Integrating Health Literacy, Cultural Competence, and Language Access Services

Integrating Health Literacy, Cultural Competence, and Language Access Services

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-07-14

Total Pages: 115

ISBN-13: 0309442400

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The aging and evolving racial and ethnic composition of the U.S. population has the United States in the midst of a profound demographic shift and health care organizations face many issues as they move to address and adapt to this change. In their drive to adequately serve increasingly diverse communities, health care organizations are searching for approaches that will enable them to provide information and service to all persons, regardless of age, race, cultural background, or language skills, in a manner that facilitates understanding and use of that information to make appropriate health decisions. To better understand how the dynamic forces operating in health care today impact the delivery of services in a way that is health literate, culturally competent, and in an appropriate language for patients and their families, the National Academies of Sciences, Engineering, and Medicine conducted a public workshop on the integration of health literacy, cultural competency, and language access services. Participants discussed skills and competencies needed for effective health communication, including health literacy, cultural competency, and language access services; interventions and strategies for integration; and differing perspectives such as providers and systems, patients and families, communities, and payers. This report summarizes the presentations and discussions from the workshop.


Managing Managed Care

Managing Managed Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1997-04-21

Total Pages: 394

ISBN-13: 0309175054

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Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.


Handbook for Culturally Competent Care

Handbook for Culturally Competent Care

Author: Larry D. Purnell

Publisher: Springer

Published: 2019-06-29

Total Pages: 361

ISBN-13: 3030219461

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This concise, easy-to-read book tackles the potentially awkward subject of culture in a direct, non-intimidating style. It prepares all health professionals in any clinical setting to conduct thorough assessments of individual from culturally specific population groups, making it especially valuable in today's team-oriented healthcare environment. The book is suitable for healthcare workers in all fields, particularly nurses who interact with the patients 24 hours a day, every day of the week. Based on the Purnell Model for Cultural Competence, it explores 26 different cultures and the issues that healthcare professionals need to be sensitive to. For each group, the book includes an overview of heritage, communication styles, family roles and organization, workforce issues, biocultural ecology, high-risk health behaviors, nutrition, pregnancy and child bearing, death rituals, spirituality, healthcare practices, and the views of healthcare providers. It also discusses the variant characteristics of culture that determine the diversity of values, beliefs, and practices in an individual's cultural heritage in order to help prevent stereotyping. These characteristics include age, generation, nationality, race, color, gender, religion, educational status, socioeconomic status, occupation, military status, political beliefs, urban versus rural residence, enclave identity, marital status, parental status, physical characteristics, sexual orientation, gender issues, health literacy, and reasons for migration. Each chapter offers specific instructions, guidelines, tips, intervention strategies, and approaches specific to a particular cultural population.


Global Applications of Culturally Competent Health Care: Guidelines for Practice

Global Applications of Culturally Competent Health Care: Guidelines for Practice

Author: Marilyn "Marty" Douglas

Publisher: Springer

Published: 2018-07-02

Total Pages: 365

ISBN-13: 3319693328

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This book is unique in its global approach to applying the Guidelines for Culturally Competent Nursing Practice that were recently endorsed by the International Council of Nurses (ICN) and distributed to all of its 130 national nursing associations. The purpose of this book is to illustrate how these guidelines can be put into clinical practice and to show how practitioners from different countries with diverse populations can implement them. The first chapter provides the conceptual basis for Culturally Competent Health Care and describes how the guidelines were developed. Each of the next 10 sections presents a chapter describing a specific guideline followed by three or four chapters with detailed case studies to illustrate how the guideline was implemented in a particular cultural setting. All case studies follow a similar format and are written by international authors with clinical expertise and work experience in the culture being presented. This book will be useful for advanced practice nurses, healthcare students, clinicians, administrators, educators, researchers, and those who provide community health or population-based care.


The Spirit Catches You and You Fall Down

The Spirit Catches You and You Fall Down

Author: Anne Fadiman

Publisher: Macmillan

Published: 2012-04-24

Total Pages: 370

ISBN-13: 0374533407

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Winner of the National Book Critics Circle Award for Nonfiction, this brilliantly reported and beautifully crafted book explores the clash between a medical center in California and a Laotian refugee family over their care of a child.


Health Professions Education

Health Professions Education

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-07-01

Total Pages: 191

ISBN-13: 030913319X

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The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.


Culturally Competent Compassion

Culturally Competent Compassion

Author: Irena Papadopoulos

Publisher: Routledge

Published: 2018-04-17

Total Pages: 209

ISBN-13: 1317199928

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Bringing together the crucially important topics of cultural competence and compassion for the first time, this book explores how to practise ‘culturally competent compassion’ in healthcare settings – that is, understanding the suffering of others and wanting to do something about it using culturally appropriate and acceptable caring interventions. This text first discusses the philosophical and religious roots of compassion before investigating notions of health, illness, culture and multicultural societies. Drawing this information together, it then introduces two invaluable frameworks for practice, one of cultural competence and one of culturally competent compassion, and applies them to care scenarios. Papadopoulos goes on to discuss: how nurses in different countries understand and provide compassion in practice; how students learn about compassion; how leaders can create and champion compassionate working environments; and how we can, and whether we should, measure compassion. Culturally Competent Compassion is essential reading for healthcare students and its combination of theoretical content and practice application provides a relevant and interesting learning experience. The innovative model for practice presented here will also be of interest to researchers exploring cultural competence and compassion in healthcare.