Part 1:
Respond to the following in a minimum of 175 words:
- Do public funded health care programs overrule cultural differences for the sake of providing a standard level of care? Defend your answer.
- Within these health care programs, do cultural differences and language barriers such as the ones experienced by the Lee family have an impact on health care compliance?
Part 1A: Respond to classmates with 50 words minimum.
A:
Although there are provisions for standardized care, public funded health care programs do not overrule cultural differences. There must still be respect for cultural differences and patients must still be provided care without discrimination. According to Tikkanen et al. (2020), there are several federal offices who are tasked with developing policies to reduce disparities. The Office of Minority Health creates policies related to racial and ethnic minority groups. The Health Resources and Services Administration provides grants for low-income and underserved populations. Lastly, Indian Health Services, which is funded by the federal government, serves American Indians and Alaska Natives.
Cultural differences as well as language barriers absolutely influence compliance within health care. The Lee family does not believe the medication regimen is helping Lia because they believe in shamanistic healing and sacrificing animals to save the health of the Hmong people. They believe the causes of illness to be spiritual causes such as loss of soul rather than natural or environmental causes. Their language barrier prevents them from understanding medical direction; therefore, Lia does not receive the correct dosages of medication. Often when visited by home health clinicians, Lia’s medications were expired, or the dosage scheduling was not being followed. Their beliefs allow them to believe they have the authority to choose when and how they provide her medications. For example, Lia’s father was double dosing then her mother discontinued her Tegretol because she felt as though it was too strong in combination with Phenobarbital. These medications were essential to controlling Lia’s seizures. This eventually led to her physician writing a letter to Child Protective Services who removed her from the home.
Reference
Tikkanen, R., Osborn, R., Mossialos, E., Djordjevic, A., & Wharton, G. A. (2020, June). International Health Care System Profiles United States. The Commonwealth Fund. https://www.commonwealthfund.org/international-health-policy-center/countries/united-states
B:
I do not think public funded healthcare program overrule cultural differences. There is now a need more than ever for a safe, patient centered care to improve health outcomes as professionals provides care to the increasingly multicultural society. Health care practitioners lack the cultural competence to understand and interact effectively with people from other cultures. It is vitally important to eliminate health disparities and social disadvantages for all patients, regardless of their ethnicity or race.
To avoid the medical mishap that impacted the Lee’s family, public health funded programs must ensure that clinicians are able to understand how each patient’s sociocultural background affects heath beliefs and behaviors. Healthcare practitioners are able to provide better care for multicultural populations by understanding the patient’s social determinants health. There should be a clear communication between patients and health care giver so that providers can collect accurate medical information, this will encourage active dialogue in which patients and health care practitioners can ask questions, correct misunderstandings as well as build trust. Miscommunications, lack of trust through language barrier are some of the factors that contributed to the Lee’s family misfortune. Therefore, public health programs are to be cognizant of these and put some measures in place such as acknowledge diversity, employ a culturally and linguistically diverse staff as well as orientation for new staff and ongoing training for employees.
Challenges of Cultural Diversity in Healthcare: Protect Your Patients and Yourself
https://www.thedoctors.com/articles/challenges-of-cultural-diversity-in-healthcare-protect-your-patients-and-yourself/
PART2:
Understanding public funding is an important aspect when managing operations for a health care organization. Your ability to analyze how state and federal health care policies and funding affect health care organizations and consumers is crucial to its success in the marketplace. As a manager, especially one involved with overseeing operations, you will need to understand and apply this information regularly.
Select a health care organization with which you work or are familiar.
Download the report “Options for Reducing the Deficit: 2017 to 2026” from the Congressional Budget Office website.
Read Ch. 5 of the report.
Select one of the health options listed.
Assume you are the chief operating officer responsible for managing all operations of your selected health care organization.
You recently received an email detailing the impact of the proposed options for reducing the federal deficit from the Congressional Budget Office. You are directed to the document from the website: Options for Reducing the Deficit: 2017 to 2026.
After reviewing the Health Care Options in Chapter 5, you determine that one of the options will have a major impact on your organization.
You have decided to write a letter to the editor of your professional association to reach its membership. Your purpose in sharing your opinion is to influence others in the industry, and provide useful information for those in similar situations, facing challenges from regulatory changes that will impact their operations.
Write a 750- to 1,000-word letter to the editor of a professional organization for its website, written for distribution to its membership, which includes your peers.
Include the following in your letter:
- A summary of your chosen specific option and why it is relevant for your organization
- Why you are writing to this specific professional organization
- The impact of your selected option on your facility and similar facility types
- A summary of the proposed changes you intend to make to your organization or service that may help to decrease the negative impact that this proposed rule will likely have.
Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).