Quiz 3 (Ch. 8 - Ch. 10)

CHIP

targets uninsured children whose families don't qualify for Medicaid

Have a healthcare organization provide an interpreter to assist with language barriers or incorporate linguistic competence in the provision of healthcare and public health to ensure effective communication.

A Haitian woman arrives at a healthcare facility in pain and in need of desperate care. She tries to explain that a spell has been placed on her and she needs an immediate remedy. She is monolingual, speaking only Creole. What steps should be taken at the healthcare facility to handle her situation?

Yes, he needs linguistic competence. He needs to understand that many people in the U.S. do not speak english or have limited english proficiency. So he should think about hiring trained interpreters to avoid cultural filtration.

A children's hospital in the United States has a contract to serve families from a small Arab-speaking nation who will fly in their children for specialty care when needed. The marketing director of the hospital advises his staff to develop a brochure in english for the incoming patients. One of the staff members objects, suggesting that the patients will not understand the brochure because they do not speak english. The marketing director responds, "If a patient wants to receive care here and read our informational materials, they better learn english and fast." Is there a problem with this director's perspective regarding the patients to be served, and does he need cultural competence or linguistic competence training? If so, describe possible approaches.

Cultural competence is viewed as a way to eliminate cultural and language barriers between providers and patients with limited English proficiency. Diversity is the make up of the workforce of a given healthcare organization which includes ethnic and racial backgrounds, age, physical and cognitive abilities, family status, sex, location, religion, and socioeconomic status.

Cultural competence and diversity are two distinct but interrelated terms,. Explain the differences between the two.

I don't think the CEO will pay the money for a translator but if the board member wants to do a fundraiser to make money for a translator I believe he would be okay with that if it wasn't costing him money.

At a monthly board meeting, a board member expresses that the health center that he serves is in the United States and that the predominant language spoken in the United States is English. Therefore, he sees no need for linguistic competence to be an aspect of concern for the organization because patients who seek care need to learn to speak English. What might the CEO say to the board member when she emphasizes the need for a fundraiser to acquire funds to implement costly translation and interpretation services throughout the healthcare facility, necessitating board participation?

People seem to live longer in urban communities versus rural communities

Compare life expectancies for three racial groups in rural versus urban groups.

Cultural competence

Cultural and linguistic competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations

Geographic isolation, lower socioeconomic status, high rates of risky behaviors, and limited job opportunities

List 3 specific factors that contribute to poor health conditions for people in rural communities? (risky behaviors)

The Aid for Dependent Children (ADC) was the initial name then later became known as the Aid to Families with Dependent Children (AFDC) which was a welfare program stating that Black men were not permitted to live in the homes of Black women and their children or they would lose their benefits.Then the AFDC later became known as the Temporary Assistance for Needy Families (TANF) which was a welfare reform program that was a state-by-state administered program based on federal grants. It's purpose was to encourage marriage and other "family values"

Explain the difference between Temporary Assistance for Needy Families (TANF), Aid for Dependent Children (ADC), and Aid to Families With Dependent Children (AFDC).

Emerging Majorities or students may opt out of pursuing degrees in the health professions, due to the high cost and tremendous debt

How are student loans contributing to the shortage of healthcare practitioners?

Half / about 5 million

How many of 10 million participants in the WIC program are infants that are born in the U.S.?

Mother's health and her health behavior prior to and during pregnancy Mother's level of prenatal care Quality of delivery Infant's environment after birth (home and family, medical services) Nutrition Immunizations

Infant health depends on what factors?

Ensuring access to optimal care for poor people, improving the educational system in low-income communities in the United States, eliminating racism and discrimination in the United States, specifically as directed toward emerging majority women, recognizing and understanding cultural norms and the need to modify diet and exercise regimens, establishing economic parity between men and women in the U.S.

List and explain three potential solutions that may positively impact the goal of closing the health status gap for women in the United States.

Effectiveness of disease prevention and health promotion services in a community. Many risk factors can be reduced or prevented with early intervention of educational programs and preventative medical services

MIC statistics are important indicators of??

Title V

Only federal legislation dedicated to promoting and improving health of mothers and children

They need to recognize cultural nuances which are subtle differences between particular cultures.

Public health workers are assigned to conduct research in a metropolitan community to determine potential reasons for obesity, diabetes, and other issues. The researchers are advised by their supervisor in a preparation meeting that although the community members are solely people who are Haitian or African American, there is no need to present the research findings on the two groups distinctively because all of the community members are Black and hence their cultural and social characteristics, including diets and exercise habits, will be the same. Explain the problem, if any, with this directive.

EPA or OSHA

There are two different government agencies that are working to broaden legislation and protection to improve the health issues that MSAW's experience. Identify one of these agencies....

Culture

an integrated pattern of learned beliefs and behaviors that can be shared among groups. It includes thoughts, styles of communicating, ways of interacting, views on roles and relationships, values, practices, and customs

Cultural nuances

are the subtle differences between particular cultures

Alcohol abuse, drug abuse, violence, smoking, absence from exercise

What are some risky health behaviors?

Premature births, SIDS, congenital defects

What are the three leading causes of infant death?

Create a stronger public health infrastructure, enroll more healthcare providers to work with undeserved populations, employ more community outreach workers, train bilingual and bicultural healthcare providers, encourage alternative healthcare delivery methods (healthcare vans)

What do you think are the best solutions for improving the health status of MSAW's?

Mass incarceration is a contributing factor to the disruption/destruction of the Black family. This leads to the lack of availability of Black men for Black women to marry and leaving Black women alone to raise their children. The men's absence disrupts family formation, leading to lower marriage rates and higher rates of children birth outside of marriage. Also Black women are disproportionately imprisoned.

What is mass incarceration, and what is its relevance to some emerging majority communities and their health status?

should be to change from a one-size-fits-all system to one that is responsive to diverse populations. This change requires diversity among board members, staff, and providers, enhanced data collection capacities, effective interpretation and translation services, and cultural competence education

What is the aim of the cultural competence plan?

Approximately 2.5 million

What is the estimated number of migrant farmworkers in the United States?

Deemed as the amount of income for a family to live on, in terms of meeting basic needs

What is the family wage?

Myriad issues including hazardous work environments, poverty, low wages, inadequate housing, limited availability of clean water and septic systems, limited access and continuity of care, lack of insurance, and cultural and language barriers

What is the health status of the migrant and season agricultural workers (MSAws) adversely affected by?

$23,000 for a family of 4

What is the income amount that determines if you are poor?

41%

What percent does the invisible poor make up of the nation's poor

White population who live in rural parts of the world

Who is the "invisible poor"?

Linguistic competence

understanding the fact that many people in the United States do not speak English or have limited English proficiency and seek healthcare environments where their predominant language in not spoken

Cultural filtration

when cultural beliefs or ideas are either included or removed from the interpretation process by the interpreter