Problem Identification Limited access to health care for Spanish Speaking populations is due to inability to afford services, difficulty with transportation, dissatisfaction with services, language barriers and inability to understand treatment plans. Health indicators of Spanish Speaking populations suggests that health outcomes continue to be behind other population groups, they also remain below goals established by Healthy People 2010 (Butler, Kim-Godwwin, & Fox, 2008). The US Spanish Speaking population represents a particular vulnerable subset of US Hispanics that have lower-income, less education, poor perceived health status and poor access to the health care System (Dubar & Gizlice, 2008). Hospitals still use family members to …show more content…
To have quality of care within the health care system, effective communication is needed. Barriers arise when effective communication is not meet, patients with limited English proficiency are at risk for misdiagnosis, poor treatment decisions, trust between provider and patient is not there, and patients to not adhere to treatment plans and follow up if they do not understand what they need to do (Regenstein, Mead, Muessig, & Huang, 2009). In the state of Massachusetts the state law states that the emergency department patients with limited English proficiency have the right to a medical interpreter (Ginde, Clark, & Camargo, 2009). Having a medical interpreter for patients that have limited English proficiency will increase the quality of health care they receive; it also increases patient compliance and increases patient satisfaction. The use of professional interpreters is shown to decrease revisiting the emergency department, and increase this population’s use of outpatient clinics for follow up care (Ginde et al., 2009). General Method Phenomenological research is the research method driving this study. The study is based on the patients who received the care describing their “lived experienced” (Burns, & Grove, 2009, p. 54). The focus of phenomenological research is showing that each individual patient
Establishing effective communication with the patient is a critical factor in promoting patient quality care. Good communication is fundamental when providing safe and effective care at the beside in order to increase the quality of patient care. One of the many communicative barriers that exists between patients and the healthcare team are language barriers. Language barriers are considered an initial problem of translation or code-switching. Individuals who speak different languages require a certain code breaker in order to facilitate effective communication (Gregg & Saha, 2007). Furthermore, language barriers may hinder the quality of patient care and interfere with optimal clinical outcomes. According to Happ et al., 2011, nurses have the unique responsibility to engage in communication with patients and have control over the timing and method of communication. Evidenced based interventions such as communication boards are needed to improve nurses’ communication skills in order to achieve effective communication.
(1997). The spirit catches you and you fall down: A Hmong child, her American doctors, and the collision of two cultures. New York: Farrar, Straus, and Giroux. Karliner, L. S., Jacobs, E. A., Chen, A. H., & Mutha, S. (2007). Do professional interpreters improve clinical care for patients with limited english proficiency?
For many Latinos, they like a more to feel a more personal, welcoming doctor-patient relationship, they want to feel that the provider truly concerned for them as a whole. Since we all know how health care professionals are often rushing can makes the American healthcare system,look untrustworthy, in which doctors often rush visits and lack time to establish relationships with patients. Latino apprehension about healthcare goes deeper than issues of access. It also partially derives from a long history of preferring non-Western medicine, a cultural uneasiness with the American style of healthcare, and a tradition of privacy and individual pride that makes many Latinos believe we have no need to ask for help, and they don’t believe in being
Immigration is not on their top list. Immigration is actually the least of their problems. 50% of their most common problems is health care. All of these studies were made to be shared and inform patients to look out for these kinds of behaviors. It’s hard for hispanics to get high quality services in the health care providing services. Interactions that the health care providers give to the patients aren’t satisfying. “ Although some associations between implicit bias and health care outcomes were non significant, results also showed that implicit bias was significantly related to patient-provider interactions, treatment decisions, treatment adherence, and patient health outcomes.” There are significant amount of health care providers and cannot commit to doing such a thing and treating their patients
Effective communication with patients is critical to the safety and quality care. From the last two decades ,number of researches has been conducted on the impact of language barrier on health and healthcare. It is observed that language barriers are the main cause of medical errors, complication and adverse event. But due to data limitations ,limited researches on impacts of language barrier has been conducted in Canadian setting. However, the researches conducted on other countries on the impact of language barrier on quality of care is applicable in the Canadian context. Some researches shows that there are several barrier which affect quality of care and patient safety. Now, researches has begun to know the complexity of language, culture, race, health literacy that may affect patient care. Current approaches are moved towards the knowledge of risk of language barrier rather than implementation of effective, evidence informed strategies.
