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Cultural and Social Diversity in Health Care Conclusion
Impact of cultural diversity on health care delivery
Impact of cultural diversity on health care delivery
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Rationales For Selecting Phase I of HSU For This Dissertation. First, all of the modified and expanded Phases of the HSU retained the predisposing, enabling, and need components (determinants of individuals) as essential elements that can directly influence healthcare service utilization behaviors. This means that the determinants of individuals from Phase I capture essential elements of the HSU. So, this dissertation focused on the most central key factors of the HSU. Second, several researchers have argued that immigrants’ health service utilization in the host country could be influenced thoroughly by social structural characteristics of individuals (e.g., employment, insurance, income status, and education; Kuo & Porter, 1998; Myers & …show more content…
Phase I of HSU is not sensitive to ethnic differences that are associated with individuals’ situational or environmental components (Moon, Lubben, & Villa, 1998; Tan, 2009), because Phase I (like all other Phases of HSU) considered ethnicity as a simple predisposing demographic predictor. Most studies using HSU with diverse target populations (e.g., male and female veterans, American Indians, African Americans, or Asian immigrants) proposed that HSU has very limited generalizability, especially for ethnic minority populations (Bradley et al., 2002; Song et al., 2010). Integrating both universal factors and ethnic specific components may enhance the generalizability: some part should cover overall populations regardless of ethnicity or immigrant status of individuals, and the other part should cover unique elements associated with minority populations (Choi, 2011). However, none of the Phases of HSU have incorporated unique components such as acculturation for immigrant populations. Rather, the HSU explains a broad level of demographic (e.g., SES) and social factors (e.g., family or community resources) as predisposing or enabling factors of individuals. Researchers agree that Phase I is not sensitive to the diverse cultural and acculturation barriers/protectors in health care (Moon et al., 1998; Wallace, Levy-Storms, Kington, & Andersen, 1998). Andersen and colleagues (Andersen et al., 2011) also argued that despite the rapid growth of the Asian populations in the U.S., few studies determined cultural influences on Asian populations’ health behaviors or health outcomes. Therefore, it was essential to modify Phase I to investigate the relationships between acculturation and the healthcare utilization behavior of individuals (Choi, 2011). The acculturation measures were added to the predisposing
In chapter 2, of Essentials of the U.S Health Care System, Shi and Singh both talk about focusing on determinants to improve health. Having adequate health insurance for everyone is a great start to improving one’s health, but the bigger issue is addressing the needs of the people who have low income or the needs for different ethnic groups. In the documentaries, Bad Sugar, Becoming American, Collateral Damage and In Sickness and In Wealth, they all touched on social determinants. It did not matter if you lived in the United States, a third world country or a reservation, they all expressed a need the can better their health.
There are an estimated 11.1 million undocumented immigrants currently residing in the United States. The current healthcare model pertains to all U.S citizens, but what are the parameters and regulations regarding those who live here illegally? The purpose of this paper is to not only answer this question, but also to address concerns regarding the provision of health care benefits, rights, and our ethical responsibilities to this population.
...an, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: coming
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
Immigration practices, both historical and current, has had various types of impacts on immigration policies and processes, as well as on people who have immigrated. According to Nilsson, Schale and Khamphakdy-Brown (2011) the various issues that face immigrant populations is pre and post immigration trauma, the acculturation process, poverty and low education and training levels. Immigration also impacts family relationships and possible language barriers. Immigration policies have always been exclusionary and biased against various cultural groups (Sue & Sue, 2013). For example, historically, European immigrants were granted citizenship more
There is a lack of conceptual clarity with cultural competence in the field and the research community. Cultural competence is seen as encompassing only racial and ethnic differences, and omitting other population groups who are ethnically and racially similar to providers, but are stigmatized or discriminated against, who are different in other identities, and have some differences in their health care needs that have resulted in health disparities. (Agency for Healthcare Research and Quality,
As defined by World Health Organization (WHO), health is a "state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity." (WHO, 2016). However, this statement can vary among people’s perspective of what consider healthy or unhealthy. In the minority group of Hispanics or Latino, health issues have taken a big toll due to fact they are the largest uninsured rates of any racial and ethnic groups in the United States (OMH, 2015). Besides not having health insurance, there are many barriers that this minority group encounters that create a big impact on what enables them to promote health. This paper will analyze the health status of the Hispanic or Latino groups by comparing and contrasting it to the national average, and also will highlight the health disparities in the group and the best approach to health using the three levels of health promotion and prevention.
There has been a rapid growth in minorities in the U.S. particularly the Hispanic/ Latino community. Bureau of Health Professions (2013) studies have shown that with the rapid increase of this culture, Hispanics are not being adequately understood by medical professionals because of underrepresentation within the medical field. The after effects of underrepresentation have caused healthcare issues among this population. U.S. Department of Health and Human Services (2006) there has been a correlation between patient satisfaction and medical professionals of the same culture.
Holmes, Seth. “An Ethnographic Study of the Social Context of Migrant Health in the United States.” PLoS Medicine, 1776-93. October 2006. Print.
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
...e, risk status related to sex and gender, disability status, and all other populations identified to be at risk for unequal health outcomes or imbalance with disease distribution. Asian Americans as a minority group in the United States, shares the burdens of these health disparities within the cases of acute and chronic hepatitis B and its relation into developing liver cancer which affects Vietnamese Americans the most. Well-designed and well-developed health promotion and disease prevention aims to impact the overall health in the U.S. population. With the different strategies to help in changing health behaviors, modifying lifestyles, closing the gaps between language barriers, and understanding as well developing approach to different beliefs, are all directed into gaining an equal care delivery, health outcomes, and a justifiable distribution of disease.
Many economically important field crops in the United States depend on the labor of migrant and seasonal farmworkers. Over the past years the United States has had the largest population of immigrants and sometime they shift back and forth . Of course, many of these immigrants are from different places in the world; but the largest population is from Latin America. Over half of the immigrant population is from Latin America and almost 40% entered the US in the past decade (Pransky, 2002). Recently many of these immigrants live and work on the metropolitan area. The ages range from 18 to 64. Considering the number of immigrants thriving the health status and needs of immigrants is important.
An individual’s culture and belief may significantly impact the type of services they require. In addition, it may affect the time, place, and method in the delivery of health care
“Questioning the ostensibly unquestionable premises of our way of life is arguably the most urgent of the services we owe our fellow humans and ourselves” (Bauman, 1998, p. 5). As a result, my way of life and the health care services I provide are shaped by my personal assumptions and beliefs while influenced by my father, mother, and their ancestors. Consequently, this paper will evaluate my personal assumptions and beliefs regarding my culture, religion, and diversity and how these factors influence how I view myself, patients, members, and my community. Lastly, an assessment and plan of care for specific individuals, groups, and communities, using appropriate epidemiological principles will be presented.
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.