Do you speak "health care"?
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Transcript of Do you speak "health care"?
Do you speak “health care”?
Jacqueline Leskovec, MLIS, MA, RN
National Network of Libraries of MedicineGreater Midwest Region
DSLC St Mary’s College
21March 2012
National Network of Libraries of Medicine Greater Midwest Region Who We Are
This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00005-C with the University of Illinois
at Chicago.
ObjectivesParticipants will:• Understand the meaning of health disparities• Be able to identify 4 population groups affected
by health disparities• Learn 4 resources for addressing health
disparities
Health Disparities• Racial, ethnic, sexual & other minorities• Residents of rural areas• Women, children, the elderly• Persons with disabilities• Immigrants, refugees, asylees
Let’s play Diversity Bingo!
Health Equality• [The] attainment of the highest level of health for
all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities.
~Healthy People 2020HealthyPeople.gov
Factors• A high-quality education• Nutritious food• Decent and safe housing• Affordable, reliable public transportation• Culturally sensitive health care providers• Health insurance• Clean water and non-polluted air
Emerging Populations~http://rhin.org/
U.S. Statistics• 73,293 refugees in
2010 o Top countries: Iraq, Burma,
Bhutano Refugee “cap” each year
• 22,113 persons granted asylum in 2010o Top countries: China, Ethiopia,
Haiti
Unique Health Issues
Culture and Patient Health
• Beliefs about objects, symbols, food, the body, blood, non-traditional medicine, etc.
• Communication styles and norms
• Role of relationships• Ways of learning new
information• Role of translations
and interpreters
The Spirit Catches You…
Culture and Clinical Practice
• Integrating cultural information into clinical practiceo Things to watch: styles of speech, eye contact, body language
• Industry Collaboration Efforto Better Communication, Better Care: Provider Tools to Care for Diverse
Populationso http://www.iceforhealth.org/
• New Joint Commission recommendations for hospitals, policy makers, and researchers
The 4 C’s of Culture1. What do you call your problem?2. What do you think caused your problem?3. How do you cope with your condition?4. What are your concerns regarding the condition
and/or recommended treatment?
~The 4 C’s of Culture: A Mnemonic for Health Care Professionals
Health Information Resources
Scholarly Resources/Databases
• PubMedo MeSH Terms
• Google Scholar• CINAHL• PsycINFO
o MedlinePlus/MedlinePlus Españolo Health topicso Drugs & Supplementso Demographic Groups
• Children and Teenagers• Men• Population Groups• Seniors• Women
RHINRefugee Health Information Network• http://www.rhin.org • Multilingual health information (more than 80
languages) for health providers, refugees and asylees
• Large section on cultural guidance• Country Conditions Reports• Multiple formats (print, audio, video)
EthnoMed• http://ethnomed.org • Merged material from former 24 Languages
Project• Background information on cultures and cultural
competency• Patient education materials
DiversityRx• Improving Health Care for a Diverse World
o http://www.diversityrx.org o Webinarso Cultural Competenceo Conference
o http://www.healthyroadsmedia.org/ o Multiple languages; multiple formats
• Includes iPod video and multimedia
Health Information Translations
o http://healthinfotranslations.org/ o Health topics include Diagnostic Tests and
Disaster Preparednesso Linked to from MedlinePlus!
Final Words
Not just what you see…
• Disaster Culture• Profiling/Prejudice: 9/11• Prior Health & Mental Health Issues• Children: over 16 million• Green Card Through Marriage
o Gender Inequality
http://www.us-immigration.com/Green-Card-Through-Marriage.jsp
Others?
Thank you
• Jacqueline Leskovec• [email protected]• http://nnlm.gov/gmr• SMC Class of 1974
A copy of my grandmother’s record of arrival at Ellis Island, 1910