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).
Limited access to health care for Spanish Speaking populations is due to inability to afford services, difficulty with transportation, dissatisfaction with services, language barriers and inability to understand treatment plans. Health indicators of Spanish Speaking populations suggests that health outcomes continue to be behind other population groups, they also remain below goals established by Healthy People 2010 (Butler, Kim-Godwwin, & Fox, 2008). The US Spanish Speaking population represents a particular vulnerable subset of US Hispanics that have lower-income, less education, poor perceived health status and poor access to the health care System (Dubar & Gizlice, 2008).
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.
A vital foundation for a high-quality care delivery is an efficacious communication between the patient and the healthcare providers (Gengler & Jarrell, 2015). Fadiman (1997) recounted the conflict between a refugee family from Laos and a small hospital in California over the care of Lia Lee, a Hmong girl with severe epilepsy, in her book The Spirit Catches You and You Fall Down. Despite both sides wanting the best care for Lia, the lack of cross-cultural communication between her Hmong family and her American doctors, lead to her tragedy (Fadiman, 1997). Awareness regarding the disparities in culture and language of our patient with ours and how to address them should be taken into account when providing healthcare since the life of a
In addition, Hispanics, Blacks, and some Asian are less likely than non-Hispanic Whites to have a high school education or better healthcare. Some Differences in quality of care this groups have in common: Blacks received worse care than Whites for 41% of quality measures. Hispanics received worse care than non-Hispanic Whites for 39% of measures. Poor people received worse care than high-income people for 47% of measures. Inequalities in access are also common, especially among Hispanics and poor people: Blacks had worse access to care than Whites for 32% of access measures. Asians had worse access to care than Whites for 17% of access measures. Hispanics had worse access to care than non-Hispanic Whites for 63% of access measures. Poor people had worse access to care than high-income people for 89% of access
Unfortunately, the world we live is a far cry from perfect. We have all types of barriers and roadblocks that we must face and attempt to overcome on a daily basis. When dealing with healthcare, these barriers and roadblocks can be much scarier – and in some cases even deadly. These barriers are not limited to only language, but also to differences in cultures as well.
Some practical obstacles that hinder the delivery of proficient and economical services include differences in language, cultural and knowledge of health issues. However, the prudent advanced practice nurse (APN) considers these obstacles to communication when providing patient-centered care. Nevertheless, when language barriers are not addressed, the provision of quality care to patient and families are undermined, which then transcends to both economic and ethical dilemmas. According to the centers for disease control and prevention (CDC, 2016), the gateway to healthcare is often hindered to a great extent by the lack of the ability to communicate medical necessities due to language barrier. In any clinical setting, efficient patient communication is essential in the delivery and accessibility of quality care and safety.
Furthermore, the literature used consists of level V and VI of evidence (LoBiondo-Wood & Haber, 2013). This included three peer-reviewed, scholarly articles that were level V evidence, systematic reviews of qualitative studies. Additionally, there were two articles that were level VI evidence, a single qualitative study. A limitation to one of the studies by Ginieniewicz & McKenzie (2014) is that they are focusing on a specific immigrant population, Latin Americans in Canada. Two of the articles, written by Chadwick & Collins (2015) and Lum, Swartz, & Kwan (2016) emphasize the importance of language barriers in primary care, rather than specifically mental health. When discussing the language barriers there was an insufficient amount of detail about the language proficiency and which areas that needed to be met in order to successfully have a conversation between the health care practitioner and the client without confusion. Brisset et al. (2013) is the only article which discusses the different type of
The United States has become a culturally diverse Nation due to the enormous of various ethnic and cultural groups that migrate to the country each day. As a result, patients and families with limited English proficiency (LEP) often are faced with multitude barriers that contribute to difficulty accessing healthcare services as well as understanding and adhering to the treatment plans/recommendations which ultimately place them at increased risk for poorer health outcomes and disparities. Eliminating these language barriers in healthcare services can be achieved by “providing awareness and mediation of cultural differences, current best practice for serving LEP populations in the health care system centers and on the use of qualified medical
In the video from the University of Wisconsin School of Medicine and Public Health allowed us to see the disparity in health care access among social and ethnic groups. Social statuses played a significant role in the population’s health condition and mortality. Populations with higher statuses and income are able to afford a better life due to the fact that they have the money to obtain health insurance that allows them access to specialized care that improves their health outcomes and decreases their mortality. However, regardless of social economic status, a persons ethnic background and skin color plays a critical role in the prognosis and outcomes of their health issues due to the fact that people of color are discriminated and have minimal
In America, demographics show that the world is changing. According to a 2000 Census data, 25 percent of the United States population is composed of minority ethnic groups, which has continually increased over the years (Egede, 2006). As the United States continues to become more diverse there will be an increased need to establish validity and reliability across racial, ethnic, and cultural groups (Egede, 2006). Many racial and ethnic groups are continually impacted by the burden of disease, due to socioeconomic status, health between the population, access to quality health care, and environmental factors (Egede, 2006). The Institute of Medicine (IOM) on Unequal Treatment states that “a large majority of research shows that racial and ethnic minorities experience a lower quality of health services, and are less likely to receive routine medical procedures” (Egede, 2006). Minorities may be less likely to receive the preventative care they need due to a poor relationship with their
The population of Asian Americans is “proportionally the fastest growing ethnic group in the United States”(Hall, Hong, Zane & Meyer, 2011 p. 215) and is expected to rise to 8 percent of the total population within the next six years (Park, Chesla, Rehm & Chun, 2011). As the population rises culture becomes increasingly important in caring for patients of Asian descent. Language barriers are not the only cultural complication, “equally important is the providers’ ability to understand the culturally specific needs of minority clients and to adjust their approach to care accordingly” (Park, Chesla, Rehm & Chun, 2011 p. 2374) Culturally competent care for Asian individuals is characterized by three essential components: cultural brokering, supporting
Language and culture are interconnected. Specifically, language is one of the ways in which different cultures express their beliefs and customs. The acknowledgement that language is more than just the words one uses, highlights the significant problem of language barriers in the US healthcare system. Lopez relied on several sources to signify a few of the sociocultural factors like language barriers have on treatment utilization (2014). Lopez argued that insufficient “bicultural” and “bilingual” healthcare providers left certain minority groups like Latinos at a disadvantage; the inability of family members to effectively communicate and interact with providers may negatively impact treatment sessions and the health outcomes of autistic children
There are many barriers that may affect how immigrants seek health care. This week we are able to research factors that contribute to Filipino-American health-seeking behaviors. First let’s consider communication. “Despite the high level of self-rated English language proficiency in this population, some participants wrote about difficulty in communication and understanding Australian accents as personal barriers in using health services” (Maneze, DiGiacomo, Salamonson, Descallar & Davidson, 2015, p. 5). It can become very frustrating for the health care takers and the patient, when unable to clearly understand each other. “A cultural characteristic of Filipino Americans is minimizing the impact or presence of illness” (Maneze et al.,
Standard one aims to provide services that are effective, comprehendible and respectful to accommodate the diverse patient population. Healthcare facilities must respect patients from other cultures and background by providing the necessary accommodations to enhance learning. This can be accomplished using language specific education materials, translator services and staff that are trained in cultural diversity. The purpose of standard one is to promote communication, learning and knowledge so that the plan of care is integrated into the patient’s cultural aspects. By focusing on this goal, patient satisfaction will increase as well as compliance rates, which leads to fewer hospital readmissions. Communication is the key component to patient centered care. When health needs are met within the diverse community, patients will have more trust in the United States health systems, promotes compliance and decreases cultural barriers promoting optimal patient health.