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ONE WORLD, MANY CULTURES Health Care Delivery In A Multicultural Environment The Importance of Cultural Competency Communication Strategies for Health Care Careers COM 125 C. Denise Clemmons, MS
“ Physicians and other health care providers must become more sensitive and responsive to the cultural differences in their patients”   Joint Center for Political and Economic Studies (JCPES), 1995 “ All health professionals should be educated to deliver patient-centered care that identifies, respects, and cares about patients’ differences, values, preferences and expressed needs…” Institute of Medicine of the National Academies Report (IOM), 2002
Learning Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Learning Objectives, cont’d ,[object Object],[object Object],[object Object]
The Changing Face of America…   Source: Census Bureau 2001 (www.census.gov)
The Changing Face of America… Source: Census Bureau 2001 (www.census.gov)
The Changing Face of America… Source: Census Bureau  2001 (www.census.gov) (in millions)
Latino Americans by Heritage 1990 Source: Census Bureau (www.census.gov)
Think About… ,[object Object]
Health Disparities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evidence of Health Disparities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Existence of Racial and Ethnic Disparities ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Existence of Racial and Ethnic Disparities Sources: Commonwealth Fund, 1995; Joint Center for Political and Economic Studies, 1995
Biases and Assumptions ,[object Object],[object Object],[object Object],[object Object]
Think About… ,[object Object],[object Object],[object Object]
Some Common Ethnic Stereotypes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stereotype Avoidance ,[object Object],[object Object],[object Object]
Stereotype Avoidance, cont’d ,[object Object],[object Object],[object Object]
Culture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is Does It Mean To Have  “Competence”? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A set of congruent behaviors, knowledge, attitudes, and polices that come together in a system, organization, or among professionals that enables effective work in cross-cultural situations. (Office of Minority Health Resources Center, 2000) Cultural Competency
Educational Assumptions ,[object Object],[object Object],[object Object],[object Object]
The Importance of Cultural Competency ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Essential Elements of Competency ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Domains of Competency ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stages of Cultural Competency ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cultural Competency Barriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Think About… ,[object Object]
Cultural Variations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Communications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intercultural Communication Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intercultural Communication Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Literacy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Literacy ,[object Object]
Patient-Provider Discordance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Language Barriers
Language Diversity in America ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],18% of U.S. homes speak language other than English
Use of Interpreters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Time Orientation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Environmental Control/Health Beliefs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cultural Perceptions of Disease and Illness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cultural Perceptions of Healing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cultural Perceptions of Health Practices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Some Common Causes of Misunderstandings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tips for Delivering Culturally Competent Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
There may be one world with many  cultures, but you can make sure that all  patients receive equal health care, ONE PATIENT AT A TIME!

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One World Many Cultures For Health Commu

  • 1. ONE WORLD, MANY CULTURES Health Care Delivery In A Multicultural Environment The Importance of Cultural Competency Communication Strategies for Health Care Careers COM 125 C. Denise Clemmons, MS
  • 2. “ Physicians and other health care providers must become more sensitive and responsive to the cultural differences in their patients” Joint Center for Political and Economic Studies (JCPES), 1995 “ All health professionals should be educated to deliver patient-centered care that identifies, respects, and cares about patients’ differences, values, preferences and expressed needs…” Institute of Medicine of the National Academies Report (IOM), 2002
  • 3.
  • 4.
  • 5. The Changing Face of America… Source: Census Bureau 2001 (www.census.gov)
  • 6. The Changing Face of America… Source: Census Bureau 2001 (www.census.gov)
  • 7. The Changing Face of America… Source: Census Bureau 2001 (www.census.gov) (in millions)
  • 8. Latino Americans by Heritage 1990 Source: Census Bureau (www.census.gov)
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. A set of congruent behaviors, knowledge, attitudes, and polices that come together in a system, organization, or among professionals that enables effective work in cross-cultural situations. (Office of Minority Health Resources Center, 2000) Cultural Competency
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46. There may be one world with many cultures, but you can make sure that all patients receive equal health care, ONE PATIENT AT A TIME!