Question

Conduct an assessment of the health care environment where you work (i.e. health department, long-term care facility, specialty clinic, inpatient hospital, etc). Specifically, examine potential barriers that may exist for a member of a minority group that has a significant presence in your community (i.e. Native American, Cubans, Hmong). Using the criteria below (and explained in greater detail on pages 39 and 40), assess the potential organizational barriers to care in your work environment. Explore ways to decrease barriers to health care for this minority group so that your organization can strive for cultural competency.

Availability

Accessibility

Affordability

Appropriateness

Accountability

Adaptability

Acceptability

Awareness

Attitudes

Approachability

Alternative practices and practitioners

Additional services

Answer 1

Potential barrier occured in three different levels:-
Patient level,provider level and system level..
? -Patient level were related to the patient charecterictics that demographic variables,health benefits and attitudes,personal enability resources,community enabling resources,perceived illness and personal health practices..
    -Provider level were related to the provider charecteristics skills and attitudes
? -System level were related to system charecteristics is organization of the health care system..
?The goal of raising awarenwss about the potential barriers..so that the problem of barriers to health care for different ethnic minorities becomes transparent..the barriers are all tied to the particular situation of the individual patient and subject to constant adjustment..
? Significantly,a lack of awareness about clinical trial enrollment is reflected in response among all groups..Health care professionals must routinely inform patients that there is no enrollment without consent unless this incorrect understanding is solved it could undercut advances in understanding of trust in clinical trial participation..but all minority groups agree,that health care professionals should discuss clinical trials with patients diagnosed with a diseases as part of their standard of care..There should be directions to the food and drug administrations to evaluate and address the inclusion of minority and other demgraphic subgroups in clinical trials..
? Availability:    The institute od medicine land mark report,unequal tratment provides compelling evidence that racial/ethnic disparities persist in medical care for a number of health conditions and services..
Accessibility: Lack of health insurance,lack of financial resources,irregular source of care,legal obstacles,structural barriers,lack of health care providers,language barriers,and age is a main factors that contribute to the problem in the united states among minority groups..
?Affordability: In 1984,Margaret Hecker,then secretary of health and human services dissatisfied with the way health disparities provided the comprehensive review..Recent scientific research on African American health,but a review of topics that published literature identifies as being the top priorities for improving the health status of blacks in the USA..
?Appropriateness:    despite these intercultural challenges,health care services should ensure culturally appropriate health care for every ethnic minority patient..
?Accountability:    This is important for encouraging action and facilitating accountability to reduce nodifiable disparities by using interventions that are affective and scalable..
?Awareness: suitable information upon which to base planning and training.research based studies in health and health services delivery located within the english-language academic and practitioner based literature relating to issues of communication between practitioner and minority ethnic groups..