In response to Sabrina Geneus I am in agreement with her comments regarding one subpopulation in the U.S which has currently has access to primary care are Hispanics. She also made interesting points regarding them which are true that Hispanics do not receive health care services of high quality because of their low socioeconomic status which includes low income, assets accumulation, low wage occupations and occupational characteristic. In addition, they also endure education attainment which is an obstacle to receive health care in a timely manner. Individuals who are face with low education may ruin their ability to understand clearly the health care delivery system, such as communicate with health care providers, and understand provider’s
Hispanics are the largest and fastest growing ethnic minority group, estimated to be 54 million living in the United States of America. (Office of Minority Health and Health Equity). They work very hard to make both ends meet and also to stay in good health. They are relatively as a source of cheap labor in the American labor market This paper will dwell more on the Hispanic current Health status, how health promotion is described by the group and what health disparities exists for this group.
The project leverages the latest communication technology, population social media platforms, established relationships with major Hispanic media outlets–including Univision, historical partnerships with Hispanic-serving CBOs, and other existing Alliance initiatives to reach over 15 million Hispanic families a year. The Helpline is staffed by bilingual (Spanish and English) Health Promotion Advisors (HPAs) and Certified Application Counselors (CACs), who provide free, personalized, reliable, and confidential information on all health topics, including the health insurance marketplace and health insurance plan options. The Helpline utilizes a unique database of over 11,000 culturally proficient and linguistically appropriate
Mexican Americans are the largest Hispanic group living in the United States. They make up 7.3% of the nation’s population (Newman Giger, 2013). Some of the disparities associated with this culture consist of lack of access to health care and medical insurance. Language barriers and insufficient knowledge about free clinics are other areas for concern.
Hispanics are the largest and fastest growing ethnic minority group and there are estimated to be about 54 million living in the United States (Office of Minority Health & Health Equity, YEAR). The Hispanics are a minority group that struggle every day to survive, to provide for their families, to stay healthy and to live quality lives. This paper will discuss the Hispanics current health status, how health promotion is defined by the Hispanics and what health disparities exist for the Hispanics. Lastly, this paper will discuss the three levels of health prevention and their effectiveness given the unique
To communicate seems easy enough to most of us. We have been doing this from the moment we were born. We expressed ourselves with grunts, moans, crying, smiling and yelling. We started communicating even before we made words with our nonverbal forms of communication. Communication is important. It allows individuals to share information and messages in the form of ideas and feelings (Giger, 2013). It gives us direction and allows us to interact with others. Can you image getting the entertainment system in parts in the mail with no instructions as to how to put it together? It is essential that we all communicate effectivity in order to ensure the best quality of care. Language barriers threaten the patient safety and overall quality of care of these individuals. By having efficient practices in place it will lower those risks and increase quality care.
The United States is a melting pot of cultures from around the globe. Many immigrants acclimate to American culture and customs while retaining many of their native culture and customs. However, much of their culture places these immigrants at risk for health disparities. Hispanics are the largest and fastest growing racial and ethnic in the United States (cardiosmart.org, 2014). According to CDC.gov (2004), compared to non-Hispanic whites, Hispanics experienced chronic liver disease 62% more, diabetes 41% more, HIV 168% more and cancer of the cervix 152% and stomach 63% more for males and 150% more for females.
The Hispanic community in the largest minority in the USA and the fastest growing, it is also one with a high incidence of preventable diseases such as Diabetes, periodontitis, colorectal cancer and HIV. Obesity and teen age pregnancy are significantly more prevalent in Hispanic/Latino population as well. Rate of vaccination is also below that of the majority of the population. Addressing their health care makes good public health and economic sense.
Barriers in health care can lead to disparities in meeting health needs and receiving appropriate care, including preventive services and the prevention of unnecessary hospitalizations (HealthyPeople.gov, 2012). In their 2008 annual report, the Agency for Healthcare Research and Quality lists several disparities’ in health care. They report that racial and ethnic minorities in the United States
The United States is a melting pot of ethnicity, in which, the healthcare system and its benefits vary widely. Those who are able to obtain primary care insurance via a full time employer, typically have the benefits of full coverage care. However, for many minority groups, full time work alone is hard to acquire, along with the health benefits full time employment provides. Culturally competent care among the diverse populations helps increase health promotion and gain a cultural perspective. One of these mentioned groups is the Hispanic population which is steadily increasing within the United States.