cultural competence importance in healthcare
TRANSCRIPT
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8/6/2019 Cultural Competence importance in Healthcare
1/20
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8/6/2019 Cultural Competence importance in Healthcare
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8/6/2019 Cultural Competence importance in Healthcare
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8/6/2019 Cultural Competence importance in Healthcare
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8/6/2019 Cultural Competence importance in Healthcare
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{jpymkj xfj} rpnymhj alh a {melmkalx mlzjlkj nl xfj
nyjpacc raxmjlx jvrjpmjlkj,
Xfj Onmlx Knddm{{mnl nl xfj Akkpjhmxaxmnl ni Fjacxfkapj
Npealmaxmnl{ &OKAFN- niijp{ akkpjhmxaxmnl xn fjacxfkapj
npealmaxmnl{ xfax kndrc} umxf Onmlx Knddm{{mnl
{xalhaph{ alh knlxmlznz{c} dagj jiinpx{ xn mdrpnyj
xfj kapj alh {jpymkj{ xfj} rpnymhj, Xfj OKAFN dm{{mnl
m{ Xn knlxmlznz{c} mdrpnyj fjacxf kapj inp xfj rz`cmk#
ml kncca`npaxmnl umxf nxfjp {xagjfnchjp{# `} jyaczaxmlefjacxf kapj npealmaxmnl{ alh ml{rmpmle xfjd xn jvkjc ml
rpnymhmle {aij alh jiijkxmyj kapj ni xfj fmefj{x qzacmx}
alh yaczj, Nlj ni xfj gj}{ ml damlxamlmle akkpjhmxaxmnl
umxf OKAFN m{ xn mlkpja{j xfj a`mcmx} xn pjkpzmx alh pjxaml
fmef rjpinpdmle {xaii djd`jp{ ufn rpnymhj xfj fmef
qzacmx} kapj raxmjlx{ ljjh alh hj{jpyj, A knpj jvrjkxjh
qzacmx} ni {xaii m{ xn `j kzcxzpacc} {jl{mxmyj alh xfm{ `jeml{
umxf xfj pjknelmxmnl xfax xfjpj apj hmiijpjlkj{ `jxujjl
kzcxzpj{, Xfj{j hmiijpjlkj{ apj pjjkxjh ml xfj ua} xfax
hmiijpjlx epnzr{ knddzlmkaxj alh pjcaxj xn nlj alnxfjp#
alh xfj} kapp} nyjp mlxn mlxjpakxmnl{ umxf fjacxfkapj
rpnymhjp{, Akknphmle xn xfj OKAFN pjqzmpjdjlx{
FP,21,28,21 &xfj fn{rmxac rpnymhj{ npmjlxaxmnl xn {xaii-#
mxjd JR: {rjkmj{ xfax a fn{rmxac dz{x npmjlx {xaii nl xfj
inccnumle? [jl{mxmymx} xn kzcxzpac hmyjp{mx} `a{jh nl xfjmpon` hzxmj{ alh pj{rnl{m`mcmxmj{ alh xfax kndrcjxmnl ni xfm{
npmjlxaxmnl `j hnkzdjlxjh,
Jyjl umxf xfm{ pjqzmpjdjlx# mx m{ mdrnpxalx xn knl{mhjp
xfax kzcxzpac {jl{mxmymx} hnj{ lnx nlc} djal xfax a rjp{nl
`j auapj ni hmiijpjlkj{ xn mlxjpakx jiijkxmyjc} umxf rjnrcj
ipnd nxfjp kzcxzpj{, Xfj} {fnzch ac{n xagj xfj {xjr{
ljkj{{ap} xn pjknelmj xfjmp nul kzcxzpac yaczj{ alh
rnxjlxmac `ma{j{ ufjpjyjp rn{{m`cj, Xfm{ {jci$auapjlj{{
`jkndj{ rapx ni xfj yjp} jqzaxmnl inp {zkkj{{,
Xn `j kzcxzpacc} kndrjxjlx rpnymhjp{ {fnzch lnx `j
jvrjkxjh xn fayj izcc glnucjhej ni jyjp} kzcxzpac
rpakxmkj alh `jcmji, Paxfjp xfj} dz{x j {jl{mxmyj xn xfj
rpjijpjlkj{ alh yaczj{ ni nxfjp{# alh {fnzch lnx a{{zdj
xfax nlj rjp{nl{ rpjijpjlkj{ alh yaczj{ arrc} xn
jyjp}nlj ml xfax {adj epnzr, Mx m{ lnx ml ljjhmle xn glnu
jyjp}xfmle a`nzx jyjp} kzcxzpj# `zx paxfjp ml faymle xfj
auapjlj{{ xfax raxmjlx{ `jcmji{ da} `j hmi ijpjlx ipnd
xfj kapjemyjp# xfax rpnymhj{ xfj nrrnpxzlmx} xn `j dnpj
{jl{mxmyj alh auapj alh jl{zpj xfj `j{x jvrjpmjlkj
rn{{m`cj,
Ml ahhmxmnl# hjacmle umxf jyjp} raxmjlx a{ a zlmqzj
mlhmymhzac umxf {rjkmac jvrjpmjlkj{# `jcmji{# yaczj{#
calezaej alh rjpkjrxmnl{ dnyj{ ujcc `j}nlh jvrjpmjlkj,
Mx fa{ xfj rnxjlxmac xn mlkpja{j xfj nhh{ ni xfj raxmjlx{
akkjrxalkj ni xfj kcmlmkac {jpymkj hjcmyjp}# zlhjp{xalhmle
ni xfj hmaeln{m{# alh zcxmdaxjc} kndrcmalkj umxf xfjmp
rcal ni kapj, Kzcxzpac kndrjxjlkj hnj{lx {mdrc} dagj
xfj jvrjpmjlkj `jxxjp# mx accnu{ inp xfj `j{x nzxkndj{ inp
xfj raxmjlx nyjpacc,
Xn `j kzcxzpacc}kndrjxjlx rpnymhjp{{fnzch lnx `j jvrjkxjhxn fayj izcc glnucjhejni jyjp} kzcxzpac rpakxmkjalh `jcmji,
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8/6/2019 Cultural Competence importance in Healthcare
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Xfj Pncj ni K zcxz pac Kndr jxjl kj m l Hj cmyj pmle Rn{mx myj Raxm jlx Jvrj pmjl kj{
[ndj Fjcrizc Hjlxmnl{
@jinpj hm{kz{{mle ua}{ ni ahhpj{{mle kzcxzpac
kndrjxjlkj alh hmyjp{mx} ml fjacxfkapj# mx mdrnpxalx xn
pjymju xfj gj} xjpd{ xfax rca} a rapx ml xfm{ knlyjp{axmnl,
Xfj} mlkczhj?
