will provide a brief background on each of the three religions and present information regarding spiritual perspectives on healing, critical components of healing and health care considerations associated with each religion.
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.
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).
It is important for policy makers to create services that are culturally sensitive since the United States is a culturally diverse country; moreover, Healthcare professionals needs to be culturally competent so that they can guide policy makers in making sustainable systems for individual communities. “Efforts to improve cultural competence among health care professionals and organizations would contribute to improving the quality of health care for all consumers” (GeorgeTown Health Policy Institutes, 2004, para 31). Language barrier is another culture issue that prevents the community from getting the care that they deserve. “Cultural and language differences and socioeconomic status interact with and contribute to low health literacy, defined as the inability to understand or act on medical/therapeutic instructions” (Shaw, Huebner, Armin, Orzech, & Vivian, 2009, p.1). There should be health policy addressing this issue because of the confusion and inappropriate treatment that many
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.
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
Culture is a multifaceted characters of a diverse sets of people that have a common ground on values, languages, emotions and identity. It is a symbolic communication perpetuated in a much larger society that influence by means of conditioning and imitation from one generation to the next. Knowledge of cultural diversity is crucial at all levels of nursing practice. It require nurses to be challenge on a multilevel amplitude of social character and commitment. It is empirical that the nurse consider specific cultural factors impacting on each individual patients and be able to recognize its differences. The impact of cultural diversity on each patient start with the nurse as a co-provider and influence on the perceptions, interpretations and behaviors of a particular specific cultural group. Nurses need to understand the validity of how culture minded patients understand life process, health, illness, death, and dying. Through collaboration and scientific evidence of multicultural society can bring about a culturally-relevant and responsive services.
The text list several factors that contribute to healthcare disparities, social, economic status, access to medical care, lack of insurance, unemployment, lack of knowledge of healthcare processes and procedures within society, transportation issues and many other factors that contribute to healthcare disparities. Being knowledgeable of cultural competency has several advantages, cultural competence provides relief to the patient when the patient feels comfortable with their physician a bond is developed and patients are less likely to file malpractice claims. Displaying cultural competency increases the quality of services and patient satisfaction.
Health care disparities in the United States occur on the provider level. The implicit biases providers are susceptible to help shape physician behavior and produce differences in medical treatment across a host of demographic characteristics but mainly along the lines of race and ethnicity. This paper focuses mainly on the relationship between providers and Black Americans. There is a complex and historical relationship between providers and Black Americans which dates back to the 16th century that is the basis for the biases physicians exhibit towards this particular minority group in today’s healthcare system. Contrary to popular belief, the Tuskegee Syphilis Study in 1932 is not the forerunner to a host of medical abuses committed against
There are several disparities where health care is deprive between minorities African American, Hispanic and low-income communities. Healthcare quality and access to care are unequal among racial and low-income groups. Black American and Hispanic have face with poor access to health care among any other race, and the low- income family who have been offers low stander of care according to the American Medical Association eventually suffer from” higher mortality rates, higher incidence of major diseases, and lower availability and utilization of medical services” (50-I-95).
Cultural competency not only encompasses race or ethnicity, but a quality of care for all individuals. Studies illustrate that cultural competency is currently lacking in the health care field; this results in the disparities that exist among the minority population with low
Within the past couple of year, the United States as a whole has had challenges with improving the overall population health. The increase in healthcare costs has caused a distinct disparity within minority groups. Under the Affordable Care Act, cost and access has drastically affected many individuals. Despite the United States increase in spending, many are still uninsured and vulnerable to detrimental health outcomes. The uninsured have no access to sufficient and effective health care services, meaning they resort to little or no care at all. For example, different racial and minority groups are without access to Medicaid and Medicare due to its restrictions. Targeted groups such as African Americans and Hispanics have lower rates of health care coverage, access and overall quality of care. It is evident that minorities were misrepresented among the coverage provisions of the Affordable Care Act. Apart from such target groups, whites appear to receive better health care coverage and outcomes. This has become a problem when it comes to health care access, meaning there are major health discrepancies. There is a disparity gap between the different ethnic groups that the Affordable Care Act fails to accurately address and provide provisions to such requirements for government-funded assistance programs (Shi & Singh, 2015).
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.
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