Trust is obtainable to the health care staff that consistently grounds their thoughts on the well-being of all their patients. It is imperative for health care staff to open their understanding to minorities in regard to cultural differences and the deterrents aiding their distrust of medical staff. Moreover, the collaborative effort of the United States (U.S.) healthcare system that helped improve and hindered the growth of trust between the minorities and health care staff. Understanding every aspect that has improved trust and leads to mistrust in the minorities is crucial to building a successful health care facility. To develop effective strategies that build trust in minority groups there needs to be a focus on analyzing factors …show more content…
Analyzing the element that lead to distrust is crucial, but without understanding the importance of building trust there cannot be growth to improve health care employees’ conduct and procedures.
Trust is the key to treating and maintaining minority patients’ health and building trust in the minority communities. Distrust causes a ripple effect that can be felt all the way down to the administration department and can leave a negative imprint in the quality provided by the health care facilities. Trust is crucial for properly diagnosing and treating minority groups. The elderly minority group for example, commonly deals with a language barrier which can unfortunately lead to misdiagnosis and misunderstanding of pharmaceutical directions. They also are influenced by many factors including family, cultural differences, and home remedies (Byrd el al, 2007). A physician or medical staff member cannot treat a minority patient efficiently without gaining the trust of the patient because distrust leaves negative variables that will negatively influence patients’ medical care and treatment. Physicians and medical staff who are cultural competent provide
Cultural competency aids in closing the “disparities gap” in health care. ("OMH," 2012, para. 2) In doing so, health professionals and their clients are better able to discuss concerns without cultural differences getting in the way of effective communication and problem solving. Being respectful of and sensitive to the client’s health beliefs, culture, values, and diverse needs can bring positive outcomes within treatment and patient care. After all, is it not the main job of the health care provider to ensure patient trust? Open forms of communication when dealing with client issues can only be provided if the patient is comfortable with his provider and believes his
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).
One of the major groups of people who can make this happen is the hospital staff. They have been accustomed to “going with the flow” and not necessarily informing its’ patients on upcoming dilemmas or situations that can be preventable within their facility. With the nonwhite population of the United States steadily growing increasing the number of physicians who are of various ethnicities could potentially decrease some disparities. Physicians who are nonwhite provide a “disproportionate share of care to underserved populations” ((Marrast, Zallman, Woolhandler, Bor, & McCormick, 2014). With more physicians of color providing care to people of the same ethnicity a level of trust should be reached thus improving patients care practices at home.
I am a Brazilian black male with military experience and diplomatic knowledge who grew up in a low-income household in a developing country. In addition, I have traveled to about 35 countries and am acquainted with people from different socioeconomic backgrounds, religions, ethnic groups and nationalities. These characteristics and experiences allow me to see the world from perspectives that are unusual for most people. Besides being open-minded and non- judgemental toward all my future patients, I personally understand the difficulties faced by people of color, immigrants and individuals from low-income families. In sum, my background and my cultural literacy will allow me to be a sensitive and culturally aware patient-centered care.
It is know that the patient’s community or cultural group can have significant impact on a person’s health. Therefore, health care practitioners are faced with more challenges that include outside sources and they need to be willing to change their treatments to address the other sources.
Cultural competence in health care describes the ability to provide care to patients with diverse values, beliefs and behaviors, including tailoring health care delivery to meet patients’ social, cultural and linguistic needs. The need for healthcare systems to increase cultural competence and personalize care for ethnic patient minorities should not be ignored. Healthcare systems should promote better understanding and communication between diverse ethnic patients and caregivers. Hospitals should design a system that caters to the needs of all the populations they serve and not just apply a one-size-fits-all approach. Becoming a culturally competent health care organization is a critical component in reducing health care disparities.