1, Jxflmkmx}? [fapmle a {jl{j ni mhjlxmx} umxf a
rapxmkzcap pjcmemnz{# pakmac np laxmnlac epnzr,
0, Pakj? A `mncnemkac knlkjrx xfax hjlj{ epnzr{
ni fzdal `jmle{ `a{jh nl a {jx ni ejljxmkacc}
xpal{dmxxjh kfapakxjpm{xmk{,
Lnxj? Pakj alh jxflmkmx} apj nixjl knliz{jh7 pakj
pjijp{ rpmdapmc} xn rf}{mkac axxpm`zxj{ ufmcj jxflmkmx}
fa{ {rjkmk axxpm`zxj{ xfax jvkjjh xfj cmdmxaxmnl ni
xfj hjlmxmnl ni pakj,
;, Kzcxzpj? Xfj knccjkxmyj rpnepaddmle np umpmle ni xfj
fzdal dmlh akqzmpjh nyjp xmdj xfax hm{xmlezm{fj{
xfj djd`jp{ ni nlj fzdal epnzr ipnd alnxfjp
xfpnzef xfjmp `jfaymnp{ xfax mlkczhj {jci unpxf alh
j{xjjd# xfnzefx{# knddzlmkaxmnl# akxmnl# yaczj{#
alh `jcmji{ alh xfax ac{n ezmhj hjkm{mnl dagmle,
Kzcxzpj xn a epnzr m{ rjp{nlacmx} xn al mlhmymhzac,
Kzcxzpj m{ xfj epnzr mhjlxmx}, Kzcxzpj m{ a cjapljh
kfapakxjpm{xmk alh xpal{dmxxjh xfpnzef iadmcmj{#
npealmaxmnl{ alh nxfjp {nkmac epnzr{,
8, Hmyjp{mx}? Xfj fzdal qzacmxmj{ xfax dagj jakf
rjp{nl zlmqzj alh hmiijpjlxmaxj z{ ipnd nxfjp{,
Hmdjl{mnl{ ni hmyjp{mx} mlkczhj? aej# jxflmkmx}#
ejlhjp# rf}{mkac a`mcmxmj{.qzacmxmj{# hm{a`mcmxmj{#
pakj# {jvzac npmjlxaxmnl# jhzkaxmnlac `akgepnzlh#
ejneparfmk cnkaxmnl# mddmepaxmnl {xaxz{# mlkndj#
dapmxac alh rapjlxac {xaxz{# dmcmxap} jvrjpmjlkj#
rapjlxac {xaxz{# pjcmemnz{ `jcmji{# unpg jvrjpmjlkj#
rncmxmkac ymju{# zp`al yjp{z{ pzpac cmij# alh on`
kca{{mkaxmnl,
:, Kzcxzpac Auapjlj{{? Xn `j glnucjheja`cj a`nzx
nlj{ nul xfnzefx{# ijjcmle{# `jcmji{ alh {jl{axmnl{
a{ ujcc a{ xfj a`mcmx} xn pjjkx nl fnu xfj{j kal
aiijkx nlj{ mlxjpakxmnl{ umxf nxfjp{,
9, Kzcxzpac [jl{mxmymx}? Xfj pjknelmxmnl xfax xfjpj
apj hmiijpjlkj{ `jxujjl kzcxzpj{# pjjkxjh ml xfj
ua}{ xfj} knddzlmkaxj alh pjcaxj xn nlj alnxfjp#
alh fnu mlhmymhzac{ mlxjpakx umxf nxfjp{, Kzcxzpac
{jl{mxmymx} m{ jvrjpmjlkjh ufjl ljzxpac calezaej
&`nxf yjp`ac alh lnlyjp`ac- m{ z{jh ml a ua} xfax
pjjkx{ {jl{mxmymx} alh arrpjkmaxmnl inp xfj hmyjp{mx}
ni nxfjp{,
5, Kzcxzpac Kndrjxjlkj? A{ hjljh } xfj Hjrapxdjlx
ni Fjacxf alh Fzdal [jpymkj{# Kzcxzpac Kndrjxjlkj
m{ a {jx ni knlepzjlx `jfaymnp{# axxmxzhj{# alh
rncmkmj{ xfax kndj xnejxfjp ml a {}{xjd# aejlk}#
np adnle rpnij{{mnlac{ xfax jla`cj{ jiijkxmyj
unpg ml kpn{{$kzcxzpac {mxzaxmnl{, Kzcxzpj pjijp{ xn
mlxjepaxjh raxxjpl{ ni fzdal `jfaymnp xfax mlkczhj
xfj calezaej# xfnzefx{# knddzlmkaxmnl{# akxmnl{#
kz{xnd{# `jcmji{# yaczj{# alh ml{xmxzxmnl{ ni pakmac#
jxflmk# pjcmemnz{# np {nkmac epnzr{, Kndrjxjlkj
mdrcmj{ faymle xfj karakmx} xn izlkxmnl jiijkxmyjc}
a{ al mlhmymhzac alh al npealmaxmnl umxfml xfj
knlxjvx ni xfj kzcxzpac `jcmji{# `jfaymnp{# alh ljjh{
rpj{jlxjh `} knl{zdjp{ alh xfjmp knddzlmxmj{,
Xfj rjpkjrxmnl np pjacmx}ni hm{kpmdmlaxnp} rpakxmkj{
kal pj{zcx ml {melmkalx
mlxjplac knlmkx{ alh fayjca{xmle kzcxzpac jiijkx{,
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8/6/2019 Cultural Competence importance in Healthcare
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6
[ndj apja{ ni fzdal hmyjp{mx} alh
yapmaxmnl apj ymjujh a{ jymhjlx ml
acc kzcxzpac epnzr{# xfj dn{x n`ymnz{nlj{ apj?
Knddzlmkaxmnl, Xfj `a{mk
kndrnljlx{ ni xfj knddzlmkaxmnl
rpnkj{{ apj damlc} zlmyjp{ac# `zx
yap} adnle kzcxzpj${rjkmk epnzr{ ml
xjpd{ ni calezaej np hmacjkx {rngjl#
rmxkf# ynczdj# rpnlzlkmaxmnl# z{j ni
{mcjlkj# alh z{j ni `nh}.lnlyjp`ac
knddzlmkaxmnl,
Calezaej.Pjahmle Rpnkmjlk},
Ufjl Jlecm{f m{ xfj raxmjlx{
{jknlh calezaej xfj rpn`a`mcmxmj{
ni dm{zlhjp{xalhmle alh
dm{knddzlmkaxmnl `jkndj fmefjp,
Inp jvadrcj a Djvmkal dacj `n}
ua{ `pnzefx xn xfj Jdjpejlk} Pnnd
zlknl{kmnz{# fm{ iadmc} jvrcamljh fm{
ka{j a{ mlxnvmkahn# ufmkf djal{
laz{jaxjh ml [ralm{f# `zx xfj{xaii a{{zdjh fj ua{ mlxnvmkaxjh `}
jmxfjp acknfnc np hpze{# alh xpjaxjh
nl xfax `a{m{# nlc} dahj xfj raxmjlx
{mkgjp, Fm{ }nzlejp `pnxfjp ufn ua{
`npl ml xfj Zlmxjh [xaxj{ jvrcamljh
xfj djalmle ni xfj unph aixjp a ha}
fah ra{{jh, Xfj fn{rmxac ua{ {zjh
inp dacrpakxmkj, Ml alnxfjp jvadrcj#
dn{x mlhmejlnz{ calezaej{ hn lnx
mlkczhj a unph inp kalkjp, Xfz{
ufjl hm{kz{{mle rpjyjlxmnl alh
japc} hjxjkxmnl# {rjkmacm{x{ ahym{j
pjrcakmle xfj unph kalkjp umxf
fjacxf# {zkf a{ `pja{x fjacxf
{kpjjlmle,
Rjp{nlac [rakj? Ml kzcxzpj{ cmgj
xfj Zlmxjh [xaxj{# rjp{nlac {rakj
m{ pj{rjkxjh alh mi jlkpnakfjh kal`j knl{mhjpjh xfpjaxjlmle7 ml nxfjp
kzcxzpj{ cmgj Dmhhcj Ja{xjpl kzcxzpj{#
ejxxmle kcn{j xn a rjp{nl alh
xnzkfmle xfjd mlhmkaxj{ kcn{jlj{{
alh ipmjlhcmlj{{, Xfj kzcxzpac a{rjkx
ni {rakj hjxjpdmlj{ xfj hjepjj ni
kndinpx nlj ijjc{ ml rpnvmdmx} xn
nxfjp{# ml `nh} dnyjdjlx# alh ml
rjpkjrxmnl ni rjp{nlac# mlxmdaxj# alh
rz`cmk {rakj,
Xnzkfmle? Xfj djalmle ni a {mdrcj
xnzkf hmiijp{ `jxujjl mlhmymhzac{#
ejlhjp{# alh kzcxzpj{, Ml Djvmkn# inp
jvadrcj `jmle epa{rjh nl xfj apd `}
alnxfjp dal m{ a {mel ni ipmjlh{fmr,
Xn rzcc aua} m{ {jjl a{ pzhj, Ml
Mlhnlj{ma# xn xnzkf al}nlj nl xfj
fjah np xn xnzkf al}xfmle umxf nlj{
innx m{ knl{mhjpjh fmefc} niijl{myj,
Ml M{cadmk kzcxzpj a ijdacj raxmjlx
kallnx `j xnzkfjh `} a dacj fjacxf
rpnij{{mnlac {n# inp jvadrcj# a dacj
lzp{j kallnx hpau fjp cnnh, Ac{n
{fagmle falh{ `jxujjl ejlhjp{ m{
ac{n inp`mhhjl,
[nkmac Npmjlxaxmnl, Kndrnljlx{ ni
{nkmac npealmaxmnl yap} `} kzcxzpj
umxf hmiijpjlkj{ n`{jpyjh ml ufax
knl{xmxzxj{ nlj{ zlhjp{xalhmle ni
kzcxzpj# pakj# jxflmkmx}# iadmc} pncj
alh izlkxmnl# unpg# cjm{zpj# kfzpkf#
alh ipmjlh{ ml ha}$xn$ha} cmij,
Xmdj, Xfj Zlmxjh [xaxj{ kzcxzpj m{
dnln$kfpnlmk ufjpj xmdj m{ dnlj}
alh inkz{jh rpmdapmc} nl nlj xa{g ax
a xmdj yjp{z{ Fm{ralmk# A{mal# alh
Dmhhcj Ja{xjpl kzcxzpj{# ufmkf apj
rnc}kfpndmk kzcxzpj{ ufjpj xmdj m{jvm`cj# pjcaxmnl{fmr{ kndj p{x xfjl
`z{mlj{{# ufjpj dal} xa{g{ apj
hnlj ax xfj {adj xmdj, Rjpkjmymle#
dja{zpmle# alh yaczmle xmdj apj
hmiijpjlx akpn{{ kzcxzpj{, Kzcxzpj{
ac{n da} cnng ax xmdj umxf a inkz{
jmxfjp nl xfj ra{x# rpj{jlx np izxzpj#
ufmkf mlzjlkj{ xfjmp `jfaymnp, Dn{x
knddnlc} xfn{j xfax yaczj xfj ra{x
{jj xfax xfjmp rnujp m{ dnpj ml xfjra{x xfal ml xfj rpj{jlx alh umcc xjlh
xn `j knl{jpyaxmyj alh xpahmxmnlac
ml xfjmp fjacxf arrpnakfj{, Xfn{j
xfax cnng ax xfjmp rpj{jlx# hn lnx
rcal inp xfjmp izxzpj fjlkj xfj} umcc
lnx inccnu rpjyjlxmyj dja{zpj{ xn
gjjr xfjd{jcyj{ ujcc, Xfn{j dnpj
npmjlxjh xn cnng ax xfj izxzpj# `jcmjyj
ml rpjyjlxmnl {n xfj} gjjr fjacxf}
a{ xfj} rpnepj{{ ml cmij `} jvjpkm{mle#
rpnrjp hmjx# {zrrcjdjlx{# jxk,
Iadmc} npealmaxmnl, Jeacmxapmal.
