Improving cultural competency in handling AAPI populations

A culturally competent provider is better equipped to understand how a patient's cultural background might influence their health behaviors, treatment preferences, and expectations of care. In Asian American and Pacific Islander (AAPI) communities, this involves learning about the diverse languages, traditions, and health practices that influence how these patients view healthcare. 

The concept of cultural competency 

Cultural competency is the ability to understand, respect, and effectively interact with people from different cultural backgrounds. According to “Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients” cultural competence, “...emphasizes the need for health care systems and providers to be aware of, and responsive to, patients’ cultural perspectives and backgrounds.” The concept has shifted from being a buzzword but a necessary part of the quality of patient care. Healthcare providers encounter patients on a daily basis with unique beliefs, values, and practices. Cultural competency allows these providers to understand how integral parts of a patient's culture and belief system influence their approach to treatment. 

See also: How to use text messaging for AA and NHPI patient care

The importance of provider sensitivity in AAPI populations

AAPI communities are made up of over 50 distinct ethnic subgroups, each with its own unique languages, traditions, and health beliefs. It is due to this that diversity means that a one size fits approach to healthcare simply doesn't work. Providers must understand these cultural nuances to offer effective care. For instance, some AAPI patients might prefer traditional healing methods over Western medicine. Others may hold beliefs about health that differ from mainstream practices. 

Many AAPI individuals face language barriers that can make accessing and understanding healthcare services difficult. Limited English proficiency is common, and without culturally competent care, these patients may struggle to communicate their symptoms or understand their treatment options. It often results in delayed care or even misdiagnosis. Culturally competent providers recognize the need for language access, whether through medical interpreters or translated materials.  

The use of email in improving communication

Engagement becomes more meaningful through email. The communication form allows providers can keep the conversation going after an appointment, sending culturally relevant resources, follow up instructions, or even health tips that align with the patient’s beliefs and practices. For example, a patient receiving a video link about managing diabetes, presented in their native language, or a detailed guide on how to combine traditional remedies with prescribed treatments. These kinds of emails aren’t just informative, they show that the provider respects and understands the patient’s cultural context.

Addressing cultural beliefs head on is another strength of HIPAA compliant email communication beyond the benefit of necessary security. For instance, if a patient values traditional healing methods, an email can offer guidance on integrating those practices with Western medicine. A thoughtful approach improves adherence and fosters a deeper trust between patient and provider.

Best practices to integrate cultural competency into patient care

• Implement training programs tailored to the specific demographics of the patient population. For instance, if a healthcare facility serves a number of Southeast Asian patients, the training should focus on the cultural beliefs, communication styles, and traditional health practices common in that community.
• Utilize real world scenarios in training sessions where staff can practice cultural competency in a controlled environment. These scenarios might include role playing interactions with patients from different cultural backgrounds, addressing common cultural misunderstandings, and navigating culturally sensitive situations.
  
  

• Actively recruit healthcare providers and staff from diverse cultural backgrounds who can reflect the community they serve.
• During the hiring process, assess candidates’ cultural competency as part of their qualifications. 
  
  

• Provide that all communication with patients is clear, avoiding medical jargon that may be confusing, especially for those with limited health literacy. 
• Train providers to practice active listening, which involves paying full attention to the patient, acknowledging their concerns, and responding thoughtfully. 
  
  

• Always use certified medical interpreters who are trained in both the language and cultural nuances of the patient population. Avoid using family members as interpreters, as this can lead to breaches of confidentiality and miscommunication.
• Before a medical encounter, brief the interpreter on the patient’s case, the purpose of the visit, and any cultural considerations that might be relevant. 
  
  

• Develop care plans that incorporate the patient’s cultural health beliefs and practices. For example, if a patient believes in traditional medicine, find ways to integrate these practices with conventional treatment, where safe and possible, to enhance adherence.
• Involve patients and their families in the decision making process, respecting their cultural values and preferences. 
  
  

• Make sure that all signage within the healthcare facility is available in the languages most commonly spoken by the patient population.
• Create a welcoming environment by incorporating culturally relevant artwork, reading materials, and decor that reflect the diversity of the community served. 

See also: Top 12 HIPAA compliant email services

FAQs

Is encryption compulsory for an email to be HIPAA compliant? 

Yes, TLS 1.2 or higher is required. 

What are common biases in healthcare? 

Common biases in healthcare include racial, gender, socioeconomic, and age related biases.

Why is consent necessary before you contact patients?

Consent is necessary before contacting patients to ensure that their privacy is respected and that they have agreed to receive communication.