and Zebrack, Brad Such policies and processes should include considerations of disparities between the diversity profiles of physicians and other caregivers and that of patients and families being served. For example, as clinical locations are established, faculty members need to be aware of transportation problems that may affect students from certain neighborhoods, such as lack of access to mass transit. Henry J Kaiser Family Foundation, Robert Wood Johnson Foundation. View all Google Scholar citations To promote the provision of culturally effective health care to pediatric patients, the AAP recommends the following: The AAP, along with health care organizations at all levels, should continue to participate in the development and evaluation of curricular programs, such as toolboxes, that teach health care professionals to be supportive of cultural diversity and sensitive to cultural differences and behavior. Another attribute that has proven to affect health care is gender, as 1 study14 recounts the influence it has on patient-physician communication and consequently on health care. The report also calls on organizations, community groups, schools, and others to offer programs that target skill improvement for individuals with low literacy and limited English proficiency.22 Programs that provide multilingual prescription or drug information are needed. and Fornehed, Mary Lou Halefom Kahsay Department of Pharmacy Collage of Health Science, Adigrat University Adigrat, Ethiopia Tel: +251914257964 E-mail: Accepted date:January 30, 2017 This is a concern for racial and ethnic minority children, for example, because according to standard indicators of child health status (including low birth weight, infant mortality, and immunization rates), these children are, in general, less healthy than are white children. Ignorosa-Nava, C.A. CME Report 5-A-98, Boyd CB. A variety of programs, seminars, workshops, and residency curricula already exist across the country with great variation in educational content, focus, priorities, faculty support, and availability and with limited and/or variable descriptions of outcome measures. End-of-Life Care Federal and state incentive programs should be established to encourage the implementation of national and community-based programs to improve the delivery of culturally effective health care. 2015. Programs should be tailored to the unique needs of the learner at each stage within the spectrum of lifelong learning from premedical education and medical school through residency and CME. Journal of Pediatric Psychology, Journal of Pediatric HealthCare,Journal of Pediatric Oncology Nursing, Omega, Social Work in Health Care, and Journal of Palliative Medicine.Studies were excluded ifthey fo-cused on adjustment of children with serious illness rather than on cultural issues, or were not published in English. Cultura… For the purposes of this policy statement, the term “culture” is used to signify the full spectrum of values, behaviors, customs, language, race, ethnicity, gender, sexual orientation, religious beliefs, socioeconomic status, and other distinct attributes of population groups. Reliable data have shown that patients who belong to racial, ethnic, linguistic, or other minority groups tend to have greater morbidity than do white, English-speaking patients.40–46 The reasons for these health disparities are numerous, including cultural beliefs about health care and healing, dietary deficiency, insufficient exercise, barriers to access to health care resources, financial indigence, inadequate insurance coverage, and inability to communicate with English-speaking health care professionals. Key terms included: culture, transcultural, spiritual, international, ethnic, customs or religion AND end-of-life, palliative care, death, dying, cancer, or hospice, and children, pediatrics, or pediatric oncology. Recent years have seen a noteworthy increase in the number of federal, state, national, and community organizations/agencies that are generating reports, guidelines, and strategies to address various facets of culturally effective health care delivery.2,7,16,22,38,41,43,45,47–50,52. Feature Flags: { allowing a family member to speak for and dictate all medical care and decisions for an aging parent), or disrespectful/suspicious to a Caucasian (e.g. Measures to improve cultural competence and ethnic diversity will help alleviate healthcare disparities and improve health care outcomes in these patient populations. Lindley, Lisa Nurses who are informed about cultural values and norms of the Hmong and their family and social structures, as well as their spiritual and traditional practices, will be able to establish trust with their pediatric patients and their caregivers. This is especially vital when end-of-life care is needed during childhood. Full participation by the pediatric community is critical to the delivery of culturally effective pediatric care. Feudtner, Chris This manual also outlines learning objectives and competencies for medical students that relate to the provision of culturally effective health care, with reference to cultural, ethnic, and socioeconomic factors.34, The program requirements for residency education in pediatrics developed by the Pediatric Residency Review Committee call for structured educational experiences that prepare residents for the role of child health advocate within the community and inclusion of the multicultural dimensions of health care in the curriculum.35 To prepare residents to fulfill the needs of all their patients, the Future of Pediatric Education II Task Force recommended that all pediatric residents design and implement an individualized professional education (CME) plan by the third year of residency training that incorporates anticipated needs for their future practice.2. As such, the AAP maintains that culturally effective health care should be promoted through health policy and education at all levels, from premedical education and medical school through residency education and continuing medical education (CME). pediatric patients. Halefom Kahsay* Department of Pharmacy, Collage of Health Science, Adigrat University, Adigrat, Ethiopia. Name nursing actions that reduce risks to which specific age groups of patient are vulnerable. Many patient populations and communities suffer from poorer health compared with other populations. 2. Cultural Issues in Pediatric Asthma Care . In the years since the 1994 report, discussions of health disparities among other minority patient populations and their families have emerged and expanded the discussion of culturally effective health care. 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