cultural competence in refugee health care...cultural competence in refugee health care lance a....
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Cultural Competence in Refugee Health Care
Lance A. Rasbridge, PhD
Coordinator, Refugee Outreach Program Parkland Hospital
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Culture
• Definition- “complex whole…” • Individuals are part of many different
cultures • Influences an individual’s health beliefs,
practices, behaviors, and even outcomes of medical treatments
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Competence
• Acknowledgement of the importance of culture
• Knowledge is not encyclopedic • Ongoing, not static • Based on the fundamental of cultural
relativism
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Why is Cultural Competence in Health Care Important?
• Reduce barriers to access • Improve adherence to treatment • Improve health outcomes • Eliminate health disparities • Ethics- Patient-centered care
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Caveats
• Diversity within all cultures, be careful of stereotyping
• Culture is dynamic, especially in the process of acculturation
• Be prepared to negotiate or suggest alternatives to undesirable practices
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Southeast Asian Refugees
• Cambodians • Laotians • Vietnamese • Hmong, Montagnards
• Burmese ethnic
minorities • (Bhutanese)
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Southeast Asian Medical Beliefs and Practices- Etiology
1. Spiritual- Buddhist, folk 2. Natural- balance, humours,
yin/yang 3. Western- biomedical
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Buddhism
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• Symbols
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“Thanakaa”
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• Betel nut
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• Nutrition
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Coining
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Cupping
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Pinching
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Traditional medicines
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Chinese medicine
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Postpartum practices
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Biomedical setting