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© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective Chapter 16
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective The Emergence and Growth of the City of St. Louis St Louis was the 8 th largest City in US, now is the 50 th, Health disparities Indicators like life expectancy, infant mortality, maternal mortality, HIV, AIDS, STD : bad outcomes Multiple ethnicity: Founded in 1764 1803 Trade Center 1847 Laws against Blacks education 1875 High School education for Black children Currently still controversies about quality of education in minority population
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective Health Disparity in St. Louis: How Did It Happen? The Genesis of Disparities AA are largest group in St. Louis. Poor health outcomes: lifestyle factors, AA identity theory Multiples theories: Defective gen hypothesis Ghetto miasma hypothesis Social factors : income, education, occupation, family status, coping with stess
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective Financial Disparities CEO $ 3.13 millions vs. Average worker $37.900
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective The question of Racism American theory : all men were created equal 1015-9 mayor interracial disturbances 1991 TV documentary with several disparities seen. Association of racism and disparate health care outcomes
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective Dred Scott Emancipation Proclamation Black H.S. RiotWW II DesegregationRace Docume ntary 1857186318851917194119521991
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective Education and its role on healthcare disparities in St. Louis Public School Board : very little progress toward excellence in education for all Poorly outcomes Poor leadership? Poor health literacy
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective Cultural Proficiency in Clinical Medicine Cultural competency: success of outcome Cultural competency interview requires patience, make pt comfortable, knowledge, attitude, skill to assure that their interpretation of circumstances and their beliefs system will be accepted and respected
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective The St. Louis Perspective: How Can We Make It Better? Challenge how to educate professionals and provide them with skills, attitude, and knowledge to provide culturally competent care Medical Schools leadership, change attitude needed and better understanding of health disparities Current practitioners should strive to understand their own weaknesses of cultural proficiency Increase admission of minorities in Medical Schools Capitalizing the presence of AHEC Local medical societies take ownership of programs in Health disparities to educate professionals
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective
© 2010 Jones and Bartlett Publishers, LLC Cultural Proficiency and Health Disparity: The St. Louis, Missouri, Perspective Summary Commitment from the City and the government Government as a Stakeholder Weakly teaching, programming, health education, emergency preparedness, and dissemination of other important health information for the public Need of resources Community has resources Multidisciplinary team effort
© 2010 Jones and Bartlett Publishers, LLC Health Disparities: The Nebraska Perspective Chapter 15.
Pharmacy in Public Health: Cultural Competence Course, date, etc. info.
© 2010 Jones and Bartlett Publishers, LLC1 Addressing Health Disparities in the 21st Century Chapter 1.
Chapter 2 Diversity in Healthcare © 2010 Jones and Bartlett Publishers, LLC.
Chap 10: Community Health and Minorities Instructor’s Name Semester, 200_.
Chapter 8. Many of the determinants of well-being span the boundaries of health care and medicine; therefore, eliminating health disparities calls.
Eliminating Health Disparities: Challenges and Opportunities Marsha Lillie-Blanton, Dr.P.H. Vice President in Health Policy The Henry J. Kaiser Family.
Chapter 4 © 2010 Jones and Bartlett Publishers, LLC.
1 Introduction to Nursing Care of the Childbearing Family Molloy College Division of Nursing Ann Marie Paraszczuk 10/5/2015.
Health Systems – Access to Care and Cultural Competency Tonetta Y. Scott, DrPH, MPH Florida Department of Health Office of Minority Health.
Nash 1 “ Advancing Health Equity through State Implementation of Health Reform” Creshelle R. Nash, MD, MPH Assistant Professor, Department of Health Policy.
What are some of the some of the health issues facing African Americans due to the disparities in health care?
Cancer Education and Cultural Awareness Project (CECAP)
© 2010 Jones and Bartlett Publishers, LLC The Relevance of Economics for Public Policies in Multidisciplinary Health Disparities Research Chapter 19.
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. National Standards for Culturally and Linguistically Appropriate Services in Health Care u Overview of OMH.
Promoting Health Literacy through the Office of Minority Health CLAS Standards Guadalupe Pacheco, MSW Project Officer, Think Cultural Health HHS Office.
