Family Medicine

More documents

Recommendations

Info

World Book of Family Medicine – European Edition 2015 1996; 312(7023): 71-2. 8. Goodyear-Smith F. Practising alchemy: the transmutation of evidence into best health care. Fam Pract 2011; 28(2): 123-7. 248
World Book of Family Medicine – European Edition 2015 Tkachenko Victoria, MD, PhD witk@ukr.net 81 – Developing Culturally Sensitive Services in Primary Care Tkachenko Victoria, MD, PhD Associate Professor P.L. Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine The capacity for migration has increased in the 21st century due to the expansion of international relations, opening of borders, and the development of democratization processes in modern society. The reasons for migration differ with every case and may include; international expansion or work abroad, family reunion, return to the native land, looking for better quality of life, education, economic reasons or simply, a more peaceful life. The process of migration results in a population that has a variety of religious and cultural characteristics that must be considered during the provision of medical care. The importance of cultural sensitivity was initially emphasized in providing services to members of ethnic minority groups, especially given the language and cultural barriers faced by non-English-speaking immigrants and the ethnic and economic barriers (8). Patients may not understand a prescription or general health recommendations correctly which may lead to low adherence to treatment (3). Patients may be prevented from discussing their problems as a result of language barriers or religious prohibitions. The family doctor should start with the principles of individual liberty, human ethics and deontology, respect for beliefs, feelings and rights of patients, be aware of the cultural religious characteristics of its population, know manners, rituals and norms of behaviour, and consider them when providing medical care (1-3, 7). For example, the various cultures and religions have different attitudes to abortion, vaccination, euthanasia, blood transfusion, organ transplantation, resuscitation, autopsy, artificial insemination, sterilization, etc. Euthanasia and abortion are rejected by most religions, including Catholicism, Judaism, Buddhism, Christianity and Islam. Abortion is prohibited in most religions, but Muslims believe that the soul of the foetus appears in the first week of the fourth month of pregnancy, so abortion is allowed within that time frame. Artificial insemination is not recognized in Buddhism, but allowed by the Orthodox. In Buddhism and Islam, organ transplants and blood transfusions are only allowed from a living donor of the same religion and with his consent. The Jewish faith is against autopsy and organ transplantation, unless permission was given by the patient and his family before death. Buddhism and Judaism also deny artificial continuation of life, when medical equipment and intensive therapy prevent natural death, however, the physician should make every effort to preserve and save human life according to the Hippocratic Oath. In daily life, there are also many occasions when it is necessary to be aware of religious and cultural diversity in the provision of health services, such as religious restriction diet, fasting, hygiene, possibility of examination etc (7-8). For example, religious restriction of food (fasting, restriction of meat) may lead to deficiency disease and decreased immunity. Also, religious diet restriction can influence prescribing therapy. Thus, Islam forbids the use of any products derived from pork. In India the cow is sacred, so medications based on bovine serum (some vaccines, regenerating drugs etc.) cannot be used. In Judaism, only kosher products are allowed to be ingested, and accordingly, 249
Page 1 and 2:
The World Book of Family Medicine -
Page 3 and 4:
World Book of Family Medicine - Eur
Page 5 and 6:
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
The WP workshops on Ethics describe
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
References: World Book of Family Me
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Original Abstract World Book of Fam
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Original abstract World Book of Fam
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
References World Book of Family Med
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
References World Book of Family Med
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Original abstract World Book of Fam
Page 195 and 196:
Page 197 and 198: World Book of Family Medicine - Eur
Page 203 and 204: Take home messages World Book of
Page 215 and 216: References World Book of Family Med
Page 247: World Book of Family Medicine - Eur
Page 287 and 288: Quaternary Prevention rubric (www.p
Page 299 and 300:
Page 301 and 302:
Page 303 and 304:
Page 305 and 306:
Page 307 and 308:
Page 309 and 310:
Page 311 and 312:
Page 313 and 314:
show all

Family Medicine

Create successful ePaper yourself

Delete template?

Save as template?