Question

With the health disparities that are facing many minority populations such as Native Americans, Asians and African Americans:

What cultural conflicts do you see as most crucial for effective health care delivery?

How do you see cultural competency being implemented?

What information that is not currently available do you think would help achieve more equitable health care delivery for any of these populations?

Answer 1

CULTURAL CONFLICTS THAT AFFECT THE EFFECTIVE HEALTH CARE DELIVERY

Cultural conflict is a type of conflict that occurs when different cultural values and beliefs clash.It is a pateern of ideas,believes,and behaviours which shared by a group of people or a society.Some times this diffent cultures of different kinds of people can affect the health care system directly or indirectly and which is based on how the patients and health care providers view health and illness.

1.Believes of patients and health care providers about the cause of disease.​​​​​​​

Eg:Some patients are aware about germ theory and the belives that if a child is affected with Tetanus,the cause is Evil eye.

2.Which diseases or conditions are stigmatized and why.

In some culture is a person is visiting a psychiatrist for any simple clarification he is Crazy.

3.Misconceptions

Eg: Colustrum is the first milk of the mother which is in Yellow colour and rich in all the nutritions.But some of the society belives that coloustrum is a poison and they won't allow the mother to feed colustrum to the baby.

4. seeking healcare is a sin

People with some culture belives that praying god will cure that disease and seeking health care is a Sin.

5.Patients interaction with health care providers.

Eg: making direct eye contact is a sign of respect in many culture,but a care provider may wonder if same behaviour means her patient is depressed.

6.Degree of understanding

Some peoples belives that a phisician who doesn't provide an injection may not be taking their symptoms seriously.

7. Acceptance of a Diagnosis

a person can't be able to accept if he is diagnosed with a chronic condition,because he believes that Diseases are the punishment from god and i didn't do any sin.

IMPLIMENTATION OF CULTURAL COMPETENCY

Cultural competency is the ability of providersand organization to effectively deliver health care services that meet the social,cultural and linguistic needs of the patients.But now a days the cultural competency is being implemented as evidenced by following

1. Providing interpreter services
2. Recruit and rwetain minority staffs
3. Providing training to increase cultural awareness,knowledge and skills
4. Coordinate with traditional healers
5. Using community health workers
6. Incorporate culture-specific attitudes and values into health care tools
7. Including family and community in health care decision making
8. Locating clinics in geographical areas that are easily accessible for certain population
9. Provide linguistic competency that extends beyond the clinical encounter to the appointment desk,advice lines,medical billing and written materials.

Native Americans,Asians and African Americans are  a Unique Population of Health Equity

Racial cultural minority groups(Native americans,African Americans and Asian Americans) are facing a low level of health care provider racism and poor traetment.

Currently we don't have the proper information of the these population's awareness about

• Availability of health care services
• How to utilise all the available health care facility
• ow to be a part of health awareness programs