Trust factor when considering health care strikes at the apex in degree regardless of status or vulnerabilities which are dismissed upon belief in a provider and services provided through the health care system as trustworthy. The words trust and trustworthy are amalgamated through health care professionals in health care that are trusted. The definition of the word trust in Webster’s College Dictionary is, “As a firm belief or confidence in the honesty, integrity, reliability, justice of another person of thing; faith; reliance on the person or thing trusted. 2. It is confident, expectation, anticipation, or hopes to have trust in a future”( Agnes, 2009, p.1545) and “trust” is what is expected of the health care system. The day of hanging
Conclusively, low socioeconomic disparities, lack of proper access to health care services, grievous historical medical experiences, lack of awareness along with distrust are some of the leading setbacks within the Black American sectors relationship with the health care system. Thereupon, it is in the hands of the medical community and the hands of the vulnerable population to gain a common ground for productive trust. Hopefully, through new studies, with the reduction of distrust towards the health care system, the Black American can assuredly facilitate services to accessing health care and a developed foundation of trust from the health care
Melanie Tervalon and Jann Murray-García differentiate cultural humility and cultural competence based upon the longevity involved in the pursuit of expertise in both concepts. They insinuate that cultural competence is based primarily on facts that generalize the behaviors of minorities and low-income populations receiving health care services. On the contrary, cultural humility places more importance on the provider’s personal awareness of their response to the individual needs of patients without constricting guidelines that overlook challenges involved in meeting their health concerns. Melanie Tervalon and Jann Murray-García mentioned that there is not an adequate amount of medical training aimed towards exposure to diverse populations.
The best way to combat prior-held stereotypes that providers have about minorities in the clinical setting is to completely integrate it into their medical education. Cultural competency curricula in medical schools should not be an additional class or lesson added on top of their normal classes. It should be integrated into every lesson and every discussion about disease and medical care. They should be taught to consider how their actions in every step of the clinical encounter can contribute to health disparities, and how to work against
As a health care professional, we are faced with caring for patients of different cultural and ethnic background. Researching and learning about the patient’s culture values, beliefs and practices is essential and remarks the ability to provide quality health care for the patient. “Organizations and individuals who understand their clients’ cultural values, beliefs, and practices are in a better position to be coparticipants with their clients in providing culturally acceptable care” (Purnell & Paulanka, 2008, p. 2). After completing the cultural competence checklist, I was able to identify some of my responses to the patient cultural values and belief practices. I will describe a summary of my assessment results, analyze
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.
Culturally competent care is more important now than it has been ever before. BY 2020, 35% of the American population will consist of ethnic minorities as compared to today's 28% (Goldsmith, n.d.). This means that in order to best cater to these different patients, doctors and nurses have to speak the language of the different ethnicities, understanding their perspectives of medicine and treatment and catering to these in rode rot provide them with the best intervention.
Racial and ethnic disparities can be a touchy subject when talking among many circle of people, even so with some Caucasian sub-group.US Census reported that 1 in 4 Americans are of a race other than white; 1 in 3 children are African American, Hispanic, or Asian; and 1 in 10 people are of foreign-born. When majority dictated make all decisions and the minorities does not have any power. This cultural diversity can have inferences with our health care. Ethnic culture affects our beliefs, health, illness, and medications, as well as how we interact with our healthcare providers, and even how we comply with our prescribed medications, as well as mental health status (Cultural diversity and Medication Safety , 2003).
As the United States population continues to follow the trend of increasing diversity, the need for more culturally competent healthcare professionals increases as well. According to some of the leading experts in health care policy, cultural competency in health care can be described as the ability of systems and/or healthcare professionals to provide care to patients with diverse values, beliefs, and behaviors, including tailoring delivery to meet patients’ social, cultural, and linguistic needs (Betancourt, J.R., Green, A.R., & Carrillo, J.E., 2002). These researchers assert that there are essentially three specific barriers to cultural competency in the health care setting: lack of diversity in health care’s leadership and workforce, poorly designed systems of care that fall short of meeting the needs of diverse patient populations, and poor communication between providers