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Outline
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TRANSCULTURAL DIVERSITY
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"Jane Raymundo Arenas,"


  • Jane Raymundo Arenas, MS, PA-C
  • Diversity Council Chairperson
  • Pennsylvania Society  of Physician Assistants
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DIVERSITY
  •    “Differences among groups of people and individuals based on ethnicity, race, socioeconomic status, gender, exceptionalities, language, religion, sexual orientation, and ‘geographical area’.”
  •              (www. ncate.org/search/glossary.htm)


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"… don’t forget about:"
  • … don’t forget about:
  • - age


  • - education level


  • - physical mobility
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7 MYTHS
  • Diversity is …
  • 1) a problem
  • 2) a Human Resource Department’s responsibility
  • just about race and gender
  • 4) about minorities and women
  • 5) about exclusivity
  • just another fad
  • another version of Equal Employment Opportunity/
  • Affirmative Action
  • (www.diversitydtg.com/articles/cokeseries.htm)


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"What can we do about..."
  • What can we do about these myths?
  • These myths must be dispelled for cultural competence to be accomplished.
  • Diversity, after all, is everyone’s responsibility.
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PURNELL MODEL
for CULTURAL COMPETENCE
  • It is a comprehensive, systematic, and concise framework for learning and understanding cultural competence
  • It discusses how to provide adequate health care
  • for all patients by addressing the “12 A’s”




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"Do you know what the..."
  • Do you know what the 12 A’s are?


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DIVERSITY IN THE US:  2000 Census
    • RACE
    • White                                       75.1%
    • African American or Black     12.3
    • Asian                                   3.6
    • American Indian or Alaska Native         0.9
    • Native Hawaiian or Pacific Islander       0.1




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DIVERSITY IN PENNSYLVANIA:
AAPA SURVEY
  • ETHNICITY
    • 94.8% White
    • 2.4% Asian/ Pacific Islander
    • 1.3% Black
    • 0.6% Hispanic
    • 0.6% American Indian/Alaskan
    • 0.4% Multiracial



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"GENDER"
  • GENDER
    • 69% Female
    • 31% Male


  • DEGREES ATTAINED
    • 94% Bachelor’s
    • 36.3% Master’s
    • 1.3% Doctoral


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Actual and Projected Growth of Pennsylvania’s Minority Population
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DISPARITY IN HEALTH CARE:   American College of Physicians (2003)

    • Health insurance coverage
    • Patient care
    • Provider issues
    • Systems that deliver health care
    • Societal concerns
    • Research





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HEALTHY PEOPLE 2010 LIFESTYLE INDICATORS THAT HAVE CULTURAL CONTEXT
  • Tobacco use
  • Being overweight
  • Physical activity
  • Substance “use”
  • Mental Health


  • “Responsible” sexual behavior
  • Injury and Violence
  • Environmental concerns
  • Immunization
  • Access to health care
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Keys to Cultural Competence:  A summary
  • Awareness
  • Knowledge
  • Developing skills
  • Embracing cultural encounters



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To schedule presentation
  • or for more information …….


  • Please contact me by e-mail (jarenas@pct.edu)
  •                                 or by phone 570-327-4779 X 6


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