As stated in the text, communications at the end of life are also complicated by reluctance to discuss prognosis and diagnosis (Matzo & Sherman, 2010). In consideration of the Chinese family, information is often withheld from the patient with regard to their medical condition and prognosis (Matzo & Sherman, 2010). Therefore, it is important to identify who the decision maker will be by asking the patient to whom information should be given and who should make decisions (Matzo & Sherman, 2010). During the communications process, questions posed which elicit a yes or no response should be avoided (Matzo & Sherman, 2010). Through the course of experience with the deaf community, an individual may respond “yes” although they may have misunderstood the question.
Healthcare Reform: Cost, Quality and Access Healthcare reforms are polices set by the government that describes future ideas and changes based on economic and social advances to create an improved healthcare system that benefits the society as a whole. The topics of cost, quality, and access have become a concern to many as the issues continue to grow. In the United States these issues are the top priorities that have been discussed for decades to enhance the system already in place. The central idea of the first article focused on universal access of primary care. It states that because the costs of healthcare continue to increase so does the number of uninsured which in return increases the costs even more.
On the other hand, American individuals may be able to communicate with each other effectively because they both speak English. The American individual may seem to share a friendship which helps to build a culture trust. Likewise, the Greek individual will have a hard time building trust due lack of similarities. It is important for medical providers to offer interpreters to people who have limited English proficiency. In conclusion, we communicate daily so improving his or her communication skills will make life a little easier.
However, there have been some difficulties in sharing information between the two departments in part because the two Departments have differing interpretations of federal privacy provisions governing the sharing of individually identifiable health data. The difficulties experienced by disabled soldiers and the coordination of their care as they transition to civilian life has been a major driver of
(Sultz & Young pg. 228). All of these factors have contributed to the increased costs of the health care system put on the public and has also influenced some of the barriers that have led to the access of healthcare I spoke about above. The AMA (American Medical Association) also attributes the high cost of health care from the rising toll of preventable illness & inefficiencies in the health care system. They have identified four strategies to contain health care cost, they consist of reduce the burden of preventable disease, make health care delivery more efficient, reduce nonclinical health system costs that do not contribute to patient care and promote value-based decision making at all levels.(http://www.ama-assn.org).
The Hispanic culture is a collectivistic culture. Hispanics tend to be brought up to be helpful, supportive, and accommodating, whereas the American culture, more often than not, promotes competitiveness. Within a Hispanic family, individuals are encouraged to assist family members during times of struggles. This includes, but is not limited to, unemployment, financial problems, and poor health conditions. Hispanics are not independent of the family unit.
The section focusing on multicultural counseling was enlightening from several perspectives. First, to me it seemed like there exists more similarities than dissimilarities among people originating from African Americans, American Indians and Alaska Natives Hispanic/Latino Americans, Asian Americans and Pacific Islanders. Still, they diverge in the extent to which such values and attitudes are prevalent and/or are prioritized. Concretely drawing out these aspects on a continuum will provide an easy gauge to understanding where the overlap occurs and on what aspects they maximally diverge. Second, the aspect of acculturation becomes crucial in understanding how a recent immigrant, a first-generation and a second-generation person from the same racial group adapts to the US.
The spending grew at an exponential rate nationally, while in recent years the growth in corporate costs slowed to a standstill (AFSCME, 2015). This has caused a downward trend in spending and is not sustainable for the future. Costs will be required to be cut by the hospital, which will cause difficulty in providing quality healthcare to all patients. Trinity Community Hospital ensures patient care is consistently high in quality and the service excellence is high priority for patients and staff. With values in service excellence, quality and safety, growth and profitability, and staff achievement, it’s important to remain knowledgeable of the national trends in healthcare as it may have a larger impact in how Trinity may deliver healthcare to the orthopedic, cardiovascular, and cancer centers.
Culture can affect practice of anti-discrimination though there being miscommunication though different ideas of body language that's in a person's culture, for example there's different ways of saying hello in cultures. Culture can also cause discriminatory practice though language barriers, this may cause problems though their not being a translator, the doctors or social workers can be discriminatory in the way of not getting someone to communicate or though not asking the patient what they want for their treatment e.g. whether they need
There are many similarities and differences between the two cultures. The impact of culture in healthcare is growing rapidly. It is imperative for providers to gain the skills needed to communicate with a culturally diverse group of people. Cultural diversity enhances the healthcare office just as it does to our country. Cultural values and languages are common difficulties by the provider.