The increasing number of immigrants and refugees in the United States presents huge problems to Medicare. While there are numerous challenges for every potential patient, people of foreign-born family face unique obstacles when trying to advantage from health care; including problems in multicultural interaction, different health practice 's views, and partial cultural awareness on the part of the contributors. While there is a struggle to acknowledge, and address language and cultural barriers, absorbing by trial-and-error remains the most common form of education. In the lack of linguistically and culturally manageable care, immigrants and refugees are having trouble building trust in, and admiration for, Doctors and medication. The aim of HIRE is to …show more content…
Investigating the Traditional Treatments Practiced Take a medical history and physical exam. Traditional ethics inform the patients’ meaning of health, interpretation of the body and its purposes, and awareness of problem and cause. Investigate about traditional treatments performed. Alternative methodologies exist in different cultures to regular problems like fever reduction, hygiene, and beautification, and a wide range of practice and customs surround major life events. C. Language Assisting Services Finding a trustable interpreter, who can explain and is trust worthy. Who does not hesitate to interpret the problem from either side. So, with education about the American medical model, clients will more likely to seek appropriate care and to have reduced feelings of mistrust and alienation. Most of the time refugees have access to language and cultural interpretation only after visit within the medical system. To decrease access obstacles, correct information must be specified before appointment. Goals and Objectives Goal 1. Increase student understanding and visualize the importance of the immigrant’s life (before they migrant to United States) and medical care in the United States.
Medicare is the nation’s largest health insurance program. Generally, you are eligible for Medicare if you or your spouse worked for at least ten years in Medicare-covered employment and you are 65 years old and a citizen or permanent resident of the United States. Medicare-covered services include hospital insurance, inpatient hospital care, skilled nursing facility care, home health care, hospice care, and medical insurance (Medicare U.S.) With such an encompassing effect on the health insurance field, Medicare provides a haven for older individuals, and end-stage renal disease (ESRD) patients who require the best medical care for whatever possible reason. The only problem with this scenario is that doctors are turning many older patients away because they have Medicare. Why do doctors turn away Medicare patients? Is there a reason why certain doctors turn away certain patients?
In caring for patients in the hospital setting today one must look at variety of patients from various background. Healthcare providers should be aware of patients’ culture, beliefs and attitude to provide quality care. The Office of Minority Health of the Federal Government has developed a set of 14 principles called the CLAS Standards (Culturally and Linguistically Appropriate Services), which are mainly directed at healthcare organization, and are mandated for all organizations receiving Federal funds. The focus is on the terms of linguistic services and efforts to provide information to patients in their own language through availability of brochures, interpreters, and other means. In this essay I would like to exam cultural considerations with emphasis on impaired verbal communication related to language barrier, because I feel that communication barrier can cause a reduction in healthcare quality and low patient satisfaction.
Membership Services (MSD) at Kaiser Permanente used to be a modest department of sixty staff. However, over the past few years the department has doubled in size, creating minor departmental reorganization. In addition the increase of departmental staffing, several challenges became apparent. The changes included primary job function, as well as the introduction of new network system software which slowed down the processes of other departments. These departments included Claims (who pay the bills for service providers outside of the Kaiser Permanente network), and Patient Business Services (who send invoices to members for services received within Kaiser Permanente). Due to the unforeseen challenges created by the system upgrade, it was decided that MSD would process the calls for both of the affected departments. Unfortunately, this created a catastrophic event of MSD receiving numerous phone calls from upset members—who had received bills a year after the service had been provided. The average Monday call volume had risen from 1,800 to 2,600 calls per day. The average handling time for each phone call had risen as well—from an acceptable standard of 5.6 minutes to an unfavorable 7.2 minutes. The department continued to be kept inundated with these types of calls for the two years that these changes have been effect.
Integrated Managed Care Organization- The organization is properly aligned for the primary driver being cost cutting services. Since all entities within the organization are responsible and affected by any expenses endured on any entity being unfavorable or favorable, the foundation serves as a primary motivator to reduce costs at all levels. This alignment eliminates any financial gains from driving high utilization of services or higher intensity services within the organization. Ultimately, this system allows the physician medical group to drive patient care, being responsible for the clinical care decisions as opposed to health plan making those decisions as designed in other organizations. This is the preferable model for Medicaid
Immigration and the minority population is increasing each and every year. With a growing ethnically diverse population, it is vital that nurses are sufficiently equipped for and able to work with patients in a way that identifies and respects their diversity.
Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health. This shows the significance that health care workers can have on patient care.
Throughout the Think Culturally assignment, I realized the impact I will have as a healthcare provider. The scenarios that were provided throughout each course assignment gave me insight on the negative health outcomes that can occur when cultural competence is not present. In order to have cultural competence, I must acknowledge that some patient’s health beliefs will be different from my own. This can be distinguished by having open communication and asking pertinent questions. Treating patients that are not proficient in English, can become overwhelming. As a future nurse practitioner, I want to utilize all the necessary recourses to ensure my patient’s fully understand the plan of care and treatment regimen.
