Chap 3 Culture and Health-4.pdf

Chap 3 Culture and Health-4.pdf - Chapter 3 Culture and...

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Chapter 3 Culture and Health Learning Objectives On completing this chapter, you will be able to: 1. Define culture. 2. Explain the elements that have increased intercultural exposure, and the need for cultural tolerance and understanding. 3. Discuss barriers to good cross-cultural health care and measures to overcome them. 4. Identify the problems that result from language barriers. 5. Explain how to effectively select and use an interpreter. 6. Summarize techniques and practices to deliver high-quality, culturally sensitive health care to an ethnically diverse population.
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63 Chapter 3 Culture and Health Canada is one of the most culturally diverse countries in the world. Every province and territory, indeed, every community, has a unique blend of cultural and social influences. Within each community, there is great cultural variation, especially in large cities such as Toronto, Vancouver, and Montreal. Knowing about different cultures promotes under- standing and acceptance and encourages adaptive, rather than antagonistic, relationships. As an administrative health professional, you can communicate with clients and support them if you understand something about their culture and how it shapes their health beliefs, behaviours, and expectations. Canada has accepted immigrants from almost every nation of the world. In 2006, according to Statistics Canada the combined visible minorities by the end of 2012 will form a majority in both Toronto and Vancouver. Statistics from 2011 show that there has been a recent rush of immigrants to western Canada, particularly to Manitoba, Saskatchewan, and Alberta. This is due to the robust economies in these regions—mostly in the mining and natural resource sectors. Previously, Ontario received most immigrants. Currently the focus for immigration is to keep Canada’s economy strong, particularly after the recent recession. Statistics Canada shows that 60 percent of new immigrants came through the economic stream. This stream allows admission to the country based on the individual’s ability to contribute to the economic development of the country (e.g., skilled workers, investors, entrepreneurs, and those with the high potential for self- employment). According to Statistics Canada, the immigration plan for the next few years will also include more admissions for spouses and children in the family category. These individuals will bring specific cultural needs with respect to health care, as well requiring access to family doctors and other health-care services. In 1971, Canada became the first country in the world to adopt a multiculturalism policy, illustrating a commitment to ethnic diversity. In 1986, the federal government passed the Employment Equity Act , and in 1988, it passed the Canadian Multiculturalism Act. The Canadian Multiculturalism Act directs the federal government to work toward equality in the economic, social, cultural, and political life of the country. It is commonly said that while the United States is a melting pot, Canada is a mosaic. People are encour- aged to join in Canadian life while retaining their own customs and cultural identity. And
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