Multicultural medicine

Question 1

Define culture

Answer 1

-Particular group with learned and shared values that affects thinking, actions and emotions

Question 2

What does culture influence?

Answer 2

• Beliefs
• Rituals
• Attitudes
• Diagnosis
• Treatment
• Outcomes

Question 3

Define Transference.

Answer 3

• Transfer of emotions, beliefs or experiences from the past to present
• Positive or negative

Question 4

Define cultural competence.

Answer 4

ongoing capacity to provide for diverse populations a safe, patient centred, evidence based medicine

Question 5

What does the health care service have to accommodate for different cultures?

Answer 5

• Language Line Service (on phone translator)
• on site interpreters (beside patient facing you)
• family members

Question 6

What are the barriers of transference?

Answer 6

lack of knowledge
fear and distrust
bias and ethnocentrism
stereotyping
language barriers
differences in perceptions and expectations
situation.

Question 7

What are the 3 primary focuses within the cultural competencies in health care?

Answer 7

Eliminate misunderstandings in diagnosis or in treatment planning that may arise from differences in language or culture

Improve patient adherences with treatments

Eliminate health care disparities

Question 8

how can you achieve higher levels of cultural competence?

Answer 8

self assessment

in; knowledge, attitudes and skills

Question 9

What is the role of the physician when eliciting Patient’s Explanatory Model of Illness

Answer 9

Asking questions to elicit the patient’s understanding of their illness

Having strategies for identifying and bridging the different communication styles

Having skills for assessing decision-making preferences and the role of family

Question 10

What do you have to think about when using a phone translator

Answer 10

• confidentiality
• time constraints
• setting the scene

Question 11

How can the culturally competent doctor demonstrate practice skills? (5)

Answer 11

• Has an awareness and acceptance of difference whereby diversity is valued
• Understands how his own culture influences how he thinks, acts and delivers services
• Understands the dynamics of difference and is conscious of those dynamics inherent when cultures interact
• Becomes familiar with the different aspects of various cultures in target areas where service is provided
• Has the ability to adapt practice skills that fit the cultural context of the patient/client

Question 12

How many different languages are spoken in each surgery?

Answer 12

6-8

Question 13

What must we acknowledge from people of different cultures?

Answer 13

• differ in their perceptions of illness and treatment
• have unique ways of viewing and interacting with professionals
• regard some forms of verbal and non-verbal communication as appropriate, others as not
• may have different ways of communicating their fears and needs