Cultural Barriers Within Healthcare Essay
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According to Health Resources Services Administration, sixty-five to seventy-five percent of all patients seen in a non-profit healthcare clinic live below the poverty level. Providing effective health care to low income families requires an understanding of the potential cultural barriers, which may be faced. These barriers include social, language, religion, and technological issues. The majority of our patients from foreign cultures are Hispanic or Asian. Due to this fact, we will discuss the barriers of dealing with those from Hispanic and Asian Cultures, and offer possible solutions to overcome these obstacles effectively.
The number of immigrants entering the United States has been rapidly increasing over the last few years. For instance, the number of Asians in the United States has grown to more than 9 million in 1996. In 1996, there were over 28 million Hispanics in the United States, and the numbers are only increasing. The rapid growth of these two cultures in United States has made overcoming cultural barriers crucial in managing a non-profit healthcare clinic.
A predominate social barrier in dealing with those from the Asian culture is their reluctance to disclose personal information to anyone outside of their family. Due to this, they may not be honest and forth coming in giving physicians or other medical staff personal or critical information needed for their treatment. When it comes to healthcare for Asian women, they do not seek out medical care for Gynecological exams because they feel it is an invasion of their body and considered improper and very humiliating for the women. Differences between Asian culture and the American culture are the majority of health issues of Asians are not often addressed in the American health care system. However, the Asian culture is not the only culture that is facing social and economic barriers to healthcare.
With the numbers of immigrants increasing, what can we do to ensure that our clinic will be able to address the social and economic issues of all patients? First, we will need to hire someone to act as a cultural liaison, who not only has knowledge about the differing cultures, but can also speak the language. Second, we will need to address these issues and barriers with our clients to successfully seek out ways to eliminate any future barriers we may face. Our educational programs will address issues that range from preventing sexual diseases, use of birth control, and understanding your body all the way to addressing the needs of children. We plan to make our clinic accessible to all low-income families by assuring our potential clients that we are not interested in their legal status, but in the health of their families. We believe by making the clinic’s fees based on a schedule of one’s income, that we are making healthcare affordable for everyone.
The 1996 Personal Responsibility and Work Opportunity Reconciliation Act ("1996 Welfare Act”) was the major overhaul of the welfare system that many Americans were looking for to decrease the many who are taking advantage of their hard earned money. One of the main points in the welfare reform legislation deters non- citizens from applying for public assistance. Even if they are eligible, they may fear that receiving public benefits will make them inadmissible or deportable. The many health problems that are prevalent in the Hispanic population are due to lack of adequate health care programs available to non-citizens. Due to that lack of citizenship, they are ineligible for federal health assistance programs such as Medicaid, even if their incomes are low enough to qualify. The lack of availability of health care in the Hispanic population is mainly due to their citizenship status; even with low incomes, Hispanics are ineligible for health care programs such as Medicaid.
Non-profit health care clinics do not fall under the Public Charge Law, they are exempt from having to verify immigration status, even if they provide a federal, state, or local public service, and they may not be penalized for not verifying immigration status. State and local governments may not impose verification requirements on such organizations. To be exempt, an organization must be both nonprofit and charitable. With over 600 community and non-profit health centers around the United States, the undocumented populations are assured good quality care without having to worry about being turned into the INS. One of the first types of health center being excluded from the Public Charge Law were Federally Qualified Health Centers (FQHC) with the average number of undocumented aliens served a month being 4,316, at the cost of only $3,258 for all (Bureau of Primary Health Care).
Another common barrier between cultures is the difference in language. According to the 1990 United States Census Bureau, almost 2,300 people in Oklahoma over the age of 18 do not speak any English. Over 48,000 of Oklahomans are Spanish speaking. One problem language barriers create is the inability of the patients to communicate with the physician. Often, the physician is unable to clearly understand the symptoms the patient is describing. According to Charles Warren, an anesthesia technician at Mercy Health Center, only 8% of the doctors in the hospitals are multilingual. The breakdown in communication between the doctor and patient can multiply the possibilities of a misdiagnosis. This can cause harm to the patient and make doctors vulnerable to malpractice lawsuits. Another danger, associated with a language barrier, is the possibility of the patients misunderstanding the doctor’s instructions for the medication.
A solution for this would be to provide an interpreter to assist the doctor while treating this patient. Many healthcare facilities, such has Mercy Hospital, have a variety of employees who are multilingual, so they may be called upon to provide translation between and doctor and a patient. The hospital’s MIS (Medical Information System) tracks these employees. One option currently available is known as...
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