Treatment FAQ

how culture serves as a barrier to equal treatment when it comes to healthcare

by Prof. Meredith Johnston II Published 3 years ago Updated 2 years ago

Because many health beliefs and behaviors are culturally-based, it follows that when two different cultures come together in a health care setting, a collision of expectations often occurs. Thus, when working with diverse populations in the United States, health practitioners often view their patients’ cultures as a barrier to care.

These cultural boundaries can affect how we perceive medicine and illnesses. There are many types of cultural barriers, but language barriers most prominently affect access to health care. Language barriers threaten how physicians can communicate with their patients, and effectively give adequate medical advice.Mar 16, 2020

Full Answer

Are cultures a barrier to care?

Thus, when working with diverse populations in the United States, health practitioners often view their patients’ cultures as a barrier to care.

How does our culture influence our understanding of healthcare?

“Our culture informs so much, from how we value healthcare, to what we’re looking for in a relationship with a healthcare provider, to our willingness to comply with a treatment regimen,” McGuire explains. “There are so many experiences of identity that shape our cultural lens and our economic and healthcare opportunities.”

What are the barriers to accessing health care?

“One major barrier is navigating a complex new healthcare system,” explains Salhi, assistant professor for the Department of Health Sciences at Northeastern University. “There are many other cultural barriers, however, such as how you interact with a doctor.

How can we improve cultural diversity in the healthcare system?

At the healthcare level, there is underrepresentation of cultural, gender, and ethnic diversity during training and in leadership. To serve the needs of a diverse population, it is imperative that the healthcare system take measures to improve cultural competence, as well as racial and ethnic diversity.

How is culture a barrier to health?

Why culture makes a difference in care. Cultural differences can cause misunderstandings between patients and doctors. Realizing how culture can influence a person's perceptions of health and medicine can really make a difference in understanding a person's medical needs and how to communicate with them.

How culture affects treatment in healthcare?

Cultural health beliefs affect how people think and feel about their health and health problems, when and from whom they seek health care, and how they respond to recommendations for lifestyle change, health-care interventions, and treatment adherence.

What are the three cultural barriers to healthcare?

This study show that cultural factors have an important role in hampering access to healthcare services among people with disability. These barriers include gender, education, health literacy and misconceptions.

How does cultural barrier affect communication in healthcare?

“These challenges are diverse and include insecurity to engage with patients, misunderstanding of patients, more directive communication, negative impacts on shared decision making, more time-consuming communication, perceived power distance between patients and physicians, etc.,” the researchers reported.

What are cultural issues in healthcare?

They are the attitudes or internalized stereotypes that can affect healthcare professionals' perceptions, actions, and decisions in an unconscious manner that often contribute to unequal treatment of people based on race, ethnicity, gender identity, sexual orientation, age, disability, and other characteristics.

Why is culture important in healthcare?

Cultural respect benefits consumers, stakeholders, and communities and supports positive health outcomes. Because several elements can influence health communication—including behaviors, language, customs, beliefs, and perspectives—cultural respect is also critical for achieving accuracy in medical research.

What are examples of cultural barriers?

Five causes of cultural barriersLanguage. Not speaking the same language (well) can cause a myriad of misunderstandings and is considered the most crucial barrier in cross-cultural communication. ... Stereotypes and prejudices. ... Signs and symbols. ... Behaviors and belief. ... “Us” versus “them” (ethnocentrism)

What are cultural barriers?

A cultural barrier is an issue arising from a misunderstanding of meaning, caused by cultural differences between sender and receiver. It can cause outright conflict, but more often, it creates stress in the workplace.

How language and cultural barriers can affect medical care?

Language barriers contribute to reducing both patient and medical provider satisfaction, as well as communication between medical providers and patients. Patients who face language barriers are more likely to consume more healthcare services2 and experience more adverse events.

How can cultural differences affect communication in health and social care?

Cultural diversity makes communication difficult as the mindset of people of different cultures are different, the language, signs and symbols are also different. Different cultures have different meaning of words, behaviors and gestures. Culture also gives rise to prejudices, ethnocentrism, manners and opinions.

What are the barriers to effective communication in healthcare?

Abstract Competing demands, lack of privacy, and background noise are all potential barriers to effective communication between nurses and patients. Patients' ability to communicate effectively may also be affected by their condition, medication, pain and/or anxiety.

