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Cultural Proficiency in Addressing Health Disparities

ISBN-10: 076375174X
ISBN-13: 9780763751746
Edition: 2009
List price: $117.95 Buy it from $114.55
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Description: Medical Sociology Medical Anthropology Health Care Public Policy

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Book details

List price: $117.95
Copyright year: 2009
Publisher: Jones & Bartlett Learning, LLC
Publication date: 8/29/2008
Binding: Paperback
Pages: 434
Size: 6.25" wide x 9.00" long x 1.00" tall
Weight: 1.584
Language: English

Medical Sociology Medical Anthropology Health Care Public Policy

Foreword
Acknowledgments
Introduction
List of Contributors
Addressing Health Disparities in the 21st Century
Overview of Health Disparities
Definition of Health Disparities
Models of Health Disparities
Factors Contributing to Health Disparities
Need for Relevant, Effective Interventions
Historical Perspectives of Health Disparities
Contemporary Disparities
Progress on Eliminating Disparities
Health Workforce Education
Cultural Competence and Trust
Communication and Disparities
Environmental Disparities
Solutions for the Reduction/Elimination of Health Disparities
Race/Ethnicity, Trust, and Health Disparities: Trustworthiness, Ethics, and Action
Trust and Trustworthiness: Meanings, Distinctions, and Relevance
Addressing Trustworthiness: From Theory to Principles to Action Guides
What Health Professionals and Institutions Should Do
Justness, Health Care, and Health Disparities
The Idea of Health Disparities
How Justness and Health Disparities Might Be Considered an Ethics Afterthought
The Turn Toward "Professionalism"
Justness from a New View
The Role of Academic Medical Centers in the Elimination of Racial and Ethnic Health Disparities
Recruiting for Diversity
Cultural Competency Training
Health Disparities Research
Advocacy
Nursing Perspectives in Addressing Health Disparities
"We just want to be treated like everybody else."
"Water, water everywhere, but who's stopping to drink?"
"Never trust anybody over 30? Why, they're talking about me!"
"Oh, come on, Valda. You're being much too sensitive!"
The Role of Nurses in Promoting Cultural Competency
Demographic Challenges to Contemporary Nurses
Nurses Bridging the Gaps
Adding Insult to Injury
The Many Faces of Patient Vulnerability
The Ground Meat Parable, or "If I really listen I will understand."
Full Circle: The Qualified Medical Interpreter in the Culturally Competent Healthcare System
The Why and How of Language Access in Health Care
The Professional Interpreter: Beyond Bilingualism
Examples as Food for Thought
Cultural Proficiency: Challenges for Health Professionals
Communication
Cultural Understanding
Trust
Actions by Others to Ensure Culturally and Linguistically Appropriate Care
Experiences of Minority Professionals
Cultural Competency Research: Description of a Methodology. Part I
Background Information
Research Design
Community Assessment Instrument (Pre-Test)
Community Assessment Instrument (Post-Test)
Cultural Competency Instrument: A Description of a Methodology. Part II
Background
Research Design
Cultural Competency Instrument (CCI)
Statistical Models in Health Disparities Research
Study Design
Health Disparities Measures
Statistical Models
Addressing Health Disparities: The Hispanic Perspective
Access to Care
Immigration and Acculturation
Health across the Life Course
Chronic and Communicable Disease
Mental Health
Occupational and Environmental Health
Social and Behavioral Health
How to Address Health Disparities among Hispanics
Health Disparities among Native American People of the United States
Historical Origins of Health Disparities in Native Americans
Federal Trust Relationship with Native American Tribes
Population and Socioeconomic Characteristics
Geographic Isolation and Cultural Barriers to Health Care
Mortality
Cardiovascular Diseases
Malignant Neoplasms
Unintentional Injuries
Diabetes Mellitus
Natality, Infant Mortality, and Maternal Health
Suicide
Substance Abuse
Sexually Transmitted Disease/HIV
Behavioral Health Risk Characteristics
Oral Health
Other Areas and Health Disparities
Population to Health Professionals Ratio
Indian Healthcare System
Addressing Health Disparities in American Indians
Addressing Health Disparities in Immigrant Populations in the United States
Definitions of Immigrants, Foreign-Born Persons, Refugees, and Naturalized Citizens
The Numbers of Immigrants and Foreign-Born Persons in the United States
Health Disparities in Immigrant and Foreign-Born Populations
Access to Health Care among Immigrants
Policies and Practices Intended to Eliminate Health Disparities among Immigrants
Cultural Proficiency among Healthcare Providers and Researchers
Ethical, Legal, and Social Implications of Research with Immigrants as Subjects
Minority Attitudes and Perception of Health Care: A Comparison of Comments from a Cultural Competency Questionnaire and Focus Group Discussion
Research Design
Results
Health Disparities: The Nebraska Perspective
Who Are the "Cornhuskers"?
Health Disparities in Nebraska
What Is Nebraska's Commitment Today? What Are We Doing?
Nebraska's Office of Minority Health and Health Disparities
State Financing for Nebraska's Public Health
Health Education of Racial/Ethnic Minorities
The Need for Public Health Leadership
Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective
The Emergence and Growth of the City of St. Louis
Financial Development and Socioeconomic Disparities
Health Disparity in St. Louis: How Did It Happen?
The Genesis of Disparities
The Question of Racism
Education and Its Role in Healthcare Disparity in St. Louis
Cultural Proficiency in Clinical Medicine
The St. Louis Perspective: How Can We Make It Better?
Health Disparities in the Pediatric Age Group
Background
Literature Review
Pediatric Diversity
Education
Perceived Health Disparities
Healthcare Insurance
Addressing Health Care in Communities
The Community Approach
The Need for Community Empowerment
History
Community Solutions to Health Disparities
The Relevance of Economics for Public Policies in Multidisciplinary Health Disparities Research
Economic Dimension of Health Disparities
Economic Status and Its Measurement
Income Distribution
Some Evidence on Economic Studies of Health Disparities
Some Policy Reflections
Conclusion: Global and Domestic Health Disparities-Possible Solutions
About the Authors
About the Contributors
Index

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