1. Describe three possible interventions to address the potential negative consequences of general healthcare quality improvement programs (eg. pay for performance and quality reporting) on racial and ethnic healthcare disparities. Reference: • Robin M. Weinick and Romana Hasnain-Wynia. Quality Improvement Efforts Under Health Reform: How To Ensure That They Help Reduce Disparities --Not Increase Them. Health Affairs, 30, no.10 (2011):1837-1843. doi: 10.1377/hlthaff.2011.0617 The three possible interventions to address the potential negative consequences of general healthcare quality improvement programs on racial and ethnic healthcare disparities are: • Proposing A Disparities Impact Assessment: The disparities impact assessment is very …show more content…
It trains health care providers to overcome cultural barriers like communication and language. Cultural competency has the potential to reduce inequities in access to health care services and improve the health status of cultural communities by reducing healthcare disparities. The goal of cultural competency is to provide health care to the community that is respectful of and responsive to the needs of diverse patients. It helps the health care provider to understand the needs of patients while seeking treatment. It helps to patient-provider to meet on common ground in the diagnosis and treatment plan of the disease. Cultural competency has the potential to reduce inequities in access to health services and improve the health status of diverse cultural …show more content…
CBPR research is designed to broadly look at the impact of research on the society and additionally it measures the perceptions and views of the community members. CBPR is an important approach while addressing health disparities and unconscious bias because people from different race, ethnicity, religion and culture can take part in it and share their knowledge, views and barriers the research. This will also help us as researchers to design the study accordingly to improvise screening by keeping suggestions and barriers in mind. When addressing health disparities, CBPR also helps to build a trust relationship directly with people of community taking part in the study and the researchers which is very delicate part of a
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Summary of Findings This project discusses key health disparities that exist between Blacks and Whites in the United States Health Care System. This analysis also discusses the historical origins of the health disparities that exist between Blacks and Whites in the U.S. Health care system. This analysis describes the complex social, political and health factors of health disparities between Black and Whites. This describes the steps individuals can take to combat racism and decrease health disparities among African Americans and whites.
Cultural competency can be described as the ability to interact with different cultures in a positive manner. Many cultural differences can become apparent in a number of situations. According to Fadiman, doctors have a moral duty to save lives even if they don’t agree with the values or beliefs of someone else’s culture (1997). This paper will address the topic of cultural competency, with a concentration on the importance of cultural competency in the medical field. It is hard to imagine how frustrating it may be to come across a patient that resists a professional’s opinion because they have solid beliefs or do not understand what doctors are attempting to convey.
Measurement considerations for cultural competence may involve assessing CHWs' knowledge of cultural norms, their ability to adapt health messages and interventions to diverse populations, and their capacity to navigate cultural barriers to improve health outcomes (Agarwal et al., 2019). Health Education and Promotion: Community health workers play a critical role in providing health education and promoting healthy behaviors within their communities. Measurement considerations for this competency may include evaluating CHWs' knowledge of health topics, their ability to deliver accurate and culturally appropriate health information, and their skills in motivating community members to adopt positive health practices (Agarwal et al., 2019). Interpersonal Skills: Building trust and rapport with community members is fundamental for CHWs to effectively deliver healthcare services. Measurement considerations for interpersonal skills may involve assessing CHWs' ability to establish respectful and empathetic relationships, demonstrate empathy and compassion, and maintain confidentiality while interacting with community members (Agarwal et al.,
After taking the self-assessment survey for quality and culture, I would like to improve and understand how cultural competence can have a real impact on clinical outcomes. Taking from some of the questions I answered wrong, it make me wants to be cultural competent. There are a few questions I am surprised and shocked, that I answered them incorrectly. I do understand that with training, I will start to gain cultural competence but it will take consistent individual practice on my part to develop and maintain individual cultural competence. Cultural competence can lead to, health literacy, health equity, and fewer diagnostic errors, which might help the patient expand their choices and access high quality medical providers because patient
How would Purnell’s model of cultural competence foster quality improvement in health care? Quality Improvement consists of systemic and continuous action that lead to measurable improvement in health care service and the health status of targeted patient groups. The Institute of Medicine(IOM) which is a recognized leaders and advisers on improving quality in health care defines quality in health care as direct correlation between the level of improved health services and the desired health outcomes of individuals and population. An importance measure of quality is the extent to which patients’ needs and expectations are met.
