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Berta Alicia Bejarano, M.B.A., C.I. Diversity Director Kaiser Permanente.

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Presentation on theme: "Berta Alicia Bejarano, M.B.A., C.I. Diversity Director Kaiser Permanente."— Presentation transcript:

1 Berta Alicia Bejarano, M.B.A., C.I. Diversity Director Kaiser Permanente

2  - Race- Language - Ethnicity- Employment - Age - Gender - Income - Sexual Orientation - Education - Social Status What Is Diversity?

3  Is the delivery of health care services that acknowledges and understands cultural diversity in the clinical setting, respect member’s health beliefs and practices, and values cross-cultural communication. Cultural Competence

4   120 Different Spoken Languages  110 Written Languages  80% of KP hospitals & clinics encounter LEP patients  63% daily/weekly  17% monthly How Many Languages Do Our Kaiser Members Represent?

5   50 million today  20 years  150 million  Demographic revolution  Health Care Reform Latinos in the U.S.

6   million of the 30 million Hispanics in America had diabetes  1/3 unaware  5% of Latinos between the ages of 20 and 44 have diabetes  20% of Latinos between the ages of 45 and 74 have diabetes  Half of all Latinos with diabetes have not been diagnosed. Latinos & Diabetes

7   Do not feel sick  Interruption of their lifestyles  Interruption of their work  Side effects of medication  Home/natural remedies instead of medication Why Resistance?

8   Latinos with diabetes often are labeled as "resistant to treatment" when the real problem may simply be that the majority of health information provided to the Latino community often lacks language and cultural sensitivity, making it hard to understand. Challenge

9   Not all Latinos in California are Mexicanos  Learn about the community you will serve  Alameda County  San Jose County  Marin County  San Francisco County/Daly City Develop Your Cultural Knowledge Understand Beyond Language

10   Family Issues  Religious Beliefs & Customs  Folk Medicine Practices  Dietary Practices  Pain  Fatalism  End of Life Decision Making Develop Your Cultural Knowledge Understand Beyond Language

11   Can strongly influence how individuals understand and practice health care, including:  What is considered a health problem  How systems and concerns are addressed  The type of treatment to be provided  Who should provide treatment  Who is involved in the decision-making process Cultural Views

12   Choosing an interpreter is critical to obtaining the best health outcome  Avoid using children, friends, and family  Avoid using jargon. Use short statements with adequate pausing. Ask one question at a time.  SB 775: Prohibits any child under 17 to interpret Tips for Working With Interpreters

13   What is the difference?  Is there a difference?  Interpreter  Translator Interpreter Vs. Translator

14   Kaiser Permanente Consent Form  Sign Here:___________  Cantonese Translation:  Spit Here: ___________  Gerber Baby Food: French Vomiting  Ford Pinto-Brazil: Slang for Male Genitals Translation Errors

15  Health care organizations must offer and provide language assistance services, including bilingual staff and interpreter services, at no cost to each patient/consumer with limited English proficiency at all points of contact, in a timely manner during all hours of operation. CLAS Standard 4 Office of Minority Health, US Dept. of Health and Human Services

16   Sometimes communication can be difficult.  At times patient’s knowledge about their bodies or medical history is less than optimal, needing further explanation.  Patient’s expectations, based on cultural attitudes regarding their health, may affect the outcome of the medical treatment. Cultural Attitudes

17  Diversity

18  “Having a better understanding of culture will enhance your ability to provide patient care. Language alone does not serve much if you do not understand the culture” Understanding Beyond Language

19  Office Questions?

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