Fmjpapkfmkac? xfj} ac{n yap} ml
{nkmac {xpzkxzpj, Inp jvadrcj xfj
Zlmxjh [xaxj{ kzcxzpj inccnu{ xn al
jeacmxapmal dnhjc# ufjpj jyjp}nlj
m{ {zrrn{jh xn `j jqzac, [xaxz{ alh
rnujp ni a rjp{nl apj `a{jh nl xfj
mlhmymhzac{ akfmjyjdjlx{ paxfjp xfal
ejlhjp np aej np xmxcj,
Nxfjp kzcxzpj{# inp jvadrcj xfj
A{mal kzcxzpj{# xjlh xn inccnu a
fmjpapkfmkac dnhjc ufjpj {xaxz{ alh
rnujp apj `a{jh nl ejlhjp# aej# alh
nkkzraxmnl,
Apja{ ni Kzcxzpac [jl{mxmymx}
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8/6/2019 Cultural Competence importance in Healthcare
9/20
Xfj Pncj ni K zcxz pac Kndr jxjl kj m l Hj cmyj pmle Rn{mx myj Raxm jlx Jvrj pmjl kj{
Pjcaxmnl{fmr xn laxzpj, Rjnrcj ymju
laxzpj a{ jmxfjp `jmle a`cj xn knlxpnc
mx# `jmle rapx ni mx# np faymle lnknlxpnc ufax{njyjp nl mx, Ml xfj Zlmxjh
[xaxj{ xfjpj m{ a `jcmji xfax laxzpj
kal `j knlxpnccjh# alh `jkaz{j
xfj `nh} m{ rapx ni laxzpj# mx kal `j
knlxpnccjh a{ ujcc, Ml nxfjp kzcxzpj{#
{zkf a{ A{mal alh Laxmyj Adjpmkal#
rjnrcj apj {jjl a{ rapx ni laxzpj,
Fapdnl} umxf xfj japxf m{ rapx ni
xfjmp cmij rpmlkmrcj{# fjlkj xfj laxzpac
fjp`ac xpjaxdjlx{ alh pjdjhmj{,Ml kzcxzpj{# {zkf a{ xfj Fm{ralmk
alh Dmhhcj Ja{xjpl kzcxzpj{# xfj}
`jcmjyj xfax xfj} fayj ln knlxpnc nyjp
laxzpj# jyjp}xfmle fa{ `jjl acpjah}
hjkmhjh {n ufaxjyjp umcc `j umcc `j,
Rpjyjlxmyj fjacxf kapj dja{zpj{ apj
cmgjc} xn `j melnpjh7 xfj} unzch hn ln
ennh al}ua},
J}j knlxakx.Ej{xzpj{, [ndj
kzcxzpj{# {zkf a{ xfj Fm{ralmk alh
A{mal kzcxzpj{ apj fzd`cj# {n xfj}
aynmh hmpjkx j}j knlxakx a{ a {mel ni
pj{rjkx, Ml xfj Dmhhcj Ja{x# hmpjkx
j}j knlxakx m{ xfj lnpd jvkjrx
`jxujjl ejlhjp{, Ac{n {dmcmle alh
lnhhmle ml kjpxaml kzcxzpj{ oz{x
djal{ nlj m{ `jmle rncmxj alh m{ lnx
aepjjmle np jyjl zlhjp{xalhmle,
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a{ ujcc# a fjah dnyjdjlx xfaxdjal{ }j{ ml a kzcxzpj kal djal ln
ml alnxfjp, Al jvadrcj ni falh {mel
xfj pjrpj{jlx{ NG ml xfj Zlmxjh
[xaxj{ m{ niijl{myj ml @pamc# djal{
dnlj} ml Pz{{ma alh 2 ml Oaral,
Jxflmkmx}.Knzlxp} ni Npmeml,
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a{ `jmle kapjemyjp{ ufn xjlh xn
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kapj ni xfjmp fjacxf knlhmxmnl{ ml japc}
{xaej{, Rfmcmrmln lzp{j{ ml ejljpac
apj knl{jpyaxmyj ml hm{rjl{mle raml
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Mx m{ mdrnpxalx xn jvrcaml xfj rpnrjp
ahdmlm{xpaxmnl ni djhmkmlj npac#
mlojkxmnl np cnkac7 a{ {ndj knzlxpmj{
{jkxmnl{ `jcmjyj xfax acc djhmkaxmnl
apj xn `j epmlhjh xn rnuhjp alh
arrcmjh cnkacc}, Hn lnx a{{zdj xfax
a raxmjlx umcc zlhjp{xalh fnu xn xagj
xfj djhmkaxmnl rpj{kpm`jh, Djhmkmlj{
apj z{jh ml hmiijpjlx ua}{ ml hmiijpjlx
knzlxpmj{# alh knliz{mnl kal pj{zcx,
Yaczj{# @jcmji{ ) Kz{xnd{,
Zlhjp{xalhmle rjnrcj{ yaczj{ m{ a
gj} xn zlhjp{xalhmle xfjmp `jfaymnp#
inp nzp `jfaymnp ejljpacc} pjjkx{
nzp yaczj{, Ml xfj Kfmlj{j kzcxzpj
xfj `acalkj ni }ml alh }ale m{
jvxpjdjc} mdrnpxalx xn damlxaml
nlj{ fjacxf a{ xfj} aiijkx xfj
`nh} kfalljc{ jljpe} Qm, Xfm{
`jkndj{ djalmleizc ml ahdmlm{xjpmle
djhmkaxmnl inp zlcj{{ a rpj{kpm`jh
djhmkaxmnl x{ xfax `acalkj xfj
raxmjlx dmefx hm{knlxmlzj xfj
djhmkaxmnl umxfnzx mlinpdmle xfj
rf}{mkmal, Ml Fm{ralmk iadmcmj{#
pj{rjkx dz{x `j knlyj}jh ax p{x
xn xfj iaxfjp# xfjl xn xfj dnxfjp#
xfjl xn xfj nxfjp nchjp ahzcx{,Ahhpj{{mle xfj iadmc} djd`jp{ a{
Dp, alh Dp{, m{ mdrnpxalx a{ mlinpdac
z{j ni calezaej umcc `j {jjl a{
hm{pj{rjkxizc alh kal ac{n mlkpja{j
xfj cjyjc ni {z{rmkmnl,
[rmpmxzacmx}, Jakf kzcxzpj fa{ mx{ nul
hjepjj ni {rmpmxzacmx}, Inp jvadrcj
xfj dacj [mgf{ apj lnx xn {fayj xfjmp
`japh{ np al} famp nl xfjmp `nh}
jyjl mi ljjhjh inp {zpejp}, Xagmle
a rmkxzpj ni {ndj Adjpmkal Mlhmal
xpm`j djd`jp{ m{ lnx ahym{jh# a{ xfj}
`jcmjyj xfax xfj rmkxzpj xagj{ xfj {nzc
aua}# xfj pjdjh} umcc `j ml iadmc}
rpa}mle xn ejx mx `akg,
Pjcmemnl, Dal} `jfaymnp{ alh
kz{xnd{ apj pjezcaxjh `} pjcmemnl, Inp
jvadrcj `nxf knl{jpyaxmyj Ojum{f
alh Dz{cmd raxmjlx{ umcc lnx akkjrxxfj pjrcakjdjlx ni xfjmp dmxpac yacyj
mi akqzmpjh ipnd rme xm{{zj a{ `nxf
pjcmemnl{ hn lnx knl{zdj rnpg, Ml
M{cadmk kzcxzpj{# knl{mhjp rpj{kpm`mle
Ml{zcml xfax fa{ {ndj rnpg
mlepjhmjlx{ nlc} aixjp jvrcamlmle mx xn
xfj raxmjlx alh fm{ np fjp iadmcmj{,
Ojfnyaf umxlj{{j{ umcc lnx akkjrx
`cnnh xpal{iz{mnl a{ mx m{ aeaml{x
xfjmp pjcmemnl# alh xfj} kal {zj al}
fjacxfkapj ml{xmxzxmnl inp `axxjp} mi mx
m{ hnlj aeaml{x xfjmp umcc np umxfnzx
xfjmp glnucjhej alh knl{jlx,
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8/6/2019 Cultural Competence importance in Healthcare
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12
Ufax Farrjl{ Ufjl Uj CakgKzcxzpac Kndrjxjlkj
Xfj kzcxzpac hmiijpjlkj{ ni `nxf raxmjlx{ alh rpnymhjp{
aiijkx fjacxfkapj `jcmji{# rpakxmkj{# alh `jfaymnp{alh mlzjlkj xfj yjp} jvrjkxaxmnl{ xfax raxmjlx{ alh
rpnymhjp{ fayj ni jakf nxfjp, Nixjl ml fjacxfkapj a{
ml nxfjp {jkxnp{ xfjpj m{ cakg ni auapjlj{{ ni xfj{j
hmiijpjlkj{ alh xfjmp mdrakx, Xfj dn{x knddnl pja{nl{
nixjl apj?
