Conversations in Cultural Competency

Cross-cultural communication during a health crisis

The COVID-19 pandemic is disproportionately affecting the most vulnerable among us. This includes the elderly and those with underlying health conditions. It also includes communities of color, immigrant communities, low-income workers, and the prison population.

As more data emerges that show how social inequities are fueling the pandemic in the United States, it is clear that cultural competency and bias awareness in healthcare is more important than ever.

The healthcare system in many states is overwhelmed by cases of COVID-19 and struggling to secure the resources it needs to safely and effectively treat patients. It may seem like too much to ask for physicians and caregivers to be mindful of cross-cultural communication issues and unconscious bias in such hectic conditions.

But this is precisely the time when skills in cultural competency are most needed. The Three Tenets of Cross-Cultural Communication presented below are a helpful touchstone for all of us to keep in mind as we move forward in our professional interactions—whether they be in the most critical care settings or in other roles no doubt touched by our current reality. They may seem like simple recommendations, but there are concrete ways clinicians can actively exhibit them for maximum effect. They are empathy, curiosity, and respect.

Quality Interactions’ pioneering cultural competency education is ACAP’s choice to reduce unconscious bias and improve customer experience for member organizations.

We are pleased to announce that Quality Interactions was selected as a Preferred Vendor by the Association for Community Affiliated Plans (ACAP). 

ACAP is a national trade association representing not-for-profit Safety Net Health Plans. ACAP’s goal is to support and strengthen Safety Net Health Plans as they work with communities and providers to improve the health of vulnerable populations. ACAP members represent over 50 percent of individuals enrolled in Medicaid-based programs. The Preferred Vendor Program connects ACAP members with vendors who are optimized to meet their unique needs. 

How culture affects mental health

Culture impacts every mental health patient—and every mental health practitioner. Culture is a key factor that we all bring to every interaction, and it can be especially influential in times of emotional distress. Culture, including beliefs, values, norms, and behaviors, affects how we experience and interpret the world, including the meaning we impart to mental illness. In a clinical setting, cultural meanings of mental illness can account for whether and how a patient:

Massachusetts General Hospital improved patient experience—learn how you can too

Massachusetts General Hospital (MGH) is one of the nation's top medical institutions and a leader in the practice and research of medicine. It was established a community hospital charged with serving the medical needs of Boston's diverse population. Over 200 years later, people travel from all over the world to seek medical care at MGH, and serving diversity is still central to its mission.

Expanding the social history

Religion and spirituality are key cross-cultural issues that can impact the way patients react to disease and illness. They also affect the way patients approach medical management. Learn how healthcare providers can expand social history questioning to include religious and spiritual considerations. View and share the infographic.

Managing cultural differences in healthcare

Culture is a complex concept. It includes people’s beliefs, values, behaviors, and ways of understanding their world. In medicine, managing cultural differences—including customs—is essential to providing high-quality health care. One challenge is that patients may not realize they have customs that could jeopardize their wellness. Culture is largely invisible to people who share it. But to outsiders, the customs and ways of life of different cultures are often obvious—and sometimes strange. Here's an example from my own experience:

Quality Interactions cultural competency training is better than ever

Great news here at Quality Interactions. Our industry-leading cultural competency training for healthcare organizations just got even better. We've updated and enhanced our popular course catalog, starting with the ResCUE Model^TM for effective cross-cultural interactions. With powerful new features that increase engagement and deepen learning, now is a great time to utilize our proven eLearning courses for your clinical and non-clinical staff.

Manage Chronic Disease with the EFST Model for Cultural Competence

How can clinicians help ease the stress of chronic disease? Recent healthcare news stories published in The New York Times draw attention to the incredible burden of serious illness and chronic disease on critically sick patients. Not only are they physically uncomfortable and often fighting for their lives—they are also baffled by a confusing healthcare system and swamped by medical bills. Now imagine adding a language barrier to the mix! The challenges of serious illness are compounded when there are cross-cultural issues at play. Quality Interactions' EFST Model is designed to help clinicians uncover and address these issues and provide culturally-sensitive care to all patients with chronic disease.

Our recent live learning event, Social Determinants & Cross-Cultural Care, presented by Dr. Emilio Carrillo, explored the history and impact of social determinants of health (SDOH) and presented real-world case studies to show how health practitioners can make a real difference to improve patient health outcomes. Here are the answers to questions submitted by participants that Dr. Carrillo did not have time to answer during the event. You can also access the event slides and recording.

How clinicians can address social determinants of health

We have known for decades that income, education, race, gender, and other social factors have a bigger impact than medical care on people’s health and life expectancy. Social determinants of health (SDOH) are well documented by respected organizations such as the Centers for Disease Control (CDC) and World Health Organization (WHO).