Community chapters 5 and 7

what publications promote disease prevention

-The U.S. Preventive Services Task Force, Recommendations for Primary
Care Practice ( AHRQ,2018)

-The Community Guide (Community Prevention Services Task Force, 2018)

Health Care System Phases

1. The Preindustrial Era (1800-1900)

2. The Postindustrial Era (1900-1980)

3. The Corporate Era (1980-2019)

4. Challenges for the 21st Century (2020 and the current future)

challenges for the 21st century

-reemergence of old communicable and infectious diseases

-large food borne disease outbreaks

-acts of terrorism

-chronic disease

-health disparities

-technology

-labor force challenges

-changes in nursing education

-affordable care act

factors influencing health care costs

-age

-life expectancy

-health policy reform

-ethnicity and health disparities

financing of health care: public support

-medicare

-medicaid

-prospective payment system (PPS)

-diagnosis-related groupd (DRGs)

financing of health care: other public support

-TRICARE

-veterans administration

-indian health service

-affordable care act’s prevention and public health fund (PPHF)

financing of health care:private support

-evolution of health insurance

-employers

-individuals

-managed care

-health specific savings accounts

organization factors of culture

-communication

-space

-social organization

-time perception

-environmental control

-biological variations

-nutrition

social determinants of health

-economic instability

-education

-social environment

-health and health care

-physical environment

cognitive dimension

-cultural incompetent: oblivious

-culturally sensitive: aware

-culturally competent:knowledgeable

affective dimension

-cultural incompetent: apathetic

-culturally sensitive: sympathetic

-culturally competent: committed to change

skills dimension

-cultural incompetent: unskilled

-culturally sensitive: lacking some skills

-culturally competent: highly skilled

concepts of cultural competence

-cultural awareness

-cultural knowledge

-cultural skill

-cultural encounter

-cultural desire

dimensions of cultural competence

-cultural preservation

-cultural accommodation

-cultural repatterning

-cultural brokering

inhibitors to developing cultural competence

-stereotyping

-prejudice

-racism

-ethnocentrism

^cultural blindness

-cultural imposition

^cultural relativism

-cultural conflict

-cultural shock

what are the phases if in-depth cultural assessment

1. data-collecting phase

2. organizing phase

what are the five principles of a culturally competent organizational model

-valuing diversity

-conducting cultural assessment

-understanding the dynamics of difference

-institutionalizing cultural knowledge

-adapting to diversity