Cakg ni glnucjhej# pj{zcxmle ml al mla`mcmx} xn
pjknelmj xfj hmiijpjlkj{
[jci$rpnxjkxmnl.hjlmac# cjahmle xn al axxmxzhj xfax
xfj{j hmiijpjlkj{ apj lnx {melmkalx# np xfax nzp
knddnl fzdalmx} xpal{kjlh{ nzp hmiijpjlkj{ Ijap ni xfj zlglnul np xfj lju# `jkaz{j mx m{
kfaccjlemle alh rjpfar{ mlxmdmhaxmle xn zlhjp{xalh
{ndjxfmle lju xfax hnj{ lnx x mlxn nlj{ unpch ymju
Ijjcmle ni rpj{{zpj hzj xn xmdj knl{xpamlx{# ufmkf
kal cjah xn ijjcmle pz{fjh alh zla`cj xn cnng$ml$
hjrxf ax al mlhmymhzac raxmjlx{ ljjh{
Xfj cakg ni kzcxzpac kndrjxjlkj ml xfj fjacxfkapj
unpgrcakj nkkzp{ ax xun kjlxpac xnzkf$rnmlx{# &1-
mlxjplacc} `jxujjl xfj kapj rpnymhjp{ xfjd{jcyj{ alh
&0- ml xfj raxmjlx$rpnymhjp pjcaxmnl{fmr, Ax jakf ni xfj{jxnzkf$rnmlx{ xfjpj m{ xfj rnxjlxmac inp {melmkalx mdrakx,
Kfaccjlemle mlxjpakxmnl{ `jxujjl kapj rpnymhjp{ kal
kaz{j xjl{mnl ml xfj unpgrcakj, Zlfarr} jdrcn}jj{ kn{x
al npealmaxmnl dnpj xfal cnu rpnhzkxmymx}# fmef xzplnyjp
np a`{jlxjjm{d# alh cn{{ ni pjyjlzj{, Xfj rjpkjrxmnl np
pjacmx} ni hm{kpmdmlaxnp} rpakxmkj{ kal pj{zcx ml {melmkalx
mlxjplac knlmkx{ alh fayj ca{xmle kzcxzpac jiijkx{,
Xfj cakg ni auapjlj{{ m{ daelmjh ufjl cnngmle ax
xfj raxmjlx$rpnymhjp pjcaxmnl{fmr, Xfj{j pjcaxmnl{fmr{
apj aiijkxjh ufjl xfj zlhjp{xalhmle ni jakf nxfjp{
jvrjkxaxmnl{ m{ dm{{mle a{ ml xfj inccnumle jvadrcj{?
1, Xfj rpnymhjp da} lnx zlhjp{xalh uf} xfj raxmjlxhnj{ lnx inccnu ml{xpzkxmnl{,
0, Uf} hnj{ xfj iadmc} np xfj {rnz{j# paxfjp xfal
xfj raxmjlx# dagj mdrnpxalx hjkm{mnl{ a`nzx xfj
raxmjlx{ fjacxf kapj>
;, Xfj raxmjlx da} pjojkx xfj rpnymhjp &alh xfj jlxmpj
{}{xjd- jyjl `jinpj al} nlj$nl$nlj mlxjpakxmnl
nkkzp{ `jkaz{j ni lnlyjp`ac kzj{ xfax hn lnx x
jvrjkxaxmnl{,
8, Xfj raxmjlx hnj{ lnx xpz{x xfj rpnymhjp np xfj ufncj
ml{xmxzxmnl mi xfj hnkxnp hnj{ lnx ujap a ufmxj knaxnp m{ xnn ka{zac kaccmle xfj raxmjlx np xfjmp iadmc}
djd`jp{ `} fm{ np fjp p{x ladj{# np jyjl {dmcmle
xnn dzkf,
Xfj{j m{{zj{ {jpyj a{ {adrcj{ ni xfj dzcxmxzhj ni
rnxjlxmac kfaccjlej{ iakjh ufjl uj hn lnx knl{mhjp
kzcxzpac kndrjxjlkj a{ rapx ni nzp jvrjpmjlkj rcal, Xfj}
ac{n pam{j xfj cjyjc ni mdrnpxalkj inp mlkpja{mle kzcxzpac
kndrjxjlkj auapjlj{{ ml fjacxfkapj npealmaxmnl{
nyjpacc, [n ufjpj hn }nz jeml xn jleaej {xaii nl xfj
kpmxmkac m{{zj{ ni kzcxzpac kndrjxjlkj>
A knl{m{xjlk} ml kzcxzpj{akpn{{ {mdmcap epnzr{kallnx `j a{{zdjh# lnpkal a knddnl kzcxzpjakpn{{ fjacxfkapj {jxxmle{,
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8/6/2019 Cultural Competence importance in Healthcare
11/20
Xfj Pncj ni K zcxz pac Kndr jxjl kj m l Hj cmyj pmle Rn{mx myj Raxm jlx Jvrj pmjl kj{
Fnu Kal Uj @jeml xn Ahhpj{{Kzcxzpac Kndrjxjlkj>
Nlkj }nz pjknelmj xfj mdrnpxalkj ni kzcxzpj
kndrjxjlkj a{ a kpmxmkac rapx ni }nzp jvrjpmjlkj alh kapjrcal{# }nz umcc xfjl ljjh xn ipadj xfj gmlh ni cjaplmle
}nz ualx xn rzx ml rcakj, [ndj kpmxmkac inkac rnmlx{ ml
rpnymhmle kzcxzpac kndrjxjlkj xpamlmle {fnzch mlkczhj?
Pjknelmj xfj yaczj ni alh `zmch pj{rjkx inp
mlhmymhzac hmiijpjlkj{
Zlhjp{xalh `a{mk{ ni pakmac.jxflmk hm{xmlkxmnl{ alh
hm{rapmxmj{
@jkndj iadmcmap umxf a raxmjlx$`a{jh arrpnakf xn
kpn{{$kzcxzpac kapj
Mdrpnyj knddzlmkaxmnl {gmcc{ alh knnrjpaxmnl ml
kpn{{$kzcxzpac raxmjlx mlxjpakxmnl{
Mdrpnyj kpn{{$kzcxzpac knddzlmkaxmnl{ `jxujjl
fjacxfkapj rpnij{{mnlac{ xfjd{jcyj{
Mlkpja{j auapjlj{{ ni rjp{nlac kzcxzpj{# yaczj{#
`jcmji{
Hjyjcnr {gmcc{ ml mlxjpakxmle alh pj{rnlhmle xn
mlhmymhzac{ ipnd nxfjp kzcxzpj{
Kzcxzpac kndrjxjlkj m{ a hjyjcnrdjlxac rpnkj{{, @j}nlh
auapjlj{{ ni {z`xcj jvrjkxaxmnl{ np a{{zdrxmnl{# xfjpjm{ a ljjh inp glnucjhej a`nzx hmiijpjlx kzcxzpac lnpd{#
cmij{x}cj ljjh{# alh rjp{nlac rpjijpjlkj{ ni mlhmymhzac{
ipnd hmiijpjlx epnzr{, [ndj mdrnpxalx xnrmk{ xn knl{mhjp
ml `zmchmle jiijkxmyj kzcxzpac kndrjxjlkj cjaplmle
nrrnpxzlmxmj{ mlkczhj?
Aharxaxmnl ni {jpymkj{ xn djjx kzcxzpacc} zlmqzj
ljjh{
@zmchmle kzcxzpacc} kndrjxjlx knddzlmx}
rapxljp{fmr{
Jiijkxmyj kpn{{$kzcxzpac knlmkx pj{nczxmnl
Jiijkxmyj kpn{{$kzcxzpac knddzlmkaxmnl
[zrjpym{mle a dzcxmkzcxzpac unpginpkj
Unpgmle jiijkxmyjc} ml hmyjp{j xjad{
[ndj Knl{mhjpaxmnl{ Ufjl Ahhpj{{mle
Kzcxzpac Kndrjxjlkj
Kzcxzpac m{{zj{ mlyncyj aej# ejlhjp# jhzkaxmnl alh
{nkmnjknlndmk {xaxz{ a{ ujcc a{ jxflmk# pakmac# alh
pjcmemnz{ hmiijpjlkj{,
Pj{rjkx m{ a knpj yaczj ml acc kzcxzpj{ xfjpjinpj pj{rjkx
{fnzch `j {fnul xn xfj raxmjlx alh iadmc} djd`jp{ ax
acc xmdj{,
Raxmjlx{ apj fzdal `jmle{ ufn fayj hmelmx} alh fnlnp
alh apj lnx oz{x ka{j{# hmaeln{j{ np `jh lzd`jp{,
Lnh{ alh rncmxj {dmcj{ hn lnx ljkj{{apmc} akkndrcm{f
jiijkxmyj knddzlmkaxmnl# alh hn lnx ljkj{{apmc} djal
xfax xfj raxmjlx zlhjp{xnnh xfj hmaeln{m{ np xpjaxdjlx
{xjr{ np jyjl aepjj umxf xfj kapjemyjp np rf}{mkmal,
Djhmkmlj m{ a calezaej xfax da} pjqzmpj xpal{caxmnl
jyjl inp laxmyj Jlecm{f {rjagjp{ hzj xn xfj djhmkac
xjpdmlncne},
Djhmkac hjkm{mnl$dagmle da} mlyncyj a iadmc} np
knddzlmx} alh lnx nlc} xfj mlhmymhzac raxmjlx,
Mlyncyj xfj fn{rmxac kfarcaml.cnkac pjcmemnz{ cjahjp np
xfj raxmjlx{ nul pjcmemnz{ cjahjp ufjl `jcmji {}{xjd{
da} aiijkx fjacxfkapj hjkm{mnl{,
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8/6/2019 Cultural Competence importance in Healthcare
12/20
10
Ipadmle a Kzcxzpac KndrjxjlkjCjaplmle Rpnepad
Ufjl hjyjcnrmle a cjaplmle rpnepad inkz{jh nl kzcxzpac
kndrjxjlkj }nz {fnzch a{g xfpjj kjlxpac qzj{xmnl{? ufax
apj uj axxjdrxmle xn hn# uf} apj uj hnmle xfm{# alh fnu
hn uj rcal xn akfmjyj mx>
1, Ufax apj uj axxjdrxmle xn hn>Ml mx{ {mdrcj{x inpd
uj apj unpgmle xnuaph{ lzpxzpmle al npealmaxmnlac
kzcxzpj xfax m{ epnzlhjh ml zlhjp{xalhmle alh
pj{rjkx, Mx m{ jvjdrcmjh ml fnu uj jvrpj{{ xfax
pj{rjkx inp raxmjlx{# raxmjlx{ iadmcmj{ alh {zrrnpx
ljxunpg{# alh knccjaezj{,
0, Uf} apj uj hnmle xfm{> A{ ipadjh ml xfj nrjlmle ni
xfm{ rarjp# xfjpj m{ a kcjap ka{j xn `j dahj inp xfj
mdrnpxalkj ni kzcxzpac kndrjxjlkj zlhjp{xalhmle
ml nzp fjacxfkapj jlympnldjlx, Uj dz{x kpjaxj xfj
nrrnpxzlmx} xn zlhjp{xalh xfj r{}kfn{nkmac# {rmpmxzac#
alh kzcxzpac yaczj{ xfax apj ax rca} ml xfj fjacxfkapj
pjcaxmnl{fmr alh hjxjpdmlj xfjmp mdrakx nl fnu uj
jleaej ml xfj hjcmyjp} ni kapj alh `jxxjp zlhjp{xalh
xfj rjp{rjkxmyj{ ni raxmjlx{# iadmcmj{ alh {zrrnpx
ljxunpg{,
;, Fnu uj rcal xn akfmjyj nzxkndj{ m{ kpmxmkac# `zx ac{n
pjqzmpj{ xfj umccmlelj{{ xn fayj a {mdrcj alh inkz{jh
cmlj ni {mefx, Xn ipadj xfj fnu uj dz{x {jx kcjap
n`ojkxmyj{ inp xfj jiinpx mlkczhmle enac{ inp?
