Patients in the United States come from many different backgrounds. This includes their race, ethnicity, where they live, and their cultural customs. They may speak different languages and follow various religions. Their family traditions, education, and income levels can be very different too. Some patients may have different mental or physical abilities or belong to different age groups.
Knowing these differences helps keep patients safe and makes communication better. It also helps give fair access to healthcare and improves results. For example, Alzheimer’s disease is more common in African American and Hispanic groups. Prostate cancer happens more often and is more deadly at younger ages in non-Hispanic Black men than in other groups.
People with lower incomes might have trouble getting good food, quality care, and fast treatment. Age and gender also matter. Women usually live longer but may have health risks like weak bones or depression. Men have higher rates of heart disease, cancer, and diabetes.
Healthcare administrators need to know about cultural competence and cultural humility to provide good care.
Cultural competence means being able to recognize patients’ cultural backgrounds. It means responding well to their health beliefs, values, and how they like to communicate. This kind of care respects patients as unique individuals. For example, using simple language, calling patients by their chosen names, and noticing their body language helps build trust.
Cultural humility means healthcare providers keep learning about patients’ cultures. It asks providers to think about their own biases and avoid acting like culture experts. Using both ideas together leads to better and more respectful care.
This approach helps reduce hidden biases in healthcare that can cause unfair treatment, even when patients have similar insurance or access.
Good communication helps improve patient care. Language differences, cultural ways of talking, and different beliefs about health can make understanding harder.
Healthcare providers should change care plans to match what patients value culturally.
Ageism means unfair treatment because of age. It can harm older adults by causing worse health and shorter life spans. Some healthcare workers may hold wrong ideas about older patients and give them less care.
Healthcare groups should understand that beliefs about aging change between cultures. They need to give fair care to older patients from all backgrounds. This includes knowing about different diseases, social help, and getting resources.
Also, having more diversity in health research and staff helps lower health gaps. Studies show patients do better and feel more comfortable with providers who share their culture or language. Diverse research teams make studies that help more people and improve care for everyone.
Having a healthcare staff with many cultural backgrounds helps patient care. Diverse staff communicate better and know more about different cultures. It helps minority patients feel more welcome and speak up about concerns.
Leaders should hire and keep diverse workers, offer cultural training often, and work with local groups to meet cultural needs. Knowing the local community helps create programs for language help, health education, and specific health risks.
For example, in places with many Hispanic people, care that includes family and spirituality usually makes patients happier and healthier.
More people coming to the U.S. has increased diversity in patients and healthcare workers. Over 40% of nurses trained in other countries. Nursing education uses culturally responsive teaching (CRT) to prepare nurses for this.
CRT helps nurses handle differences in health beliefs, communication, and care styles. It includes thinking about oneself, listening closely, and learning about culture. This training helps nurses respect traditional beliefs while giving medical advice. It also helps with problems like language barriers and clashing views.
New technology like artificial intelligence (AI) and automation can help provide care that fits patients’ cultural needs.
Using these AI tools helps make healthcare run smoother and improves patients’ experiences by respecting culture from the start.
Healthcare in the U.S. must follow federal rules about culturally and linguistically appropriate services (CLAS). The Department of Health and Human Services Office of Minority Health set CLAS standards to promote fair and respectful care.
Some helpful resources for healthcare groups are:
Healthcare leaders and IT managers should use these resources in their policies, staff training, and technology to improve cultural care skills.
By using these practices, healthcare administrators and managers can better serve patients from different backgrounds. This leads to happier patients, safer care, better treatment following, and fair health outcomes. Changing care to respect culture is important in today’s healthcare.
Patient diversity includes geographic and cultural background, race and ethnicity, age, preferred language(s), religious and family traditions, educational and socioeconomic background, and various abilities.
Recognizing diversity enhances patient-centered care, improves safety, fosters open communication, promotes health equity, and leads to better patient outcomes by respecting individual values.
A diverse healthcare workforce improves patient satisfaction, communication, and access to care, as patients may feel more comfortable with providers who share or understand their cultural backgrounds.
Effective strategies include using preferred names, employing person-first language, matching communication styles, using plain language, and being aware of nonverbal communication cues.
Providers can identify the primary languages of patients, offer qualified interpreters, and provide written materials in preferred languages to enhance understanding and decision-making.
Tips include avoiding assumptions about beliefs, reflecting on one’s values, understanding the local community’s demographics, and adapting practices to align with patients’ cultural preferences.
Ageism can lead to harmful stereotypes, poorer health outcomes, and a dismissal of treatable conditions among older patients, affecting their quality of life.
Diversity in clinical trials ensures broader applicability of results and promotes inclusive research that reflects the needs and experiences of different populations.
Cultural and linguistic competency ensures respectful, responsive patient care, addressing diverse needs and improving communication and overall care quality.
Key resources include the HHS’s Think Cultural Health guide, CLAS standards, and the Health Equity Guiding Principles from the CDC, among others.