tailieunhanh - Improving Cultural Competency in Children’s Health Care: Expanding Perspectives

The majority of previous studies in this area have employed structural quality measures to evaluate health interventions, such as the presence of medical doctors (Thomas et al 1996), nurses (Thomas et al 1996; Thomas and Strauss, 1992), hospital beds (Thomas et al 1996), drug supply (Strauss 1990), and village midwives (Frankenberg and Thomas, 2001) 1 . The underlying assumption in employing structural measures is that the availability of such tangible assets leads to high technical quality with no variation in provider practice. Yet the existence of a facility or clinician is not synonomous with high quality care. Research conducted. | Improving Cultural Competency in Childrens Health Care xpanding Perspectives On any given day American doctors offices hospital emergency rooms and health centers are alive with the sounds not only of Spanish but also of Haitian Creole Somali Hmong Mandarin Russian and other languages from across the globe. These languages communicate more than words. They can also reflect experiences cultures and belief systems that may not fit neatly into the expectations of the . healthcare system. This divide not only in language but also in culture belief and knowledge contributes to health care disparities in the United States. As the Institute of Medicine noted evidence of racial and ethnic disparities in health care is with few exceptions remarkably consistent across a range of illnesses and healthcare services. The National Initiative for Children s Healthcare Quality NICHQ with its mission of eliminating the gap between what is and what can be in health care for all children is committed to taking action to eliminate disparities. The increasing diversity of American society is especially evident among our youth. By the year 2020 more than one in five children in the United States are expected to be Latino one in six children will be Black and one in 16 Asian. Diversity in culture and beliefs is not restricted to those whose skin color differs from their healthcare providers or those speaking different languages. Cultural differences can also exist because of differences in perspectives about the role of faith and the use of alternative and complementary medicine and healers. The challenge before us is how best to create a healthcare system in which all children receive care that is safe effective efficient timely and family centered regardless of background or cultural differences. What practical changes in processes can make healthcare providers and the systems in which they work more effective in responding to the needs of diverse children And how can health care .

• Sức khỏe trẻ em
• Families
• Businesses Suffer
• Insurers Pursue
• Local Monopolies
• Shrinking competition
• insurance premiums
• Parenting among intact
• Single parent families
• Single mothers and Mothers from intact families
• Intact families
• Children are supported
• Children friendly MASJID
• Physical layout and perspective of children and families
• Physical layout of children
• Physical layout of families
• Perspective of children
• Perspective of families
• Some characteristics of traditional Vietnamese families in history
• Traditional Vietnamese families in history
• Traditional Vietnamese familie
• Value in history
• Some results for normal families
• Generalizations and improvement
• Normal families of meromorphic functions
• W
• Yuan et
• al
• in
• Some problems studied
• Tomato leaf curl disease resistance
• Evaluation of F23 families
• F23 families of tomato
• Solanum lycopersicum L
• Moderately succeptible reaction
• Farm families
• Roles of gender in agriculture
• Gender in agriculture
• Livestock production
• Tribal farm families
• Lunglei district of Mizoram
• Reproductive health
• Intervention programme
• Agrarian families
• Adolescent girls from agrarian families
• Reproductive health knowledge
• Nutri farm
• Year round nutrition security
• Demonstration of nutrifarms
• Middle class families
• Social participation
• Social proactiveness
• Social issues
• Middle class families in Vietnam
• BMC Bioinformatics
• Protein function
• Protein families
• Functional families
• Binding residue prediction
• Protein binding sites
• Developmental assessment
• Young children
• Young children in agrarian families
• Developmental assessment status of Children
• Nutritional status
• Tribal families
• Tribal families of Vizianagaram
• Micronutrient deficiencies
• Social protection policy for Vietnamese families
• Social protection policy
• Social protection Vietnamese
• Socio economic Vietnam
• Ensuring social protection for families
• Livelihood pattern
• Gender wise livelihood pattern
• Various categories
• Various categories of farm families
• Married women
• Married women from farming families
• Farming families
• Integrated farming system
• Marginal farm families
• Livelihood security tool for rural small
• Livelihood security tool
• Three Families of Lines
• hội họa
• kỹ thuật vẽ
• vẽ mỹ thuật
• nghệ thuật hội họa
• văn hóa hội họa
• defining
• formula
• need
• informing
• policy
• demand
• role
• child
• care
• military
• providing
• implications
• support
• retention
• reserve
• experiences
• guard
• deployment
• Military Families
• Military Force Planning
• Health
• Health Care D
• environment
• individual
• primary
• report
• Military Facilities
• Military Health and Health Care
• Military Personnel
• children
• traditional
• non
• trajectories
• economic
• dramatically increased
• divorce among
• major combat zone
• Human development
• Lecture Human development
• Studying development
• Development in families
• Discourses of family
• Authoritative parents
• scientific reports
• Report medicine
• traditional medicine
• immune system
• Antimicrobial
• biosynthesis