Raxmjlx.Hnkxnp pjcaxmnl{fmr{
Raxmjlx.Lzp{j pjcaxmnl{fmr{
Raxmjlx.[xaii pjcaxmnl{fmr{
Hnkxnp xn hnkxnp mlxjpakxmnl{
Lzp{j xn lzp{j mlxjpakxmnl{
[xaii mlxjpakxmnl{
Ml akxmle nl xfj fnu mx {fnzch `j pjknelmjh xfax
ahhpj{{mle kzcxzpac kndrjxjlkj m{ a fncm{xmk jiinpxxfax kallnx jleaej nlj ni xfj{j pjcaxmnl{fmr{ umxfnzx
knl{mhjpmle xfj nxfjp{, Inp ml{xalkj# {mdrc} kpjaxmle
kzcxzpac auapjlj{{ ni raxmjlx{# `zx lnx ahhpj{{mle {xaii
mlxjpakxmnl{ cjayj{ }nzp jlxmpj jiinpx mlkndrcjxj alh
yzcljpa`cj,
Ml ipadmle a cjaplmle rpnepad }nz ac{n ljjh xn
hjxjpdmlj ufjpj xn {xapx, Acc xnn nixjl npealmaxmnl{
xagj nl da{{myj mlxjpyjlxmnl{ np xpamlmle jiinpx{ xfax
kal nyjpufjcd np jyjl ejljpaxj epjaxjp pj{m{xalkj xn
xfj cjaplmle rpnkj{{, Mlmxmacc} knl{mhjp xfj `a{mk {xjr{
xn `jeml xfj kpmxmkac hmacne nl uf} xfm{ xnrmk m{ mdrnpxalx
alh ufax mx kal hn inp }nzp npealmaxmnl ml mdrakxmle kapj
alh xfj raxmjlx jvrjpmjlkj, [xapxmle umxf xfj `a{mk{ ac{n
accnu{ inp epjaxjp `z} ml alh `pnahjp zlhjp{xalhmle ni
ufax }nz apj xp}mle xn akkndrcm{f,
Nlkj }nz fayj a ipadjunpg ni xfj ufax# uf} alh fnu
}nz cnng xn rpnkjjh# knl{mhjp jleaemle }nzp {xaii ml xfj
`a{mk glnucjhej ni kzcxzpj kndrjxjlkj ml fjacxfkapj,
A{mhj ipnd mhjlxmi}mle ufax kzcxzpac kndrjxjlkj m{ alh
fnu mx mdrakx{ kapj a{ hm{kz{{jh a`nyj# {ndj rnmlx{
xn knl{mhjp a{ jvadrcj{ alh {ndj knddnl d}xf{ xn
ahhpj{{ mlkczhj?
Mlhmymhzac hmiijpjlkj{ jvm{x jyjl umxfml xfj {adjepnzr ni rjnrcj, Inp jvadrcj# kfmchpjl `npl ml xfj
Zlmxjh [xaxj{ xn mddmepalx rapjlx{ umcc kapp} xfj
knd`mljh kzcxzpj ni fm{ np fjp rapjlx{ `akgepnzlh
alh ni xfj ejneparf} ml ufmkf xfj} epju zr,
[mdmcap arrjapalkj{ hn lnx ljkj{{apmc} djal rjnrcj
{fapj xfj {adj kzcxzpj, Inp jvadrcj xfj hmyjp{mx}
ml xfj `pnah {rjkxpzd ni A{mal kzcxzpj{ `a{jh
nl `nxf laxmnlacmx} &Oaralj{j# Kfmlj{j# Gnpjal#
Xfam# Ymjxladj{j# alh Kad`nhmal# jxk,- alh iadmc}
kzcxzpj,
[fapmle a calezaej np a laxmnlacmx} hnj{ lnx djal
{fapmle xfj {adj kzcxzpj, Inp jvadrcj# rjnrcj ml xfj
Zlmxjh [xaxj{ acc {rjag Jlecm{f# `zx xfj} kndj ipnd
lzdjpnz{ hmiijpjlx kzcxzpj{ alh `akgepnzlh{# {n
ufmcj xfj} fayj dal} {mdmcapmxmj{# xfj} ac{n fayj ya{x
hmiijpjlkj{,
[fapmle xfj {adj pjcmemnl hnj{ lnx djal }nz
{fapj {mdmcap kzcxzpj{, Jyjl umxfml pjcmemnl{ }nz
kal jvrjpmjlkj a palej ni kzcxzpac `jcmji{ alh
akxmnl{, Inp jvadrcj# xfj kzcxzpac hmiijpjlkj ml
Npxfnhnv yjp{z{ Pjinpd Ozham{d np adnle xfj dal}hjlndmlaxmnl{ ni Kfpm{xmalmx},
Mx m{ mdrnpxalx xn lnxj xfax {xapxmle umxf {mdrcj knlkjrx{
fjcr{ mlhmymhzac{ `zmch xfjmp nul cjyjc ni auapjlj{{ alh
zlhjp{xalhmle ml a ua} xfax m{ djalmleizc# ca{xmle alh
fa{ al mdrakx nl xfj yjp} kapj jvrjpmjlkj{ rpnymhjh ml
fjacxfkapj,
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8/6/2019 Cultural Competence importance in Healthcare
13/20
Xfj Pncj ni K zcxz pac Kndr jxjl kj m l Hj cmyj pmle Rn{mx myj Raxm jlx Jvrj pmjl kj{
Dnymle xn Akxmnl
Akqzmpmle kzcxzpac kndrjxjlkj inccnu{ a yjp} dalaeja`cj
{jx ni {xjr{, Damlxamlmle a cjyjc ni raxmjlkj ml
rpnepj{{mle xfpnzef xfj{j {xjr{ {zrrnpx{ faymle kzcxzpac
kndrjxjlkj a{ al mlxjepac alh zcxmdaxjc} {zkkj{{izc
kndrnljlx ni }nzp npealmaxmnl{ jvrjpmjlkj jiinpx{, Xfj
inzp {zeej{xjh rfa{j{ inp rzxxmle }nzp rcal ml dnxmnl
mlkczhj?