Why does culture make a difference in healthcare?

Why culture makes a difference in care. Cultural differences can cause misunderstandings between patients and doctors. Realizing how culture can influence a person’s perceptions of health and medicine can really make a difference in understanding a person’s medical needs and how to communicate with them. Here’s an example.

What is the treatment of Chinese medicine?

In traditional Chinese medicine, treatment often includes various body and mind exercises alongside herbal medicine. It’s based on the belief that to improve one’s overall health, you need to address the root cause of an issue, not just the symptoms. When the body is healthy, all of its parts work in harmony.

Why is culture important in healthcare?

Culture has a significant impact on both diagnoses and treatment options, primarily because of different social beliefs , but also because of biological factors. In order to improve the care of patients in general, health care providers should be aware of ...

Why do women request less invasive treatments?

Women, for example, may request less invasive treatments to make them more comfortable. Likewise, gender roles within relationships can often play a role in hindering treatment. One partner in the relationship may be dominant and believe it’s his/her job to make all of the decisions. 5.

What are some cultural influences?

In order to improve the care of patients in general, health care providers should be aware of the following cultural influences. 1. Family and Community. Everyone retains certain beliefs as a result of family and community influences, especially in other countries. For example, Asians and Pacific Islanders rely heavily on their extended family.

What is more important than the interests of the individual?

Oftentimes, the honor and interests of the family are more important than the interests of the individual. Understanding situations like this when administering health care can be very helpful in providing proper treatment. 2. Religion. For the truly zealous, religion is not just a hobby.

Do Caucasians take prescriptions?

Therefore, they are much more likely to take their medications as prescribed. Others cultural groups, such as African Americans and Native Americans, may doubt the need for such medication and stop taking it prematurely.

Do Caucasian patients handle medications?

Caucasian patients generally tend to handle a wider variety of medications than those of other cultures do. Broaching these subjects with your patients may be uncomfortable to begin with, but it may be the thing that saves your patient’s life and your career.

What is cultural competence?

Culture is defined as a cumulative deposit of knowledge acquired by a group of people over the course of generations.4Cultural competence is the ability to collaborate effectually with individuals from different cultures, and such competence can help improve healthcare experience and outcomes.3,4.

What are the minorities that are less likely to have breast reconstruction surgery?

Additionally, African American, Hispanic, and Asian women have been shown to be less likely to proceed with breast reconstructive surgery post-mastectomy compared to Caucasian women.

What are the social determinants of health?

These social determinants of health (SDH) include, but are not limited to, education, housing quality, and access to healthy foods. It has been proposed that racial and ethnic minorities have unfavorable SDH that contributes to their lack of access to healthcare.

What percentage of the US population will be minorities by 2050?

By 2050, it is estimated that 50% of the US population will consist of minorities and unfortunately, today’s model of healthcare has been noted to have persistent racial and ethnic discrepancies.1Diverse populations require personalized approaches to meet their healthcare needs.

What are gender and cultural barriers in healthcare?

The Gender and Cultural Barriers in the Communication in a Healthcare Organization. "Every information exchange is a communication act, whether it is the exchange that occurs between two people or two machines. Communication can be studied at the level of the interaction between individual agents, or as a set of processes ...

How is communication influenced by culture?

Communication is additionally influenced by how familiar each is with the other’s cultural background. The higher the degree of cultural knowledge and familiarity each has of the other’s culture , the more effective the communication.

What is the role of communication in health care?

The health care systems and organizations are among those where communication plays a very vital and critical role. "Communication systems are a crucial component of the information infrastructure of any health care organization, not just as pipes through which information flows, but as the systems where humans share, ...

Is cultural barriers research as extensive as language barriers?

However, the research on cultural barriers on access or use of health care is not as extensive as research on language barriers. The role of culture is mostly explored in terms of quality of care" (Lee, S. 2003, 7).

How does culture affect health?

Arthur Kleinman, professor of medical anthropology and psychiatry at Harvard Medical School, in the New York Times article, “Bridging the Culture Gap.” “It affects health disparities, communication and interactions in the doctor-patient relationship, the illness experience, and health care outcomes.”

How to achieve cultural competency in medicine?

Awareness is the first step to achieving cultural competency in your practice. Doctors need to realize that they also bring their own cultural context to patient relationships, even if they don’t realize it. For example, in modern medicine, sometimes the focus can be more on the disease than the person with the illness.