These services are provided by medical professionals serving U.S. citizens striving to provide the best possible care, but just as we have had a growth of medical knowledge the U.S. population has changed drastically. Minorities should no longer be overlooked as they are the new prospering culture in this day and age, especially for the Hispanic/ Latino people. As a result there has been a shift, a blend, and a creation of new cultures. It is imperative that medical professionals learn to understand culture. Failure to understand this thriving ethnic group can lead to complications such as ineffective communication, loss of trust between patient and medical personnel, and failure to provide proper treatment. That is why it is important to find ways to help Hispanics feel at ease when visiting any medical facility for service.
programs, particularly with treatment initiation and retention. Hiring qualified staff of the same ethnic background may dramatically increase patient access and initiation into treatment. In addition, if the treatment provider is not of the same ethnic background, it is best that he or she take on an inquisitive role and not make any ethnocentric assumptions based on his own cultural heritage. The goat of the clinician should be to uncover social cultural issues that will affect acceptance, retention, and ultimately, treatment outcome". (Patrick Abbott, MD and Duane M. Chase. n.d para,
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
I want to approach my career with the best possible qualifications. Moreover, as a woman, I feel I will be an excellent role model for other ambitious healthcare professionals. Having been born in the Philippines and raised in the United States, I feel that I possess a level of cultural awareness, as well as a sensitivity for the different needs of minorities that will help me within the field. In addition, I feel that the US healthcare system needs people like myself who are bilingual and can communicate effectively with people of different backgrounds given the influx of diverse
Bentancourt et al. (2005) allows asserts that there are three distinctive reasons why cultural competency is so very important for the American healthcare system. American is composed of a very diverse population, which mean healthcare providers will continual be exposed to treating individuals from various backgrounds and from various cultures; their beliefs regarding their health or healthcare may range widely. When patients have a deficiency in the English language, proper healthcare delivery becomes increasingly more difficult as they will present symptoms in the syntax of their culture and their first language. Also, research shows the communication between the patient and their provider directly correlates to their satisfaction as well as their responsiveness or willingness to follow the health provider medical instructions; this ultimately affects the patient’s health outcome (Bentancourt et al., 2005). It’s fair to say that a successful health outcome is also contingent upon the interaction of the health provider and patient. Reports generated by the Institute of Medicine (IOM) – “Crossing the Quality Chasm and Unequal Treatment, confirms that cultural competence that focuses on the care of patient through
According to Penner et al. (2013), there are various causes of healthcare disparities, such as socioeconomic status; this results to poor healthcare services for people with low socioeconomic status, as people with low pay find it difficult to leave their work to seek healthcare help, or to afford healthcare insurance (p.4). The second cause is language proficiency. The language barriers faced by the immigrant plays a role in the healthcare disparities among the racial or ethnic minority patients. Another cause is health literacy. The levels of the health literacy among the foreign born individuals can be influenced by their higher level of distrust of the healthcare providers and healthcare system than they have towards Caucasian people. This, in turn, leads them to seek healthcare information less often than their Caucasian counterparts, thus hindering the provision of quality services, as well as limiting the foreign patients’ ability to manage their health conditions effectively. The foreigners’ failure to easily accept the information provided to them by healthcare providers puts them at risk. Disentangling the role of health literacy in racial healthcare disparities from the effects of racial attitudes and beliefs is often hard (Penner et al,
Culturally competent cares in the medical field can make a huge difference in the satisfaction and the healing of patients who are guests in the facilities that we will be at. In central Minnesota we have the privilege of having many different cultures in a small area. With many people immigrating here from their homeland it is important, as health care professionals, to have an understanding of the many different beliefs and traditions that we may come across in our personal and professional lives.
According to the Migration Policy Institute, the most current data shows the United States as having 42.4 million immigrants (Zong & Batalova, 2016). This leads us to reason number two, which involves these diverse multicultural families that want their beliefs and values to be understood by those in the medical field. Reason number three is that sometimes the increased use of technology can cause conflicts with the values of patients. An example of this would be communication between a healthcare worker and a family that does not understand technological instruments, such as a life-saving device or intubation. Reason number four recognizes that conflicts can lead to confrontation and violence as cultures intermingle with one another, which can impact a patient’s care. Number five acknowledges that there has been an increase in people relocating to different parts of the world for work. According to Jelinek (n.d.), a healthcare worker must be aware of the local culture when you are working in a diversified area that may have a different culture and belief than your own. Otherwise, you risk a communication barrier that could affect the patient’s care. Number six involves the ramifications of the negligence