The importance of language and culture in pediatric care: Case studies from the Latino community

被引:116
作者
Flores, G
Abreu, M
Schwartz, A
Hill, M
机构
[1] Boston Med Ctr, Div Gen Pediat, Boston, MA 02118 USA
[2] Boston Med Ctr, Div Pediat Emergency Med, Boston, MA 02118 USA
[3] Boston Med Ctr, Dept Pediat, Boston, MA 02118 USA
[4] Boston Univ, Sch Med, Boston, MA 02118 USA
[5] Boston Univ, Sch Publ Hlth, Div Epidemiol & Biostat, Boston, MA 02118 USA
关键词
D O I
10.1067/mpd.2000.109150
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: Few studies have examined culture's effect on pediatric care. Objectives: To analyze 3 cases illustrating the importance of culture in pediatrics. Methods: Case analysis with a cultural competency model. Results: No interpreter was available for the parents of a 3-year-old brought to the emergency department because of abdominal pain; she was discharged twice, returned with an acute abdomen, and was hospitalized for treatment of appendiceal rupture and peritonitis. A 2-year-old fractured her clavicle in a fall but was placed in social services' custody because of a pediatrician's misinterpretation. Parents of a ventilation-dependent 2-week-old with encephalopathy, seizures, and renal failure were unaware of the infant's poor prognosis, despite use of an interpreter. Conclusions: Culture can have a significant impact on pediatric care; use of a simple model can ensure that pediatricians provide culturally competent care.
引用
收藏
页码:842 / 848
页数:7
相关论文
共 36 条
[1]  
*AM MED ASS, 1994, CULT COMP HLTH CAR A, P39
[2]   LEAD BASED REMEDIES FOR EMPACHO - PATTERNS AND CONSEQUENCES [J].
BAER, RD ;
DEALBA, JG ;
CUETO, LM ;
ACKERMAN, A ;
DAVISON, S .
SOCIAL SCIENCE & MEDICINE, 1989, 29 (12) :1373-1379
[3]   Use and effectiveness of interpreters in an emergency department [J].
Baker, DW ;
Parker, RM ;
Williams, MV ;
Coates, WC ;
Pitkin, K .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 275 (10) :783-788
[4]  
BOSE A, 1983, PEDIATRICS, V72, P106
[5]  
*CDCP, 1993, MMWR-MORBID MORTAL W, V42, P521
[6]  
Centers for Disease Control (CDC), 1983, MMWR Morb Mortal Wkly Rep, V32, P554
[7]   THE BILINGUAL CONSULTATION [J].
EBDEN, P ;
BHATT, A ;
CAREY, OJ ;
HARRISON, B .
LANCET, 1988, 1 (8581) :347-347
[8]  
FINKELSTEIN JA, 1995, PEDIATRICS, V95, P389
[9]   Culture and the patient-physician relationship: Achieving cultural competency in health care [J].
Flores, G .
JOURNAL OF PEDIATRICS, 2000, 136 (01) :14-23
[10]  
Flores G, 1998, ARCH PEDIAT ADOL MED, V152, P1119