Cultural competence in Health Care provides a balance between a theoretical foundation and clinical application. Because of the focus on basic principles, this book will be useful not only in the United States, but throughout the world as Cultural Competence is intending to fill the cultural competence gap for students and practitioners of medicine and related health sciences, by providing knowledge and describing the skills needed for culturally relevant medical care of patients of diverse ethnic and cultural backgrounds. Cultural Competence in Health Care
A Guide for Professionals
Wen-Shing Tseng, University of Hawaii, Honolulu
Jon Streltzer, University of Hawaii, Honolulu
Between a growing pan-ethnic patient base, the need to solve inequalities of care, and the clinical desirability of viewing clients in their entirety, applied cultural knowledge is emerging as a major goal of clinical and public health practice. Cultural Competence in Health Care offers a wealth of this crucial knowledge with emphasis on day-to-day clinical work. Authors Tseng and Streltzer, well-known experts on transcultural medicine and therapy, start by differentiating between disease and illness and advise on a range of practical matters, from discussing culturally sensitive subjects to negotiating compromises between traditional healing and established medicine, so that readers will gain both useful working techniques and valuable empathy with clients. Case studies highlight medical issues as they apply to various minority (and majority) groups, and eight insightful chapters reveal cultural dimensions expressed in:
Concepts of illness and illness behaviors.
Assessment, interviews, and symptom presentation.
Hospitalization, medication, family involvement, consent issues.
Highly charged medical areas, e.g., pain management, transfusions, reproductive issues, organ donation.
Frequently stigmatized conditions such as AIDS, STDs, cancer, and psychiatric disorders.
Care by non-medical professionals, including social workers, physical therapists, and nutritionists.
Cultural Competence in Health Care is equally suited to use by practitioners and students in medicine, psychology, nursing, social work, and affiliated fields. And since it s one of the only practice-oriented books on the topic, cross-cultural courses in training programs will find it especially useful.
Culture and Medical Practice.- Cultural Competence in Healthcare Specialties.- Culture and Clinical Assessment.- Healthcare for People of Different Ethnicities.- Culture and Medical Diseases.- Culture and Mental Disorders.- Culture and Medical Care.- Culture and Special Medical Issues.- Conclusions.
From the reviews:
"This book focuses on educating healthcare professionals on the complex issues surrounding the delivery of culturally competent care. It moves from basic definitions to clear applicable examples, helping readers to become more accomplished in this area. ... is written for students in medicine, nursing, social work, clinical psychology, and other healthcare disciplines. It is designed to be an aid for practicing physicians and healthcare professionals. ... This is a wonderful addition to the literature, providing much needed instruction in the area of cultural competence." (Kathleen M. Woodruff, Doody's Review Service, July, 2008)
"A comprehensive 2-authored educational text that provides a guide for professionals on developing cultural competence in health care by emphasizing cultural implications of various interactions in the health care setting. ... Recommended Readership: Medical students, physicians of various specialties in training and active practice, nurses, and allied health care personnel." (Ramona DeJesus, Mayo Clinic Proceedings, Vol. 83 (11), November, 2008)
Über den Autor
Wen-Shing Tseng, MD, is a professor of psychiatry at the University of Hawaii School of Medicine. He was born in Taiwan in 1935 and was trained in psychiatry at the National Taiwan University of Taipei and later at the Massachusetts Mental Health Center of Harvard Medical School in Boston. He was a research fellow in culture and mental health at the East-West Center from 1970-1971, before he was recruited as a faculty member of the University of Hawaii School of Medicine, where he became a professor in 1976 and has served as training director for the psychiatric residency training program between 1975-1982. Dr. Tseng is a consultant to the World Health Organization and served as chairman of the Transcultural Psychiatry Section of the World Psychiatric Association for two terms from 1983-1993. He has edited, co-edited and authored over a dozen books dealing with psychiatry, psychotherapy, and cultural psychiatry.
Jon Streltzer, MD, is a professor of psychiatry at the University of Hawaii School of Medicine where he was a training director from 1982-1996. He is a graduate of the University of Colorado School of Medicine and is board certified in general psychiatry, addiction psychiatry, and pain management. He has been Chair of the Chronic Pain Task Force of the American Academy of Addiction Psychiatry, and is a member of the Pain Medicine Board Examination Committee of the American Board of Anesthesiologists. He has been on the editorial board of the International Journal of Psychiatry and Medicine and is a reviewer for several journals. Dr. Streltzer is widely published in the areas of psychosomatic medicine, pain, and cultural psychiatry.
Cultural and Medical Practice: Basic Orientation.- Cultural and Clinical Assessment.- Cultural and Medical Care.- Culture and Special Medical Issues.-Culture and Certain Medical Diseases.-Medial Issues Relating to Ethnic Groups in the United States.- Health Care by Various Professionals.- Culturally Competent Medical Practice: Final Remarks and Suggestions.
Cultural competence in Health Care provides a balance between a theoretical foundation and clinical application. Because of the focus on basic principles, this book will be useful not only in the United States, but throughout the world as Cultural Competence is intending to fill the cultural competence gap for students and practitioners of medicine and related health sciences, by providing knowledge and describing the skills needed for culturally relevant medical care of patients of diverse ethnic and cultural backgrounds.
-Co-authored by physician psychiatrists who are leaders in the area of cultural medicine.
-Organizational scheme and level of writing make the book useful as a textbook and as a practical guide for clinicians.
-The primary focus is on cultural aspects of clinical and public healthcare practice, extending to a variety of cultural variables.
-Numerous case vignettes concerning different ethnic groups are included.