Executive Order 13166 Limited Multilingual Bicult

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Executive Order 13166 Limited Multilingual Bicult

Multilingual, Bicultural Challenges: A Slippery Slope

The growing migration into the United States carries diversity but
brings with it access limitations to necessary healthcare services. The
foreign-born population has increased to an excess of sixty million in
the United States (Lopez & Radford, 2017). This is a population that
speaks a native tongue in their household, with English as a second
language, while half are not proficient or cannot speak English
according to the United States Census Bureau. To further compound the
issue of language as a barrier to healthcare services, less than a third
of the hospitals nationwide offer translation services while others
offer only inadequate services.

Translation services have proven to be essential in providing quality
healthcare. Many healthcare organizations rely on a dangerous
proposition of enlisting fellow patents, family members, friends,
employees, and other untrained uncertified nonclinical individuals.
Reliance on spur-of-the-moment ad hoc solutions presents a jeopardy to
the well-being of the patient and the healthcare organization.

The engagement of ad hoc translation or interpretation can introduce
uncertainty and risk for the patient and the provider. The ad hoc
measure can introduce a difference in dialect and understanding on the
basis of cultural or religious beliefs, animosity of ethnic, cultural,
religious, or other consternating factors. Safeguards must be considered
for both the patient and the provider.

The cost of translation/interpretation services is considerably
expensive, but necessary. Reluctance or refusal to provide such services
is a shortsighted failing to consider potential negative health
outcomes, relinquishing the opportunity to further provider/patient
relationships, and the risk of legal repercussions. The most convenient
and cost-effective measure might be tele-translation services provided
by a certified translator on a twenty-four-hour basis.

References:

Lopez, G., & Radford, J. (2017).
Facts on U.S. immigrants, 2015: Statistical portrait of the foreign-born
population in the United States. Pew Research Center, Hispanic Trends. Retrieved from http://www.pewhispanic.org/2017/05/03/facts-on-u-s…

Pew Research Center. (2015, September 28). Modern immigration wave brings 59 million to U.S., driving population growth and change through 2065.
Retrieved from
http://www.pewhispanic.org/2015/09/28/modern-immig…

Overcoming Language Barriers

Review the tabs to know more about medical interpreters in a healthcare setting.

The importance of professional medical interpreters in a healthcare setting

Displays information about medical interpreters in a healthcare setting.

The exchange of accurate information
between the patient and the provider is a large part of medical care.
The collection of accurate and comprehensive patient-specific data
remains the basis for proper diagnosis and prognosis. Certified
interpreters facilitate communication and help in the prevention of
misunderstandings by ensuring that correct information is passed on.

The role of a medical interpreter

The importance of using qualified medical interpreters

How interpreters can improve access to care and outcome

Additional Materials

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Barriers to Care

The issues creating barriers to healthcare for individuals are
numerous. The greatest barrier to healthcare is health literacy. To
define the scope of the issue, research conducted by the United States
Department of Education found that thirty-two million adults cannot read
above the fifth grade level and 20 percent of high school graduates
cannot read. When foreign-born, non-English-speaking individuals are
also considered, the magnitude of the problem is considerable.

Displays a media that gives information about the immunization outcomes included in spatial analysis.

Statistical Information

There has been a growing trend directed toward vaccines and the
American Pediatric Academy immunization schedule of immunization
administration. The hesitancy, refusal, and delay of childhood
vaccination have been associated with an elevated risk of
vaccine-preventable disease. Diseases that were once considered
eradiated or controlled are emerging in communities. The factors
influencing the emergence of these diseases are immigrant settlement
patterns, cultural factors, language barriers, religious beliefs, low
educational levels, and socioeconomic status.

Displays a media that gives information about the immunization outcomes included in spatial analysis.

Reference:
Lieu,
T., Thomas, R., Klein, N., Chung, C., & Kulldorff, M. (2015).
Geographic clusters in under-immunization and vaccine refusal. Pediatrics, 135(2).

Financial limitations are another significant barrier to accessing
healthcare services and filling necessary prescriptions to manage
chronic diseases. In addition, a substantial number of individuals of
lower-socioeconomic status and the elderly have poor adherence to
prescription medication, fail to manage a chronic disease, or fail to
make needed lifestyle changes to mitigate declining quality of life.

Cultural differences are a challenge beyond language. Some cultures
don’t realize the need for healthcare until they start feeling ill. In
some cultures, religious beliefs prevent individuals from accepting
certain medical services such as transfusion and immunization. In
others, family dynamics center on a maternal or paternal paradigm, which
guides the activity of family members. While each example seems
extreme, the intent is to highlight the interwoven complex issues that
surround barriers to care and diversity in society.

This complex web of barriers to care needs to be addressed
collectively with a focus on demographics. The financial burden to
address all the barriers is exhaustively expensive, and for some issues,
there is no logical, or reasonable, approach. The burden of disease
over the past few decades has shifted from the acute illness to a
chronic health condition, which increases the importance of health
literary. Select areas are impacted by specific issues in varying
degrees. As such, the most significant should be addressed to have the
greatest impact. One of the most significant barriers to bridge is
health literacy. The approach to allow individuals to become more
understanding of their illness and treatment can likely have
far-reaching promise.

Cultural Differences in Healthcare

Displays a media that illustrates the cultural differences in healthcare.

There is a distinct difference between the notion of illness and
disease. The idea of illness rests within the individual’s lived
experience, while disease is a science-based event impacting
populations. In a diverse society, healthcare can be complex and
conflicting. Challenges to deliver healthcare become further complicated
when intertwined with religious, cultural, and language barriers.
Conceptually, Western and Eastern medicine vary and have subcultures
unto their own history, language, codes of conduct, expectations,
methods, and outcomes. The Western paradigm embraces science as its
biological foundation and transcends the idea of religion and culture.
Eastern wellness practices recognize the idea of the whole person,
accepting spiritual, cultural, and religious overlays to this scientific
basis. However, science demonstrates human populations are guided
biological principles that surpass cultural dogmas.

Additional Materials

From the Internet, read the following:

Review the following lectures:

Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.

From the Internet, read the following:

Question:

This week, we discussed the growing social diversity in the United
States and the resultant barriers to care. Use the information presented
in the readings and identify three of the most pressing issues, which,
if addressed, might have the greatest impact upon healthcare delivery.
In your approach, you can elect to identify an issue specific to a local
hospital catchment area. Taking this approach, include the regional
demographics, the problem, the issues of diversity differences within
the healthcare workforce, and your approach to an effective solution. In
your narrative, also discuss whether the efforts would be effective in
addressing the problem and improving the health outcomes.

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.