In 2016, there were approximately 43.7 million Hispanic immigrants living in the United
States (Pew Research Center, 2018, para. 3). In this culture, the father, or the oldest
male relative, holds power and the women are expected to show submission (Centers
for Disease Control and Prevention [CDC], 2008). The Hispanic culture is largely based
on working as a whole. They believe in shared responsibility, harmony, and
cooperation amongst groups instead of individual function (CDC, 2008).
Hispanics earn less annually than the U.S. average, but they tend to have a higher life
expectancy (CDC, 2008). This culture mainly consists of large household sizes, with an
emphasis on children (CDC, 2008).
The healthcare system for Hispanic immigrants in the U.S. is challenging. They have
the highest uninsured rates of any other racial or ethnic group at 32% (CDC, 2008, p.
8). As with many other ethnic groups, this makes Hispanics less likely to visit their
primary care physician and more likely to visit the emergency room (CDC, 2008). This
is one of the reasons for the rising healthcare costs in the U.S.
Traditional medical practices are often mixed with Western medical practices.
Traditional practices involve the use of home remedies, such as herbal or spiced teas
and seeking medical care from relatives or community members (CDC, 2008).
The community-oriented approach focuses on making changes at the community level
to improve health outcomes (Burkholder & Nash, 2013). Since the Hispanic culture
values their community, I believe participation would be high and policymakers would be
able to effectively determine and address the contributing factors. The physician-patient
relationship helps policymakers to determine individual needs, but I think this
relationship needs improvement, especially when it comes to the immigrant population.
According to Burkholder & Nash (2013), the market-oriented approach relies on
competition between care providers to strive for quality and control cost (Section 10.2).
There continues to be much debate over health care reform in the U.S. to provide
affordable coverage and access to all citizens. This is at the forefront of the debate as
an unhealthy population costs the country money and the cost of state and federal
funded programs continues to skyrocket (Burkholder & Nash, 2013).
The Tennessee Office for Refugees aims to identify and resolve medical issues that
may inhibit someone's ability to learn, work, or succeed (Tennessee Office for
Refugees, n.d.). They provide medical insurance for a limited time (8 months) and