1, Mx {xapx{ umxf auapjlj{{, Xfm{ mlkczhj{ ahhpj{{mle
{ndj ni xfj {mdrcj knlkjrx{ ni hmiijpjlkj#
zlhjp{xalhmle xfj mdrnpxalkj ni xfm{ m{{zj# xfj
hjlmxmnl{ xfax {zrrnpx mx alh {ndj ni xfj knddnl
knlkjrx{ alh jyjl dm{rjpkjrxmnl{ xfax fjcr ipadj mx,
0, Mx epnu{ umxf glnucjhej, @a{jh nl }nzp npealmaxmnl
alh mx{ kzcxzpac {zppnzlhmle{ ufax m{ xfj gj}
glnucjhej }nz dz{x fayj xn jl{zpj {xaii m{ inkz{mle
nl xfj mdrnpxalx m{{zj{> @jmle auapj ni ufax
kzcxzpj{ }nz dn{x nixjl jlknzlxjp alh hjyjcnrmle
a {ncmh inzlhaxmnl ni ejljpac glnucjhej {zrrnpx{
kzcxzpac kndrjxjlkj {zkkj{{,
;, Mx m{ jlfalkjh `} {rjkmk {gmcc{, Nlkj xfj
inzlhaxmnlac auapjlj{{ alh ejljpac glnucjhej m{
ml rcakj# }nz kal `jeml xn hjyjcnr knpj {gmcc{ {zkf
a{ jiijkxmyj kpn{{$kzcxzpac knddzlmkaxmnl# knlmkx
pj{nczxmnl# np unpgmle nl hmyjp{j xjad{, @} rpnymhmle
{xaii xfj gj} {gmcc{ umxf ufmkf xn jleaej raxmjlx{
}nz rpnymhj xfj inzlhaxmnl inp knlxmlznz{c} rn{mxmyj
jvrjpmjlkj{,
8, Mx m{ rncm{fjh xfpnzef kpn{{$kzcxzpac mlxjpakxmnl{, Gj}
xn kzcxzpac kndrjxjlkj {zkkj{{ m{ dnymle `j}nlh
xfjnp} xn rpakxmkj, Zlhjp{xalhmle xfj{j mhja{
knlkjrxzacc} m{ dzkf hmiijpjlx xfal cmymle xfjd ml
rpakxmkj, Mx m{ nlc} xfpnzef xfj arrcmkaxmnl ni xfj{j
mhja{ ml ha}$xn$ha} mlxjpakxmnl{ xfax nlj m{ `nxf
xj{xjh alh `jfaymnp{ pjljh, Mx m{ ml xfj hnmle xfax
kzcxzpac kndrjxjlkj `jkndj{ a gj} iakxnp ml hpmymleraxmjlx jvrjpmjlkj {zkkj{{,
Xn pjmxjpaxj# xn `j kzcxzpacc} kndrjxjlx# kapjemyjp{ alh
fjacxfkapj {xaii hn lnx ljjh xn rn{{j{{ xfj jvxjl{myj
glnucjhej ni jyjp} kzcxzpac rpakxmkj alh `jcmji, Ml{xjah
xfj} {fnzch `j {jl{mxmyj xn nxfjp{ rpjijpjlkj{ alh
yaczj{# alh {fnzch lnx a{{zdj xfax nlj rjp{nl{
rpjijpjlkj{ alh yaczj{ arrc} xn jyjp}nlj ml xfax {adj
epnzr, Mx m{ ml {xapxmle umxf xfj{j yjp} `a{mk# `zx mdrnpxalx
{xjr{ xfax kzcxzpac kndrjxjlkj kal `jkndj al mlxjepac
rapx ni nzp raxmjlx jvrjpmjlkj jiinpx{,
Ml mlkpja{mle kzcxzpac kndrjxjlkj alh z{mle mx a{ a gj} xn
rpnymhmle a rn{mxmyj raxmjlx jvrjpmjlkj xfj zcxmdaxj enac
{fnzch `j a fjacxfkapj {}{xjd alh {zrrnpxmle unpginpkjxfax kal hjcmyjp xfj fmefj{x qzacmx} ni kapj xn jyjp}
raxmjlx# pjeaphcj{{ ni pakj# jxflmkmx}# kzcxzpac `akgepnzlh#
np calezaej rpnkmjlk}, Xn {zrrnpx xfj {zkkj{{izc
mdrcjdjlxaxmnl ni kzcxzpac kndrjxjlkj rpakxmkj{ xfjpj
dz{x `j jpn xncjpalkj inp hm{kpmdmlaxmnl np rpjozhmkj,
[ndj ahhmxmnlac gj}{ xn knl{mhjp ml {zrrnpxmle xfj
{zkkj{{ ni }nzp kzcxzpac kndrjxjlkj jiinpx{?
Pjknelmj xfax kzcxzpac kndrjxjlkj m{ lnx a {xalh$
acnlj nzxkndj `zx dz{x `j a rapx ni jyjp} akxmnl
akpn{{ xfj knlxmlzzd ni kapj,
Pjkpzmx alh pjxaml {xaii ipnd yapmnz{ hmyjp{j epnzr{,
Ml{xmcc ijjcmle{ ni akkjrxalkj alh jqzacmx} umxfml xfj
unpginpkj xfax umcc pjjkx mx{jci ufjl hjacmle umxf
raxmjlx{,
Mlkpja{j auapjlj{{ ni hmiijpjlx kzcxzpac
knddzlmkaxmnl {gmcc{ alh knlxmlznz{c} xpaml xfj {xaii
nl fnu xn akx umxf nlj alnxfjp alh umxf raxmjlx{ ufn
apj kzcxzpacc} hmiijpjlx,
Niijp xfj {jpymkj{ ni a xpamljh djhmkac mlxjprpjxjp
np hjyjcnr a fn{rmxac calezaej `alg xfpnzef
dzcxmkzcxzpac {xaii,
Jl{zpj cmlezm{xmk kndrjxjlk} xfax jvxjlh{ `j}nlh
xfj kcmlmkac jlknzlxjp xn xfj arrnmlxdjlx hj{g#
ahymkj cmlj{# djhmkac `mccmle# alh nxfjp upmxxjl
daxjpmac{,
Mlkczhj iadmc} alh knddzlmx} djd`jp{ ml
fjacxfkapj hjkm{mnl dagmle,
Dnpj {n# fjacxfkapj npealmaxmnl{ dz{x jleaej {xaii alh
raxmjlx{ ml hjxjpdmlmle xfj {rjkmk apja{ ni inkz{ dn{x
rjpxmljlx xn jakf iakmcmx} alh mhjlxmi}mle ufax mx m{ xfax umcc
{zrrnpx {zkkj{{, A knl{m{xjlk} ml kzcxzpj{ akpn{{ {mdmcap
epnzr{ kallnx `j a{{zdjh# lnp kal a knddnl kzcxzpj
akpn{{ fjacxfkapj {jxxmle{, Dn{x mdrnpxalx m{ xfax jyjp}
fjacxfkapj npealmaxmnl pjknelmj{ xfj xpzj mdrakx ni xfm{
m{{zj nl `nxf nzxkndj{ alh jvrjpmjlkj alh dagj{ a
knl{kmnz{ kfnmkj xn akx,
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8/6/2019 Cultural Competence importance in Healthcare
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18
Jakf rjp{nl ml xfj fjacxfkapj {jxxmle# ufjxfjp a {xaii
djd`jp# a raxmjlx np a iadmc} djd`jp# m{ a zlmqzj
mlhmymhzac xfax ml xfjmp nul ua} `pmle{ a ya{x appa} ni
hmiijpjlkj{, Xfm{ rarjp m{ lnx mlxjlhjh xn {zeej{x xfaxfjacxfkapj fa{ rzprn{jizcc} nyjpcnngjh xfm{ iakx# `zx
paxfjp mx {xpj{{j{ xfax xfj{j hmiijpjlkj{ da} ax xmdj{ `j
xagjl inp epalxjh, Xfj mlhz{xp} dz{x akx umxf mlxjlxmnl
xn pjknelmj hmiijpjlkj{ inp xfj {xpjlexf{ xfj} `pmle# `zx
ac{n fnlj{xc} inp xfj rnxjlxmac mlxpmkak} xfj} mlxpnhzkj xn
xfj fjacxfkapj jlympnldjlx,
Xn mdrpnyj xfj raxmjlx jvrjpmjlkj# kzcxzpac kndrjxjlkj
m{ nlj apja ml ufmkf uj kallnx iamc xn akx, Xfm{ rarjp fa{
ipadjh a lzd`jp ni gj} m{{zj{ alh niijpjh a lzd`jp ni
rpakxmkj{ xn jvrcnpj apnzlh kzcxzpac kndrjxjlkj, @jcnuapj {ndj ahhmxmnlac pjjkxmnl{ xfax kal `jkndj xfj
kaxac}{x inp mlhmymhzac jiinpx{?
