From Patient-Centered Care to Cross-Cultural Medicine: Cultural Competency is the Newest Terminology

2010 ◽  
Author(s):  
Ilana S. Mittman
Keyword(s):  
Cultural Competency ◽  
Patient Centered Care ◽  
Cross Cultural ◽  
Patient Centered ◽  
Centered Care

scholarly journals The Power of Prejudice: Cross-cultural Competency and Muslim Populations

2020 ◽  
Vol 3 (1) ◽  
pp. 73-87
Author(s):  
Rania Awaad, M.D. ◽  
Aneeqa Abid ◽  
Soraya Fereydooni
Keyword(s):  
Mental Health ◽  
Cultural Competency ◽  
Poor Mental Health ◽  
Cross Cultural ◽  
Patient Centered ◽  
Religious Minority ◽  
Competent Patient ◽  
Cross Cultural Communication ◽  
Centered Care ◽  
Muslim Patient

Oh people! We created you from a male and a female and made you into nations and tribes so that you may know one another. Verily the noblest of you in the sight of Allah is the Most God-fearing of you. Surely, Allah is All-Knowing, All-Aware. (49:13) This oft-cited Quranic verse encapsulates the Islamic worldview on the raison d’être of different groups of people and ethnicities, thereby highlighting the importance of cross-cultural communication and Islam’s role in transcending these differences. The same worldview can be adopted in psychiatric practice to provide culturally competent patient-centered care. This paper introduces a clinical vignette of a Muslim patient with poor mental health and her experiences living in the US as a religious minority. The vignette frames the following discussion in the context of rising hate in the country and brings to light the consequences of Islamophobia on the mental health of American Muslim populations. The psychology of outgroup hate is explained by analyzing the literature produced on the interrelated topics of stereotypes, discrimination, prejudice, and xenophobia, and concludes with tools available for cross-cultural competency in a clinical setting.

GPS' PERCEPTION OF THE PATIENT ORIENTED INTERVENTIONS AS KEY ELEMENTS OF PATIENT CENTRED CARE FOR PEOPLE WITH MULTIMORBIDITY.pdf

2018 ◽  
Vol 28 (2) ◽  
pp. 561-565
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva
Keyword(s):  
Chronic Conditions ◽  
Patient Centered Care ◽  
Self Management ◽  
Multiple Chronic Conditions ◽  
Positive Health ◽  
Patient Centered ◽  
Effective Response ◽  
Patient Centred Care ◽  
Centered Care ◽  
Health Related

Background: Patients with multimorbidity represent a significant portion of the primary healthcare population. For healthcare providers, managing patients with multiple chronic conditions represents a challenge given the complexity and the intensity of interventions. Integrated and patient-centered care is considered an effective response to the needs of people who suffer from multiple chronic conditions. According to the literature providing patient-centered care is one of the most important interventions in terms of positive health-related outcomes for patients with multimorbidity.Aim: The aim of the study is to evaluate the GPs’ perception of patient oriented interventions as key elements of patient centred care for patients with multimorbidity.Material and methods: A cross-sectional pilot study was conducted among randomly selected 73 GPs. A direct individual anonymous survey was performed to explore the opinion of respondents about the importance of two patient-oriented interventions, each one including specific elements of patient-centered care for patients with multimorbidity. The tool was developed as a result of the scoping review performed by Smith et al. (2012;2016). A 5-point Likert scale (0-not at all, 1-little, 2-rather, 3-much, 4-very strong) was used. The data were analysed using descriptive statistics. In processing the data, the software product for statistical analyses - SPSS version 17 was performed for Windows XP.Results: Our results show that both categories - providing patient-oriented approach and self-management support interventions were highly accessed by the respondents. The most frequent categories of interventions identified in our study were Creating individualized and adapted interventions, Performing regular contacts and Reinforcing adherence. Less frequently reported elements such as Considering relatives’ needs and Developing self-management plan are still underestimated by the Bulgarian GPs.Conclusions: The acceptance and understanding of innovative patient-centered interventions adapted to patients with multimorbidity could be accepted as a good indicator for improving health-related outcomes and care for patients with multiple chronic conditions.

Patient-Centered Care and Autonomy: Shared Decision-Making in Practice and a Suggestion for Practical Application in the Critically Ill

2019 ◽  
Vol 35 (11) ◽  
pp. 1352-1355
Author(s):  
Marianna V. Mapes ◽  
Peter A. DePergola ◽  
William T. McGee
Keyword(s):  
Decision Making ◽  
Palliative Care ◽  
Critically Ill ◽  
Care Service ◽  
Clinical Care ◽  
Patient Centered Care ◽  
Practical Application ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Centered Care

Decision-making for the hospitalized dying and critically ill is often characterized by an understanding of autonomy that leads to clinical care and outcomes that are antithetical to patients’ preferences around suffering and quality of life. A better understanding of autonomy will facilitate the ultimate goal of a patient-centered approach and ensure compassionate, high-quality care that respects our patients’ values. We reviewed the medical literature and our experiences through the ethics service, palliative care service, and critical care service of a large community teaching hospital. The cumulative experience of a senior intensivist was filtered through the lens of a medical ethicist and the palliative care team. The practical application of patient-centered care was discerned from these interactions. We determined that a clearer understanding of patient-centeredness would improve the experience and outcomes of care for our patients as well as our adherence to ethical practice. The practical applications of autonomy and patient-centered care were evaluated by the authors through clinical interactions on the wards to ascertain problems in understanding their meaning. Clarification of autonomy and patient-centeredness is provided using specific examples to enhance understanding and application of these principles in patient-centered care.

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