2What Is Diversity? - Race - Language Ethnicity - Employment Age GenderIncome Sexual OrientationEducation Social Status
3Cultural CompetenceIs 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.
4How Many Languages Do Our Kaiser Members Represent? 120 Different Spoken Languages110 Written Languages80% of KP hospitals & clinics encounter LEP patients63% daily/weekly17% monthly
5Latinos in the U.S. 50 million today 20 years 150 million Demographic revolutionHealth Care Reform
6Latinos & Diabetesmillion of the 30 million Hispanics in America had diabetes1/3 unaware5% of Latinos between the ages of 20 and 44 have diabetes20% of Latinos between the ages of 45 and 74 have diabetesHalf of all Latinos with diabetes have not been diagnosed.
7Why Resistance? Do not feel sick Interruption of their lifestyles Interruption of their workSide effects of medicationHome/natural remedies instead of medication
8ChallengeLatinos 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.
9Develop Your Cultural Knowledge Understand Beyond Language Not all Latinos in California are MexicanosLearn about the community you will serveAlameda CountySan Jose CountyMarin CountySan Francisco County/Daly City
10Develop Your Cultural Knowledge Understand Beyond Language Family IssuesReligious Beliefs & CustomsFolk Medicine PracticesDietary PracticesPainFatalismEnd of Life Decision Making
11Cultural ViewsCan strongly influence how individuals understand and practice health care, including:What is considered a health problemHow systems and concerns are addressedThe type of treatment to be providedWho should provide treatmentWho is involved in the decision-making process
12Tips for Working With Interpreters Choosing an interpreter is critical to obtaining the best health outcomeAvoid using children, friends, and familyAvoid using jargon. Use short statements with adequate pausing. Ask one question at a time.SB 775: Prohibits any child under 17 to interpret
13Interpreter Vs. Translator What is the difference?Is there a difference?InterpreterTranslator
14Translation Errors Kaiser Permanente Consent Form Sign Here:___________Cantonese Translation:Spit Here: ___________Gerber Baby Food: French VomitingFord Pinto-Brazil: Slang for Male Genitals
15CLAS Standard 4 Office of Minority Health, US Dept CLAS Standard 4 Office of Minority Health, US Dept. of Health and Human ServicesHealth 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.
16Cultural Attitudes 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.