Kzcxzpac {jl{mxmymx} alh kndrjxjlkj `jeml umxf
pj{rjkx,
Zlhjp{xalhmle alnxfjp kzcxzpj m{ a knlxmlznz{
rpnkj{{,
Nlj {fnzch dagj zr xfjmp nul dmlh a`nzx alnxfjp
kzcxzpj nlc} `a{jh nl rjp{nlac jvrjpmjlkj# lnx xfj
unph{ np {xnpmj{ ni nxfjp{,
[xjpjnx}rmle alh jyjl hm{kpmdmlaxmnl apj nixjl
mljymxa`cj ml xfj a`{jlkj ni kzcxzpac jhzkaxmnl alh
kndrjxjlkj,
Ijjcmle{ ni arrpjfjl{mnl np cakg ni knlhjlkj apj
knddnl ufjl hjacmle umxf a hmiijpjlx kzcxzpj{,
Pjknelmmle alh zcxmdaxjc} nyjpkndmle nzp nul
`ma{j{ alh rpjozhmkj{ m{ al nlenmle jiinpx,
Xfj lac rnmlx m{ rjpfar{ xfj dn{x rnmelalx, A{ dzkf
a{ npealmaxmnl{ kal rcal inp alh xpaml nl kzcxzpac
kndrjxjlkj# mx m{ a rjp{nlac m{{zj alh a kfnmkj jakf
rjp{nl dz{x dagj, Cnngmle ax kzcxzpac kndrjxjlkj alh
xfj raxmjlx jvrjpmjlkj pjyjac{ xfj rnujp ni xfj rjp{nlac
pjcaxmnl{fmr{ xfax apj kjlxpac xn xfj fjacxfkapj rpnkj{{,
Mx m{ a`nzx fnu jakf alh jyjp} raxmjlx m{ mdrakxjh# alh
niijpjh xfj kapj# gmlhlj{{ alh pj{rjkx xfj} hj{jpyj, Ax
xfj jlh ni xfj ha} kzcxzpac kndrjxjlkj# a{ umxf raxmjlx
jvrjpmjlkj nyjpacc# m{ a`nzx kfnn{mle xn hn ufax m{ pmefx
ml jakf mlhmymhzac ka{j xn rn{mxmyjc} mdrakx jyjp} raxmjlx#
iadmc} djd`jp alh kapjemyjp,
Knlkcz{mnl
Xn mdrpnyj xfj raxmjlxjvrjpmjlkj# kzcxzpac
kndrjxjlkj m{ nlj apja mlufmkf uj kallnx iamc xn akx,
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8/6/2019 Cultural Competence importance in Healthcare
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Xfj Pncj ni K zcxz pac Kndr jxjl kj m l Hj cmyj pmle Rn{mx myj Raxm jlx Jvrj pmjl kj{
Pj{nzpkj{ alh Cau{ nl Raxmjlx Pmefx{ alh Kzcxzpac Kndrjxjlkj QP Knhj/
Xmxcj YM Ni Xfj Kmymc Pmefx{ Akx Ni 1=98
Xmxcj YM ni xfj Kmymc Pmefx{ Akx ni 1=98 m{ a laxmnlac cau xfax rpnxjkx{ rjp{nl{ ipnd
hm{kpmdmlaxmnl `a{jh nl xfjmp pakj# kncnp# np laxmnlac npmeml ml rpnepad{ alh akxmymxmj{ xfax
pjkjmyj ijhjpac lalkmac a{{m{xalkj, Mi a rjp{nl m{ jcmem`cj inp Djhmkamh# nxfjp fjacxf kapj#np fzdal {jpymkj{# xfj} kallnx `j hjlmjh a{{m{xalkj `jkaz{j ni pakj# kncnp# np laxmnlac
npmeml, Xfj Nikj inp Kmymc Pmefx{ &NKP- ml xfj Z, [, Hjrapxdjlx ni Fjacxf alh Fzdal [jpymkj{
&HFF[- jlinpkj{ Xmxcj YM a{ ujcc a{ nxfjp kmymc pmefx{ cau{,
fxxr?..uuu,oz{xmkj,eny.kpx.a`nzx.knp.knnph.xmxcjym,rfr
Xfj Jdjpejlk} Djhmkac Xpjaxdjlx Alh Ca`np Akx
JDXACA pjqzmpj{ dn{x fn{rmxac{ xn rpnymhj al jvadmlaxmnl alh ljjhjh {xa`mcmmle xpjaxdjlx#
umxfnzx knl{mhjpaxmnl ni ml{zpalkj knyjpaej np a`mcmx} xn ra}# ufjl a raxmjlx rpj{jlx{ xn al
jdjpejlk} pnnd inp axxjlxmnl xn al jdjpejlk} djhmkac knlhmxmnl,
fxxr?..uuu,kd{,eny.JDXACA
Xfj Hm{ahyalxaejh Dmlnpmx} Fjacxf Mdrpnyjdjlx Akx Ni 1==8
Adjlh{ xfj Rz`cmk Fjacxf [jpymkj Akx xn pjym{j xfj hzxmj{ ni xfj Nikj ni Dmlnpmx} Fjacxf,
Rpnymhj{ inp xfj j{xa`cm{fdjlx ni xfj Ahym{np} Knddmxxjj nl Dmlnpmx} Fjacxf xn ahym{j xfj
[jkpjxap} ni Fjacxf alh Fzdal [jpymkj{ knlkjplmle dmlnpmx} fjacxf, Pjqzmpj{ jakf ni xfj
inccnumle aejlkmj{ xn j{xa`cm{f mx{ nul Nikj ni Dmlnpmx} Fjacxf? &1- Kjlxjp{ inp Hm{ja{j
Knlxpnc alh Rpjyjlxmnl7 &0- Aejlk} inp Fjacxf Kapj Rncmk} alh Pj{japkf7 &;- Fjacxf Pj{nzpkj{
alh [jpymkj{ Ahdmlm{xpaxmnl7 &8- [z`{xalkj A`z{j alh Djlxac Fjacxf [jpymkj{ Ahdmlm{xpaxmnl7
alh &:- Laxmnlac Ml{xmxzxj{ ni Fjacxf &LMF-, Pj{jpyj{ 2,: rjpkjlx ni al aejlk}{ arrpnrpmaxmnl
inp {zkf Nikj,
fxxr?..xfnda{,cnk,eny.kem$`ml.`hqzjp}.>h12;?[L21:9=?BBBH){zdd04d)
Fjacxf alh Fzdal [jpymkj{ Nikj ni Kmymc pmefx{
A{ xfj Hjrapxdjlx{ kmymc pmefx{ alh fjacxf rpmyak} pmefx{ cau jlinpkjdjlx aejlk}# NKP
mlyj{xmeaxj{ kndrcamlx{# jlinpkj{ pmefx{# alh rpndzceaxj{ pjezcaxmnl{# hjyjcnr{ rncmk}
alh rpnymhj{ xjkflmkac a{{m{xalkj alh rz`cmk jhzkaxmnl xn jl{zpj zlhjp{xalhmle ni alh
kndrcmalkj umxf lnl$hm{kpmdmlaxmnl alh fjacxf mlinpdaxmnl rpmyak} cau{,
fxxr?..uuu,ff{,eny.nkp.nikj.mlhjv,fxdc
Onmlx Knddm{{mnl Ahyalkmle Jiijkxmyj Knddzlmkaxmnl# Kzcxzpac Kndrjxjlkj# alh
Raxmjlx$alh Iadmc}$Kjlxjpjh Kapj? A Pnahdar inp Fn{rmxac{
Xfm{ dnlneparf ua{ hjyjcnrjh `} Xfj Onmlx Knddm{{mnl xn ml{rmpj fn{rmxac{ xn mlxjepaxj
knlkjrx{ ipnd xfj knddzlmkaxmnl# kzcxzpac kndrjxjlkj# alh raxmjlx$ alh iadmc}$kjlxjpjhkapj jch{ mlxn xfjmp npealmaxmnl{, Xfj Pnahdar inp Fn{rmxac{ rpnymhj{ pjknddjlhaxmnl{ xn
fjcr fn{rmxac{ ahhpj{{ zlmqzj raxmjlx ljjh{# djjx xfj lju Raxmjlx$Kjlxjpjh Knddzlmkaxmnl
{xalhaph{# alh kndrc} umxf jvm{xmle Onmlx Knddm{{mnl pjqzmpjdjlx{,
fxxr?..uuu,onmlxknddm{{mnl,npe.Ahyalkmle^Jiijkxmyj^Knddzlmkaxmnl
/ [kal xfj QP knhj umxf }nzp dn`mcj rfnlj kadjpa alh iaynpmxj QP mlhjlxmi}mle arrcmkaxmnl xn hmpjkxc} akkj{{ xfj{j
pj{nzpkj{, QP pjahjp{ apj x}rmkacc} ayamca`cj xn knl{zdjp{ ax ln kfapej,
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8/6/2019 Cultural Competence importance in Healthcare
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19
A`nzx xfj Azxfnp
[afap Alhpahj# D@,@Kf m{ a Hmyjp{mx} alh Kzcxzpj
Kndrjxjlkj [rjagjp.Knl{zcxalx# a{ ujcc a{ al
mlxjplaxmnlac dapgjxmle jvrjpx kjpxmjh a{ `nxf al
J$dapgjxjp alh [nkmac Djhma [xpaxjem{x, Faymle cmyjh#
{xzhmjh# alh unpgjh ml ; knlxmljlx{# [afap {rjag{ yj
calezaej{ alh niijp{ pjac unpch `z{mlj{{ jvrjpmjlkj umxf
a {xpamefx$xacg# falh{$nl arrpnakf xn {ncymle rpn`cjd{
pjeaphmle kzcxzpac kndrjxjlkj# hmyjp{mx} alh xfjmp jiijkx
nl ecn`ac dapgjxmle alh {acj{,
A{ a pjknelmjh kzcxzpac knddzlmkaxmnl{ knl{zcxalx#
[afap fa{ arrjapjh dzcxmrcj xmdj{ nl laxmnlacc}
{}lhmkaxjh pahmn {zkf a{ 1122 AD GILV lju{ pahmn# a{
ujcc a{ `cne xacg pahmn rpnepad{, [fj fa{ `jjl ijaxzpjh
ml apxmkcj{ arrjapmle ml Hmyjp{mx} alh @ap# Djhmkac Nikj
Xnha}# alh dzcxmrcj rapjlxac daeamlj{, [fj ac{n azxfnp{
a knczdl nl Xjkflnpaxm Hmyjp{mx} Kai alh m{ a ijaxzpjh
knczdlm{x ax xfj Ecn`ac Hmyjp{mx} Iakxnp,