Hello and Welcome to Unit 4- Seminar Topic: Addressing Health Care in Communities Instructor- Adaeze Oguegbu.
Evaluating a Cultural Competency Curriculum for Disaster Preparedness and Crisis Response Guadalupe Pacheco, MSW HHS Office of Minority Health Eileen Hanrahan.
Interpreter Use Training and Introduction to Culturally Effective Healthcare Community Pediatrics.
Chapter Three The Multicultural Classroom. The Multicultural Curriculum Teachers can help to overcome superficial differences to create a multicultural,
SANDRA A. LOPEZ, LCSW, ACSW, DCSW CLINICAL ASSOCIATE PROFESSOR UNIVERSITY OF HOUSTON GRADUATE COLLEGE OF SOCIAL WORK CELEBRATING DIVERSITY OF CHILDREN.
Chapter 25 The Role of Quality Management in Accountability Fundamentals of Nursing: Standards & Practices, 2E.
The Anne E. Dyson Community Pediatrics Training Initiative Columbia University Children’s Hospital of New York Harlem Hospital Center Dodi Meyer, Milagros.
Human Diversity RTEC A Spring What is Human Diversity? 1. Is also known as cultural diversity. 2. It means the inherent differences among people.
Workforce Diversity. Understand how proactive use of diversity principles can transform the organizations culture Understand the business case for.
The School of HEALTH SCIENCES The University Of Birmingham HOW CAN CULTURAL COMPETENCE BE ASSESSED? BY MEL STEWART.
Milwaukee Consortium for Hmong Health Shannon Sparks, PI Beth R. Peterman, Program Manager Pang Vang, Project Coordinator Mayhoua Moua, Lay Health Educators.
Why not teach mother? Maternal Education in Chlorhexidine Application to Prevent Omphalitis in Rural Kenya Zoë Clark, MS3 David Fischman, MS3 Anna Vestling,
Essential Service # 7:. Why learn about the 10 Essential Services? Improve quality and performance. Achieve better outcomes – improved health, less.
Chapter Eight: Social Class in the United States.
Pakistan. Pakistan is the seventh most populous country in the world Pakistan – A Preview Total Population – million Male : Female Proportion –
Joint Collaborative Meeting 1/28/16 By 2025, we will double the number of West County children and youth who earn a degree or certificate.
1 Community Health What is it? Why should I care?.
The Link Between Thriving Children and Economic Security: Creating Equity in Early Childhood for Our Common Good.
Topic 11 Leadership and Diversity. Gender and Leadership Sex-Based Discrimination –Implicit Theories –Stereotypes and Role Expectations.
Chapter 21: Culture and Spirituality. Learning Objectives Cite cultural demographic trends in United States. Discuss the importance of assessing health.
© 2010 Jones and Bartlett Publishers, LLC Justness, Health Care, and Health Disparities Chapter 3.
Chapter 16 Cultural Diversity Fundamentals of Nursing: Standards & Practices, 2E.
Why is Cultural Competency Important in the Practice of Medicine? Karen E. Schetzina, MD, MPH.
© Copyright, SC AHEC, 2008 “Build Bridges!” Cultural Competence for Teens.
STMs Organizing and involving yourself in trips that will have a lasting impact.
Bridging the Cultural Divide in Health & Mental Health Care Settings: The Essential Role of Cultural Brokering Programs Tawara D. Goode National Center.
Scott Burris Temple University Beasley School of Law & The Center for Law and the Public’s Health/Johns Hopkins Bloomberg School of Public health A CDC/WHO/PAHO.
Minority Business Development in Cleveland Prepared for the Cleveland Foundation August 29, 2005 john a. powell Executive Director Kirwan Institute for.
Croydon Clinical Commissioning Group An introduction.
Milwaukee LIHF Aameria Zapata November 16, 2011 Oversight and Advisory Committee.
© 2012 Pearson Education, Inc. All Rights Reserved Social Work: A Profession of Many Faces, Updated 12e Morales, Sheafor, and Scott Chapter 25 Social Work.
Chapter Nine Inequalities of Race and Ethnicity. What are some common stereotypes that you see on T.V.? What are the common roles played by: Whites?Blacks?Asians?Native.
Dr Samira Alsenany. Knowledge must be translated into clinical practice to improve patient care and outcomes The understanding of care based on evidence.
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