Cultural Proficiency in Addressing Health Disparities

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2008-08-28
  • Publisher: Jones & Bartlett Learning

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This book will help us to address Healthy People 2010, which challenges individuals, communities, and professionals to take specific steps to ensure that good health, as well as long life, are enjoyed

Table of Contents

Forewordp. ix
Acknowledgmentsp. xi
Introductionp. xiii
List of Contributorsp. xv
Addressing Health Disparities in the 21st Centuryp. 1
Overview of Health Disparitiesp. 1
Definition of Health Disparitiesp. 1
Models of Health Disparitiesp. 3
Factors Contributing to Health Disparitiesp. 5
Need for Relevant, Effective Interventionsp. 7
Historical Perspectives of Health Disparitiesp. 8
Contemporary Disparitiesp. 9
Progress on Eliminating Disparitiesp. 14
Health Workforce Educationp. 14
Cultural Competence and Trustp. 16
Communication and Disparitiesp. 16
Environmental Disparitiesp. 18
Solutions for the Reduction/Elimination of Health Disparitiesp. 18
Race/Ethnicity, Trust, and Health Disparities: Trustworthiness, Ethics, and Actionp. 37
Trust and Trustworthiness: Meanings, Distinctions, and Relevancep. 38
Addressing Trustworthiness: From Theory to Principles to Action Guidesp. 43
What Health Professionals and Institutions Should Dop. 50
Justness, Health Care, and Health Disparitiesp. 57
The Idea of Health Disparitiesp. 59
How Justness and Health Disparities Might Be Considered an Ethics Afterthoughtp. 60
The Turn Toward "Professionalism"p. 62
Justness from a New Viewp. 65
The Role of Academic Medical Centers in the Elimination of Racial and Ethnic Health Disparitiesp. 73
Recruiting for Diversityp. 75
Cultural Competency Trainingp. 77
Health Disparities Researchp. 80
Advocacyp. 82
Nursing Perspectives in Addressing Health Disparitiesp. 87
"We just want to be treated like everybody else."p. 87
"Water, water everywhere, but who's stopping to drink?"p. 88
"Never trust anybody over 30? Why, they're talking about me!"p. 88
"Oh, come on, Valda. You're being much too sensitive!"p. 89
The Role of Nurses in Promoting Cultural Competencyp. 90
Demographic Challenges to Contemporary Nursesp. 91
Nurses Bridging the Gapsp. 92
Adding Insult to Injuryp. 96
The Many Faces of Patient Vulnerabilityp. 97
The Ground Meat Parable, or "If I really listen I will understand."p. 98
Full Circle: The Qualified Medical Interpreter in the Culturally Competent Healthcare Systemp. 103
The Why and How of Language Access in Health Carep. 104
The Professional Interpreter: Beyond Bilingualismp. 106
Examples as Food for Thoughtp. 109
Cultural Proficiency: Challenges for Health Professionalsp. 117
Communicationp. 118
Cultural Understandingp. 120
Trustp. 122
Actions by Others to Ensure Culturally and Linguistically Appropriate Carep. 123
Experiences of Minority Professionalsp. 124
Cultural Competency Research: Description of a Methodology. Part Ip. 129
Background Informationp. 130
Research Designp. 131
Community Assessment Instrument (Pre-Test)p. 137
Community Assessment Instrument (Post-Test)p. 146
Cultural Competency Instrument: A Description of a Methodology. Part IIp. 149
Backgroundp. 150
Research Designp. 151
Cultural Competency Instrument (CCI)p. 156
Statistical Models in Health Disparities Researchp. 159
Study Designp. 160
Health Disparities Measuresp. 162
Statistical Modelsp. 170
Addressing Health Disparities: The Hispanic Perspectivep. 183
Access to Carep. 188
Immigration and Acculturationp. 189
Health across the Life Coursep. 191
Chronic and Communicable Diseasep. 194
Mental Healthp. 199
Occupational and Environmental Healthp. 200
Social and Behavioral Healthp. 204
How to Address Health Disparities among Hispanicsp. 206
Health Disparities among Native American People of the United Statesp. 225
Historical Origins of Health Disparities in Native Americansp. 226
Federal Trust Relationship with Native American Tribesp. 227
Population and Socioeconomic Characteristicsp. 228
Geographic Isolation and Cultural Barriers to Health Carep. 229
Mortalityp. 230
Cardiovascular Diseasesp. 233
Malignant Neoplasmsp. 233
Unintentional Injuriesp. 234
Diabetes Mellitusp. 235
Natality, Infant Mortality, and Maternal Healthp. 236
Suicidep. 237
Substance Abusep. 238
Sexually Transmitted Disease/HIVp. 238
Behavioral Health Risk Characteristicsp. 239
Oral Healthp. 239
Other Areas and Health Disparitiesp. 239
Population to Health Professionals Ratiop. 240
Indian Healthcare Systemp. 240
Addressing Health Disparities in American Indiansp. 241
Addressing Health Disparities in Immigrant Populations in the United Statesp. 247
Definitions of Immigrants, Foreign-Born Persons, Refugees, and Naturalized Citizensp. 248
The Numbers of Immigrants and Foreign-Born Persons in the United Statesp. 249
Health Disparities in Immigrant and Foreign-Born Populationsp. 256
Access to Health Care among Immigrantsp. 265
Policies and Practices Intended to Eliminate Health Disparities among Immigrantsp. 266
Cultural Proficiency among Healthcare Providers and Researchersp. 267
Ethical, Legal, and Social Implications of Research with Immigrants as Subjectsp. 271
Minority Attitudes and Perception of Health Care: A Comparison of Comments from a Cultural Competency Questionnaire and Focus Group Discussionp. 281
Research Designp. 282
Resultsp. 284
Health Disparities: The Nebraska Perspectivep. 311
Who Are the "Cornhuskers"?p. 311
Health Disparities in Nebraskap. 313
What Is Nebraska's Commitment Today? What Are We Doing?p. 316
Nebraska's Office of Minority Health and Health Disparitiesp. 317
State Financing for Nebraska's Public Healthp. 318
Health Education of Racial/Ethnic Minoritiesp. 319
The Need for Public Health Leadershipp. 320
Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspectivep. 331
The Emergence and Growth of the City of St. Louisp. 332
Financial Development and Socioeconomic Disparitiesp. 333
Health Disparity in St. Louis: How Did It Happen?p. 333
The Genesis of Disparitiesp. 335
The Question of Racismp. 336
Education and Its Role in Healthcare Disparity in St. Louisp. 337
Cultural Proficiency in Clinical Medicinep. 337
The St. Louis Perspective: How Can We Make It Better?p. 339
Health Disparities in the Pediatric Age Groupp. 343
Backgroundp. 345
Literature Reviewp. 346
Pediatric Diversityp. 351
Educationp. 352
Perceived Health Disparitiesp. 353
Healthcare Insurancep. 353
Addressing Health Care in Communitiesp. 357
The Community Approachp. 359
The Need for Community Empowermentp. 360
Historyp. 362
Community Solutions to Health Disparitiesp. 365
The Relevance of Economics for Public Policies in Multidisciplinary Health Disparities Researchp. 373
Economic Dimension of Health Disparitiesp. 375
Economic Status and Its Measurementp. 376
Income Distributionp. 377
Some Evidence on Economic Studies of Health Disparitiesp. 380
Some Policy Reflectionsp. 380
Conclusion: Global and Domestic Health Disparities-Possible Solutionsp. 385
About the Authorsp. 391
About the Contributorsp. 395
Indexp. 413
Table of Contents provided by Ingram. All Rights Reserved.

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