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Results for “Communication Barriers”

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PubMed2004

Education: nationally achievable solutions.

Despite the efficacy of hypertension treatment, knowledge and compliance remain poor in Hispanic patients because of language barriers, low educational levels, and cultural differences. Yet effective physician-patient communication is crucial to patient compliance, satisfaction, and understanding of medical issues. Physicians and health care providers therefore need to develop "cultural competence" skills to achieve effective health education and good treatment outcomes in this patient population. Various strategies such as mnemonic devices can help practitioners communicate with Hispanic patients. National initiatives and research studies continue to address the provision of culturally and linguistically appropriate health care.

Communication Barriers↗
PubMed2002

Teledermatology and teledermatopathology.

Teledermatology is in essence an application of clinical telemedicine that deals with the practice of dermatology via the latest communication and information technology. As with other telemedicine applications, the goal is to provide the highest quality of dermatologic care more efficiently by moving patient information rather than the patient. Teledermatopathology, on the other hand, is a nonclinical telemedicine application specifically relating to diagnosis of cutaneous histologic specimens. There are numerous articles evaluating diagnostic concordance of teledermatology. However, because of a lack of a "true" gold standard, most published studies have compared diagnostic capabilities of teledermatology to our traditional face-to-face evaluations. Although the diagnostic correlation varies from study to study, most experts agree that Store and Forward and real-time video teleconferencing teledermatology is as clinically effective as a face-to-face consultation, which is less than 100% accurate. Teledermatopathology is showing similar potential, but because of the limitations on sampling error and the high cost of the alternative, robotic remote telepathology units, its acceptance into our daily practice has been delayed. This article focuses mainly on Store and Forward Teledermatology given its significant advantage and reviews the literature on teledermatology and teledermatopathology's diagnostic concordance and acceptance.

Attitude of Health Personnel↗
PubMed1978

The technological character of barriers to primary preventive activity in mental health: a framework for analysis.

In recent years a number of barriers to primary prevention have been discussed in the literature: deficiencies in resources, know-how, and motivation on the part of mental health practitioners; lack of mandate; community resistance; and organizational structural problems. This paper describes the ways in which such barriers stem from the nature of primary prevention as organizational technology in mental health. Specifically, primary prevention is handicapped by the limited rationality of the technologies involved, and the sources of nonrationality in the technology of prevention come to be perceived as external barriers.

Attitude to Health↗
PubMed2004

Language barriers and access to care.

The purpose of this chapter is to examine how language barriers contribute to health disparities among ethnic and racial minorities in the United States. A literature search was systematically conducted using selected computer databases (MEDLINE and CINAHL). Searches were limited to English-language-published research in the years from 1985 to 2003. A total of 47 published articles were included in this review. Overall these studies indicate that language barriers are associated with longer visit time per clinic visit, less frequent clinic visits, less understanding of physician's explanation, more lab tests, more emergency room visits, less follow-up, and less satisfaction with health services. The results also indicate that people who are older, poorer, and female tend to have severe language barriers compared to those who are younger, wealthier, and male. Improvement of communication between patients and providers in relation to health disparity consists of cultural competency and communication skills. Implications of these studies for practice and further research are outlined.

Attitude of Health Personnel↗
PubMed1996

Transcending the barriers of cultural diversity in health care.

The focus of this paper is on the diverse cultures impacting health care. Initiatives to advance a sense of responsibility, a unified, competent health care congruent with multicultural requirements of people in a kaleidoscopic society are cited. Selected scenarios depicting barriers in transcultural/cross-cultural health care are presented, and mechanisms to transcend the barriers are advocated.

Clinical Competence↗