TY - JOUR
T1 - Why culture and language matter
T2 - The clinical consequences of providing culturally and linguistically appropriate services to children in the emergency department
AU - Taveras, Elsie M.
AU - Flores, Gleen
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2004/6
Y1 - 2004/6
N2 - As the proportion of racial, ethnic, and cultural minorities in the United States continues to expand, pediatric emergency medicine providers are increasingly likely to encounter cultural and language barriers in practice. This paper reviews a conceptual framework encompassing the decision to seek emergency care, the process of providing such care, and the adherence to treatment plans and follow-up. The ways in which cultural and language barriers can negatively impact each element of this model are discussed in detail. Specific examples include provider ignorance of dangerous folk beliefs, communication barriers secondary to inappropriate interpreter use, and discriminatory assumptions regarding child abuse, pain management, and sexual activity. The practitioner is then provided with concrete recommendations to reduce these negative effects.
AB - As the proportion of racial, ethnic, and cultural minorities in the United States continues to expand, pediatric emergency medicine providers are increasingly likely to encounter cultural and language barriers in practice. This paper reviews a conceptual framework encompassing the decision to seek emergency care, the process of providing such care, and the adherence to treatment plans and follow-up. The ways in which cultural and language barriers can negatively impact each element of this model are discussed in detail. Specific examples include provider ignorance of dangerous folk beliefs, communication barriers secondary to inappropriate interpreter use, and discriminatory assumptions regarding child abuse, pain management, and sexual activity. The practitioner is then provided with concrete recommendations to reduce these negative effects.
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U2 - 10.1016/j.cpem.2004.01.004
DO - 10.1016/j.cpem.2004.01.004
M3 - Article
AN - SCOPUS:2942691578
SN - 1522-8401
VL - 5
SP - 76
EP - 84
JO - Clinical Pediatric Emergency Medicine
JF - Clinical Pediatric Emergency Medicine
IS - 2
ER -