In most cases, health care disparity research involves individual efforts, with minimum supervision and guidelines or regulations except when funded by the state or an organization. Quality health care, on the other hand, is a requirement of the State; hence, in most cases, government agencies and/or commissions, such as Joint Commission Accreditation, Health Care, Certification (JCAHO), supervise and regulate QI through a number of policies. Therefore, health disparities and QI is often highly organized with expected outcomes and means of evaluating the level of intended results achievement. However, in Health disparities research, emphasis on output is minimal compared to
Orthopedics is defined as a branch of medicine that deals with the correction of deformities in bones or muscles. Obtaining such a prestigious degree as a PhD. in orthopedics will create endless possibilities for my future and African Americans. They are commonly the target for racism and constantly mistreated by not only Caucasians, but doctors as well. My career goal is to change this horrific judgment placed upon African Americans and to help those who have endured neglect from racist doctors. Studies have shown that by 2020, 50 percent of Americans are expected to suffer muscular or bone problems, including African Americans.
The way a person thinks about health, “whether that is our ‘philosophy’, our ‘worldview’, our ‘framework’ influences what we do as individuals in practice,” as well as how we deliver the health service. These elements allow us to think about healthcare in our own culturally acceptable way, this isn’t always an acceptable way of delivering the service to people with views different to our own. Cultural competence is an approach that aids in influencing the service and the education of healthcare professionals. (Taylor, K., & Guerin, P., 2010). Cultural competence is defined as a knowledge and understanding of cultures, histories and contemporary realities and awareness of protocols, combined with the proficiency to engage and work effectively in a cultural context congruent to the expectations of the people of that culture.
Parallels and distinctions between health care quality improvement and health care disparities reduction. This article looks at the similarities and differences in quality improvement with in the health domains of health care disparities. This article looked at the U. S health Systems and focused on their failures to provide quality care for patients at satisfactory level. The articled looked at the concept related to total quality management and continues quality improvement.
Cultural competency: Indians Culture competency is defined as one has the knowledge, the abilities and the skill to deliver care congruent with the patient’s cultural beliefs and practices (Purnell, 2013). As a nurse or a health care provider, increasing ones consciousness of culture diversity improves the possibilities for health care practitioners to provide competent care (Purnell, 2013). Nurses and all health care providers should be aware of other cultures to provide the best care that they can for that individual. Developing a relationship with diverse cultural groups involves good interpersonal skills and the application of knowledge and techniques learned from the physical, biological, and social sciences as well as the humanities (Purnell, 2013). I am choosing to select the Indian culture for my first assignment.
Cost and Quality Analysis Health care cost and quality are two essential domains that carry a huge impact in the world of health care system. To understand the complex relationship between cost and quality, defining each term facilitates an understanding of how each domain functions. The Institute of Medicine (IOM) defines quality of care as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (National Academies of Sciences, Engineering, and Medicine, 2018, para. 3). According to Ryan and Tompkins (2014) in a paper report commissioned by the National Quality Forum (NQF), cost of care “measures total care spending . . .
This applies to all parties involved regardless of disabilities, culture, religion, generation gap, and or economic class. Cultural Awareness aligns with health literacy with the promotion of communication and supporting perception, beliefs, and cultural values. The two are dynamic in healthcare settings because it promotes trust, relationships, respect, and weakens stereotypes. Education and working in diverse cultures that is different from the norm of a health care professional is the key to gaining a better understanding as to why different cultures hold so true to their roots. Cultural, language, and religion barriers are the top three issues when it comes to the misconnection in healthcare.
Recognising a cultural identity, cultural values and beliefs takes up an important part of ever-greater needs of the multicultural community within culturally diverse health care environment. Cultural value is a barometer of whether is right, wrong, acceptance and justice within specific society’s view. Each individual member of the community has tendencies to show respect and follows normative values sanctioned in the culture group (Spencer, 2012). The cultural beliefs can also be good examples of showing how the individuals from different culture processing ideas on health care service expectation, healthcare providers, and their levels of compliance for available care option (Dana, 1997, p.64). Above mentioned cultural concepts are crucial
(2013). HEALTH INEQUALITIES: PROMOTING POLICY CHANGES IN UTILIZING TRANSFORMATION DEVELOPMENT BY EMPOWERING AFRICAN AMERICAN COMMUNITIES IN REDUCING HEALTH DISPARITIES. Journal Of Cultural Diversity, 20(4), 155-162. Williams, S. J., & Torrens, P. R. (2008).Introduction to Health Services (Seventh
What we are gearing towards is cultural competence. “Cultural competence is the ability to interact effectively with people of different cultures. In practice, both individuals and organizations can be culturally competent. “Culture” is a term that goes beyond just race or ethnicity. It can also refer to such characteristics as …disability, religion, income level, education, or profession (SAMHSA.gov, 2016).”