As the United States population becomes increasingly diverse, the need for guidelines to assure competent healthcare among minorities becomes ever more urgent. Cross-Cultural Medicine provides important background information on various racial, ethnic, and cultural groups, their general health problems and risks, and spiritual and religious issues. Individual chapters are devoted to the special concerns of several groups: blacks and African Americans, Latinos, American Indians and Native Alaskans, Asian Americans, and Arab Americans and American Muslims. These chapters lay the foundation for exploring an individual's health beliefs and concerns in the context of his or her sociocultural experiences.
When healthcare providers and patients do not speak the same language, medical interpreters are called in to help. In this book - the first ever ethnographic study of a bilingual hospital - Claudia Angelelli explores the role of medical interpreters, drawing on data from over 300 medical encounters and interviewing the interpreters themselves about the people for whom they interpret, their challenges, and how they characterize their role. Traditionally the interpreter has been viewed as a language conduit, with little power over the medical encounter or the relationship between patient and provider. This book presents an alternative view, considering the interpreter's agency and contextualizing the practice within an institution that is part of a larger society. Bringing together literature from social theory, social psychology and linguistic anthropology, this book will be welcomed by anyone who wants to discover the intricacies of medical interpreting firsthand; particularly researchers, communication specialists, policy makers and practitioners.
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1980. From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered
Organizational cultures and subcultures have played vital roles in the quality care of the healthcare industry in both the public and private forms of medical practice and education, leaving opportunity for the integration of principles focused on cross-cultural teamwork. Cross-Cultural Training and Teamwork in Healthcare explores the complex relationships between patients, physicians, and nurses with different cultural backgrounds. Integrating theoretical and empirical perspectives on medical teamwork, this book assesses the impact of diverse backgrounds among team members on the quality of care they provide so that medical practitioners, decision-makers, and educators can effectively make use of their cultural differences to provide patients with the best possible care.
Gives background on new immigrant ethnic groups in Canada, including attitudes towards such issues as childbirth, mental illness, dental care, hospitalization and death, in order to assist social workers in the provision of culturally sensitive and effective treatment programs.
In 1825, an English Earl, crippled with pain and despairing of his usual physicians, invited a young and unconventional doctor into his home. Days later, the Earl was relieved, and the doctor rich. To celebrate his remarkable recovery, the nobleman re-named his favorite racehorse to honor the technique that cured him: "acupuncture." In an engaging account, Roberta Bivins vivifies the characters, texts, and events of acupuncture's (often surprising) 300 year history in Britain, and begins to explain acupuncture's enduring appeal.
This open access book offers essential information on values-based practice (VBP): the clinical skills involved, teamwork and person-centered care, links between values and evidence, and the importance of partnerships in shared decision-making. Different cultures have different values; for example, partnership in decision-making looks very different, from the highly individualized perspective of European and North American cultures to the collective and family-oriented perspectives common in South East Asia. In turn, African cultures offer yet another perspective, one that falls between these two extremes (called batho pele). The book will benefit everyone concerned with the practical challenges of delivering mental health services. Accordingly, all contributions are developed on the basis of case vignettes, and cover a range of situations in which values underlie tensions or uncertainties regarding how to proceed in clinical practice. Examples include the patient’s autonomy and best interest, the physician’s commitment to establishing high standards of clinical governance, clinical versus community best interest, institutional versus clinical interests, patients insisting on medically unsound but legal treatments etc. Thus far, VBP publications have mainly dealt with clinical scenarios involving individual values (of clinicians and patients). Our objective with this book is to develop a model of VBP that is culturally much broader in scope. As such, it offers a vital resource for mental health stakeholders in an increasingly inter-connected world. It also offers opportunities for cross-learning in values-based practice between cultures with very different clinical care traditions.
Winner of the NCA Health Communication 2021 Distinguished Book Award. This book examines interpreter-mediated medical encounters and focuses primarily on the phenomenon of bilingual health care. It highlights the interactive and coordinated nature of interpreter-mediated interactions. Elaine Hsieh has put together over 15 hours of interpreter-mediated medical encounters, interview data with 26 interpreters from 17 different cultures/languages, 39 health care providers from 5 clinical specialties, and surveys of 293 providers from 5 clinical specialties. The depth and richness of the data allows for the presentation of a theoretical framework that is not restricted by language combination or clinical contexts. This will be the first book of its kind that includes not only interpreters’ perspectives but also the needs and perspectives of providers from various clinical specialties. Bilingual Health Communication presents an opportunity to lay out a new theoretical framework related to bilingual health care and connects the latest findings from multiple disciplines. This volume presents future research directions that promise development for both theory and practice in the field.