How can culturally competent care be improved?

Culturally competent care can improve patient quality and care outcomes. Strategies to move health professionals and systems towards these goals include providing cultural competence training and developing policies and procedures that decrease barriers to providing culturally competent patient care. [1] [2] [3] [4]

How can culturally competent care improve patient quality and care outcomes?

Strategies to move health professionals and systems towards these goals include providing cultural competence training and developing policies and procedures that decrease barriers to providing culturally competent patient care .

Why is it important for healthcare professionals to recognize and accommodate the patient's religious and spiritual needs?

Many patient’s anxieties are reduced when they turn to their faith during healthcare challenges. Because many patients turn to their beliefs when difficult healthcare decisions are made , it is vital for healthcare professionals to recognize and accommodate the patient's religious and spiritual needs.

What is TJC in healthcare?

The Joint Commission (TJC) requires hospitals to be accountable for maintaining patient rights, including accommodation for cultural, religious, and spiritual values. Healthcare professionals and systems must care for patients as whole persons; this includes the body, mind, and spirit.

Why are healthcare providers developing strategies and techniques to respond to the religious and spiritual needs of patients and families?

Health systems and healthcare providers are developing strategies and techniques to respond to the religious and spiritual needs of patients and families for a number of reasons . One reason is that, in addition to TJC, state and federal guidelines encourage institutional responsiveness to population diversity.

Why is it important to include cultural and spiritual needs in healthcare?

It is important for healthcare to include the cultural and spiritual needs of the patient. Healthcare professionals should be empowered with the knowledge and skills to respond to the needs of patients and their families at an intensely stressful time.

What is cultural competence?

Cultural competence is the ability of health providers and organizations to deliver health care services that meet the cultural, social, and religious needs of patients and their families. Culturally competent care can improve patient quality and care outcomes. Strategies to move health professionals and systems towards these goals include ...

Misperceptions of Western Medicines

  • At a recent noon conference for medical residents at the University Of Colorado Health Sciences Center, Dr. Rosanna Fiallo-Scharer presented a case study involving a Mexican immigrant child with diabetes mellitus type 2. During office visits with Dr. Fiallo-Scharer, the girl’s mother accept…
See more on dimensionsofculture.com

Problems Associated with Traditional Medicine Use

  • A 2001 survey of 745 members of the American Academy of Pediatrics found that 87 percent of pediatricians had been asked about complementary and alternative medicines by a patient or a parent in the 3 months prior to the survey. The pediatricians were asked most often about herbs and dietary supplements. Given these statistics among Americans, why is the use of traditional r…
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Misunderstanding of Chronic Disease

  • Many cultures have specific treatments for acute illness, but have no concept of asymptomatic chronic diseases. Therefore, “it hurts you go to the doctor, if not, you don’t.”Without an understanding of how to manage chronic diseases, patients/parents may think that medications should be discontinued once symptoms have abated. Also, each exacerbation of symptoms ma…
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Related Links and Resources

  • 1.Study referenced involving Cambodian refugees https://www.guttmacher.org/pubs/journals/2618800.html 2. Case Study involving Hmong family and misperceptions about birth control pills http://www.culturalsurvival.org/publications/cultural-survival-quarterly/china/hmong-refugees-and-us-health-system 3. Culture and Family DynamicsA…
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Racism and Health Inequities

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“There is a growing body of research to connect racism to poor health outcomes,” says Neil Maniar, professor of practice and director of the Master of Public Health programat Northeastern University. “There are many ways that race and ethnicity are connected to health. When you look at young African-American men in the cri…
See more on northeastern.edu

Culture and Healthcare

  • Another area that public health professionals often examine when looking at health disparities is how culture impacts one’s health. “Our culture informs so much, from how we value healthcare, to what we’re looking for in a relationship with a healthcare provider, to our willingness to comply with a treatment regimen,” McGuire explains. “There are so many experiences of identity that sh…
See more on northeastern.edu

A Move Toward Cultural Humility

  • Until recently, cultural differences in a variety of ethnic groups were addressed through factual knowledge about their cultures and societies. Cultural memos or reports were intended to help one be a more competent healthcare provider. “The challenge is that this is a very simplified version of anyone’s culture,” explains Salhi. “This cultural com...
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