Cross Cultural Medicine

As the United States population becomes increasingly diverse, the need for guidelines to assure competent healthcare among minorities becomes ever more urgent. Cross-Cultural Medicine provides important background information on various racial, ethnic, and cultural groups, their general health problems and risks, and spiritual and religious issues. Individual chapters are devoted to the special concerns of several groups: blacks and African Americans, Latinos, American Indians and Native Alaskans, Asian Americans, and Arab Americans and American Muslims. These chapters lay the foundation for exploring an individual's health beliefs and concerns in the context of his or her sociocultural experiences.

Alternative medicine is a fifty billion dollar per year industry. But is it all nonsense? The Whole Story rounds up the latest evidence on the placebo effect, the randomized control trial, personalized genetic medicine, acupuncture, homeopathy, osteopathy and more. It reaches a provocative conclusion: alternative therapies' whole-body approach might be just what medicine really needs right now to help crack the tough, chronic conditions seemingly untouched by the revolutions of surgery, antiseptics, antibiotics, vaccines and molecular biology.

When healthcare providers and patients do not speak the same language, medical interpreters are called in to help. In this book - the first ever ethnographic study of a bilingual hospital - Claudia Angelelli explores the role of medical interpreters, drawing on data from over 300 medical encounters and interviewing the interpreters themselves about the people for whom they interpret, their challenges, and how they characterize their role. Traditionally the interpreter has been viewed as a language conduit, with little power over the medical encounter or the relationship between patient and provider. This book presents an alternative view, considering the interpreter's agency and contextualizing the practice within an institution that is part of a larger society. Bringing together literature from social theory, social psychology and linguistic anthropology, this book will be welcomed by anyone who wants to discover the intricacies of medical interpreting firsthand; particularly researchers, communication specialists, policy makers and practitioners.

From the Preface, by Arthur Kleinman:Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research.

Gives background on new immigrant ethnic groups in Canada, including attitudes towards such issues as childbirth, mental illness, dental care, hospitalization and death, in order to assist social workers in the provision of culturally sensitive and effective treatment programs.

Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

A guide to the techniques and analysis of clinical data. Each of the seventeen sections begins with a drawing and biographical sketch of a seminal contributor to the discipline. After an introduction and historical survey of clinical methods, the next fifteen sections are organized by body system. Each contains clinical data items from the history, physical examination, and laboratory investigations that are generally included in a comprehensive patient evaluation. Annotation copyrighted by Book News, Inc., Portland, OR