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    1.) Conduct an assessment of the health care environment where you work (i.e. health department, long-term care facility, specialty clinic, inpatient hospital, etc). (I work inpatient hospital)
    2.) Specifically, examine potential barriers that may exist for a member of a minority group that has a significant presence in your community (i.e. Native American, Cubans, Hmong) (I live in florida, so we normally have a majority of Cubans and African Americans and some Middle Eastern)
    3.) Using the criteria below (and explained in greater detail on pages 39 and 40), assess the potential organizational barriers to care in your work environment.
    Explore ways to decrease barriers to health care for this minority group so that your organization can strive for cultural competency.

    Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook.
        Availability
        Accessibility
        Affordability
        Appropriateness
        Accountability
        Adaptability
        Acceptability
        Awareness
        Attitudes
        Approachability
        Alternative practices and practitioners
        Additional services
    Here is pages 39-40 that discusses more in detail the criteria. Just in case the link doesnt work.

    Barriers to Health Care

    For people to receive adequate health care, a number
    of considerations must be addressed. Several studies
    in the United States have identified that a lack of fluency
    in language is the primary barrier to receiving
    adequate health care in the United States (Institute of
    Medicine, 2001; Joint Commission, 2010a; 2010b; The
    Disparities Solutions Center, 2010). One can only deduce
    that this is true for other countries as well. Other
    barriers include the following:

    Availability: Is the service available and at a time
    when needed? For example, no services exist after
    6 p.m. for someone who needs suturing of a minor
    laceration. Clinic hours coincide with patients
    work hours, making it difficult to schedule
    appointments for fear of work reprisals.
    Accessibility: Transportation services may not be
    available, or rivers and mountains may make it difficult
    for people to obtain needed health-care services
    when no health-care provider is available in their immediate region.
    It can be difficult for a single
    parent with four children to make three bus
    transfers to get one child immunized.
    Affordability: The service is available, but the
    patient does not have financial resources.
    Appropriateness: Maternal and child services are
    available, but what might be needed are geriatric
    and psychiatric services.
    Accountability: Are health-care providers accountable
    for their own education and do they learn
    about the cultures of the people they serve? Are
    they culturally aware, sensitive, and competent?
    Adaptability: A mother brings her child to the
    clinic for an immunization. Can she get a mammogram
    at the same time or must she make another
    appointment?
    Acceptability: Are services and patient education
    offered in a language preferred by the patient?
    Awareness: Is the patient aware that needed services
    exist in the community? The service may be
    available, but if patients are not aware of it, the
    service will not be used.
    Attitudes: Adverse subjective beliefs and attitudes
    from caregivers mean that the patient will not
    return for needed services until the condition is
    more compromised. Do health-care providers
    have negative attitudes about patients home-based
    traditional practices?
    Approachability: Do patients feel welcomed?
    Do health-care providers and receptionists greet
    patients in the manner in which they prefer? This includes
    greeting patients with their preferred names.
    Alternative practices and practitioners: Do biomedical
    providers incorporate patients alternative or
    complementary practices into treatment plans?
    Additional services: Are child- and adult-care services
    available if a parent must bring children or an
    aging parent to the appointment with them?
    Literacy: Language has been identified as the biggest
    barrier to health care, and not just for those for
    whom English is a second language. See Chapter 3 to
    identify patients with health literacy needs.

    Health-care providers can help reduce some of
    these barriers by calling an area ethnic agency or
    church for assistance, establishing an advocacy
    role, involving professionals and laypeople from the
    same ethnic group as the patient, using cultural
    brokers, and organizationally providing culturally
    congruent and linguistically appropriate services. If
    all of these elements are in place and used appropriately,
    they have the potential of generating culturally
    responsive care.

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