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Geriatrics

Geriatrics

Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
      • Fund of Knowledge
      • Assessment
      • Delivery of Care
    • Glossary
    • Interview Strategies
  • Ethno Med
    • Background
    • African American
    • Alaska Native
    • American Indian
    • Asian Indian American
    • Chinese American
    • Filipino American
    • Hawaiian and Pacific Islander
    • Hispanic / Latino American
    • Hmong American
    • Japanese American
    • Korean American
    • Pakistani American
    • Vietnamese American
  • Medical Interpreters
    • Microlectures
    • Partnering with medical interpreter
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Health Care Utilization

The degree of utilization is dependent upon acceptance by patient and family, and barriers such as

  • Mistrust
  • Money
  • Saving face
  • Family responsibilities

Additional barriers to the U.S. health system include:

  • Lack of language and culturally competent services
  • Geographic barriers
  • Economic barriers

For example, English ability, conservatism with regards to more traditional Eastern cultural values and lack of knowledge may be partially responsible for lower rates of mammograms in Chinese-American women (Wang JH 2009; Liang 2009). In general, the fact that Asians and Pacific Islander Americans are less likely to see a physician may impact on the success of prevention programs, such as smoking cessation and breast cancer screening (Chen 1994; Fu 2003; Wang JH 2009).

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Chinese American

  • Description
  • Learning Objectives
  • Introduction and Overview
    • Current Population
    • Religion
    • Language
  • Patterns of Health Risk
    • Role of Western Society
    • Depression
    • Alcoholism
    • Dementia
    • Infectious Disease
    • Cancer
      • Liver Cancer
      • NPC
      • Breast Cancer
      • Prostate Cancer
      • Colon Cancer
      • Lung Cancer
    • Smoking
    • Cardiovascular Disease
    • Diabetes
    • ESRD

Culturally Appropriate Care

  • Fund of Knowledge
    • Beliefs and Practices
      • Confucianism
      • Other Influences
      • Conflicts with Western Autonomy
    • Cohort Analysis
      • Historical Influence
      • Significant Dates and Periods
    • Acculturation
  • Assessment
    • Heterogeneity vs. Homogeneity
    • Degree of Acculturation and Traditional Beliefs
  • Delivery of Care
    • Health Care Provider Role
    • Traditional Chinese Medicine
    • Psychotherapy
    • Advance Directives/End of Life Issues
    • Medications
  • Cancer Care

Access & Utilization

  • Health Care Utilization
  • Long Term Care

Learning Resources

  • Instructional Strategies
    • Case Study 1
    • Case Study 2
  • Student Evaluation
  • Links
  • List of References
  • Searchable Reference Database
  • Glossary
  • Interview Strategies
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