170 likes | 294 Views
Latinos in Medicine. Rafael Ortega, MD Professor of Anesthesiology. November 18, 1993. U.S. Foreign Born Population / Top Ten . U.S Population 303 Million 33.5 Million Foreign Born 11% of Population . Data from 2000 U.S. Census and 2004 Yearbook of Immigrant Statistics (projected for 2010).
E N D
Latinos in Medicine Rafael Ortega, MD Professor of Anesthesiology
U.S. Foreign Born Population / Top Ten U.S Population 303 Million 33.5 Million Foreign Born 11% of Population Data from 2000 U.S. Census and 2004 Yearbook of Immigrant Statistics (projected for 2010)
Haitians cut sugar cane in the Dominican Republic Guatemalans migrate seasonally to coffee farms in Chiapas, Mexico Dominicans harvest coffee in Puerto Rico Nicaraguan peasants and Panamanian Ngobe Indians harvest coffee in Costa Rica Colombians work on farms in Venezuela’s Zulia and Andes provinces Peruvians harvest bananas and mangos in Ecuador Bolivians work in sugar and tobacco industries of northern Argentina Paraguayans go to subtropical estates in northeast Argentina for horticultural work Durand, J., & Massey, D. (2010). New world orders: Continuities and changes in latinamerican migration. The ANNALS of the American Academy of Political and Social Science , 630(1), 20-52. doi: 10.1177/0002716210368102
The Effect of Race and Ethnicity on Patient-Physician Communication (adapted from Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Institute of Medicine. 2004 Institutional Resources Direct Services (Interpreters, Linguistic Competency in Health Education Materials) Cultural Homophilly (Using Staff of Similar Background, Understanding Folk Remedies and Traditional Healers) Institutional Accommodation (Clinic Location, Hours of Operation, Cultural Competency and Training) Expectations Bias Stereotypes Expectations Bias Stereotypes PATIENT – PROVIDER COMMUNICATION PATIENT - PROVIDER COMMUNICATION PATIENT Ethnicity Gender Age Social Class Literacy Health Status PHYSICIAN Ethnicity Gender Age Social Class PATIENT – PROVIDER COMMUNICATION PATIENT – PROVIDER COMMUNICATION PATIENT – PROVIDER COMMUNICATION Patient evaluations and judgments / Physician cognitions and decision-making Outcomes, Satisfaction, Adherence, Functional Status, Quality of Life
Carinal Bronchial Trifurcation in a Hispanic Woman