[afap m{ a `naph djd`jp inp xfj Cn{ Alejcj{ Kfarxjp
ni xfj Laxmnlac A{{nkmaxmnl ni Aipmkal Adjpmkal{ ml FP,
[fj fnch{ a @akfjcnp ni Djhmkmlj alh a @akfjcnp ni
[zpejp}# dmlnp ml R{}kfmaxp} ipnd Kampn Zlmyjp{mx} alh fa{
{zkkj{{izcc} kndrcjxjh a Da{xjp} ni Fzdal Pj{nzpkj{
[xzhmj{ Kjpxmkaxj Rpnepad,
[afap m{ xfj inzlhjp ni [afap Knl{zcxmle# CCK,
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8/6/2019 Cultural Competence importance in Healthcare
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Xfj Pncj ni K zcxz pac Kndr jxjl kj m l Hj cmyj pmle Rn{mx myj Raxm jlx Jvrj pmjl kj{
0211
Xfj Mdrakx ni Lzp{j Jhzkaxmnl alh Ad`mjlx Lnm{j
Ejljpaxnp{ ml Pjhzkmle Lnm{j alh Mdrpnymle Raxmjlx
[axm{iakxmnl ml a Kpmxmkac Kapj Zlmx
Xfm{ pjrnpx m{ `a{jh nl pj{japkf knlhzkxjh ax XFJ FJAPX
FN[RMXAC @a}cnp Rcaln ml Rcaln# Xjva{, Mx ua{ {zrrnpxjh
ml rapx `} Xfj @jp}c Ml{xmxzxj{ Raxmjlx Jvrjpmjlkj Epalx
Rpnepad,
Xfj [xaxj ni xfj Raxmjlx Jvrjpmjlkj ml Adjpmkal
Fn{rmxac{
Pj{japkf knlhzkxjh `} Xfj @jp}c Ml{xmxzxj {fnu{ xfax
ufmcj raxmjlx jvrjpmjlkj m{ a xnr rpmnpmx} inp fn{rmxac
jvjkzxmyj{# mx m{ {xmcc capejc} zlhjljh, Xfm{ calhdapg {xzh}
ni dnpj xfal 5=2 fn{rmxac jvjkzxmyj{ ipnd acc :2 {xaxj{alh HK jvadmlj{ xfj {xaxj ni xfj raxmjlx jvrjpmjlkj
ml xfj laxmnl{ fn{rmxac{ alh mhjlxmjh xfj epjaxj{x
pnah`cnkg{ xn mdrcjdjlxmle kfalej,
Xfj Pjyjlzj K}kcj? Al J{{jlxmac Kndrnljlx ml
Mdrpnymle Raxmjlx Jvrjpmjlkj
Ml knl{mhjpmle xfj raxmjlx jvrjpmjlkj xpzc} {ral{ xfj
jlxmpj knlxmlzzd# `jinpj# hzpmle alh aixjp xfj kcmlmkac
jlknzlxjp# xfn{j cnngmle xn dagj mdrpnyjdjlx{ ml
raxmjlx jvrjpmjlkj kal ln cnlejp pj{xpmkx xfjmp cmlj ni
{mefx, Xfm{ rarjp knl{mhjp{ xfj mdrakx alh nzxkndj{pj{zcxmle ipnd xfj raxmjlx{ jvrjpmjlkj umxf a fjacxfkapj
{}{xjd{ pjyjlzj k}kcj, Xfj mhja{ {fapjh apj lnx hjlmxj
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hm{kz{{mnl{ npealmaxmnl{ mlxjpj{xjh ml mdrpnymle xfj
raxmjlx jvrjpmjlkj dz{x fayj a{ xfj} rpmnpmxmj `zhejx{#
hjxjpdmlj apja{ ni mlyj{xdjlx alh dagj kpmxmkac
kfnmkj{ xfax aiijkx xfj cmyj{ ni xfj raxmjlx{# iadmcmj{ alh
knddzlmxmj{,
Jlfalkmle xfj Raxmjlx Jvrjpmjlkj Xfpnzef xfj Z{j
ni Mlxjpakxmyj Xjkflncne}
Fjacxfkapj npealmaxmnl{ apj lnu cnngmle xn lju dnhj{
ni jleaemle raxmjlx{ alh jl{zpmle xfjmp {xa}{# a{ ujcc
a{ xfjmp knlljkxmnl xn xfj jlxmpj knlxmlzzd ni kapj#
apj zlrapaccjcjh# rn{mxmyj jvrjpmjlkj{, Nlj {melmkalx
xpjlh ml rpnymhmle jvkjrxmnlac raxmjlx jvrjpmjlkj{ m{ xfj
z{j ni mlxjpakxmyj xjkflncne}, Xfm{ rarjp fmefcmefx{ xfj
`jljx{ ni z{mle mlxjpakxmyj xjkflncne} alh rpnymhj{ {mv
ka{j {xzhmj{ xfax qzalxmi} {melmkalx raxmjlx {axm{iakxmnl
mdrpnyjdjlx{ alh mdrakx nl FKAFR[ {knpj{,
[jrxjd`jp.Nkxn`jp 0212
Inzp Knpljp{xnlj{ ni al
Jvkjrxmnlac Raxmjlx Jvrjpmjlkj
A inkz{ nl xfj raxmjlx jvrjpmjlkj fa{ inpkjh ljuknlyjp{axmnl{ xn xfj inpjipnlx ni fn{rmxac nrjpaxmnl{,
Xfj kzppjlx pjqzmpjdjlx{ xn rz`cmkc} pjrnpx FKAFR[
{knpj{ xmj{ xfj adnzlx ni pjmd`zp{jdjlx hmpjkxc}
xn cjyjc{ ni {jpymkj rjpinpdalkj, Xfm{ rarjp fmefcmefx{ xfj
pj{zcx{ ni xun lju {zpyj}{ xfax mcczdmlaxj xfj mdrnpxalkj
ni xfj raxmjlx jvrjpmjlkj alh hj{kpm`j{ xfj kndrnljlx{
ni a {zkkj{{izc {jpymkj kzcxzpj, Kfapakxjpm{xmk{ ni xnr
rjpinpdjp{ apj hjxamcjh inccnujh `} ka{j {xzhmj{ xfax
mccz{xpaxj {jpymkj jvkjccjlkj,
Nkxn`jp 0212Ml{mefx{ mlxn xfj Raxmjlx Jvrjpmjlkj Pj{japkf @pmji
Ml {rpmle ni 0212# Xfj @jp}c Ml{xmxzxj {zpyj}jh mx{
djd`jp{ xn cjapl ufax raxmjlx jvrjpmjlkj jiinpx{
xfj} fah mdrcjdjlxjh umxfml xfjmp npealmaxmnl{, Xfj
pj{zcx eayj mdrnpxalx ml{mefx{ mlxn xfj rpmnpmxmj{ ni alh
kfaccjlej{ iakmle npealmaxmnl{ unpgmle xn xakgcj xfm{
kpmxmkac m{{zj, Xn {jj xfj caxj{x haxa nl kfaccjlej{ alh
nrrnpxzlmxmj{ ml ahhpj{{mle xfj raxmjlx jvrjpmjlkj
hnulcnah xfm{ `pmji,
Ozc}.Azez{x 0212_jpnmle ml nl xfj Raxmjlx Jvrjpmjlkj? Ymju{ alh
Ynmkj{ ipnd xfj Ipnlxcmlj{
Jvjkzxmyj{ ipnd Xfj @jp}c Ml{xmxzxj fn{xjh xfpjj
raxmjlx jvrjpmjlkj cjahjp{ ml a pnzlhxa`cj hm{kz{{mnl
nl mdrpnymle xfj raxmjlx jvrjpmjlkj, Xfj{j raxmjlx
jvrjpmjlkj kfadrmnl{ kndj ipnd yapmjh `akgepnzlh{#
`zx xfj} `jap nlj {xpnle {mdmcapmx} a ra{{mnlaxj
knddmxdjlx xn kpjaxmle jvkjrxmnlac jvrjpmjlkj{ inp
raxmjlx{# raxmjlx iadmcmj{ alh ipmjlh{, Ml xfm{ rarjp xfj}
{fapj xfj nrrnpxzlmxmj{ alh kfaccjlej{ a{ xfj} knddmx xn
mdrpnymle fnu raxmjlx{ knlljkx umxfxfjmp npealmaxmnl{,
Ac{n ipnd Xfj @jp}c Ml{xmxzxj
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8/6/2019 Cultural Competence importance in Healthcare
18/20
16
Ij`pzap} 0212
Rjp{rjkxmyj{ nl a Raxmjlx$Kjlxjpjh Jlympnldjlx
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m{ xfj knpljp{xnlj inp kpjaxmle a raxmjlx$kjlxjpjh
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xfj npealmaxmnl{ dm{{mnl# ym{mnl alh rzprn{j, Xfj}
{xpmyj inp xfj npealmaxmnl xn {zkkjjh# alh xfjpjinpj# apj
dnpj umccmle xn hn ufaxjyjp mx xagj{ xn djjx kz{xndjp
jvrjkxaxmnl{, Xfj ufmxj rarjp mlkczhj{ xfpjj ka{j {xzhmj{
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alh raxmjlx$kjlxjpjh kapj# xfj gj}{ xn kpjaxmle al
jleaejh unpginpkj alh hpmyjp{ni jdrcn}jj {axm{iakxmnl,
Ozlj 022=
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Dmkfajc Fnuj# inpdjp KJN ni DmlzxjKcmlmk# m{ al
jvrjpx nl pjxamc fjacxfkapj, Ml xfm{ jvkmxmle lju rarjp#
Kz{xndjp Jvrjpmjlkj? A Ejljpaxmnlac Rjp{rjkxmyj# fj
jvrcnpj{ xfj {nkmac mlzjlkj{ alh kfapakxjpm{xmk{ ni xfj
inzp ejljpaxmnl{ kzppjlxc} faymle xfj epjaxj{x mdrakx
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8/6/2019 Cultural Competence importance in Healthcare
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8/6/2019 Cultural Competence importance in Healthcare
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