PMID- 18667135
OWN - NLM
STAT- MEDLINE
DCOM- 20090513
LR  - 20221207
IS  - 1533-7294 (Electronic)
IS  - 0094-3509 (Linking)
VI  - 56
IP  - 9 Suppl Building
DP  - 2007 Sep
TI  - Building cultural competency for improved diabetes care: Asian Americans and 
      diabetes.
PG  - S15-21
AB  - Type 2 diabetes mellitus (T2DM) is an ever-increasing cause of significant 
      morbidity and mortality worldwide. As one of the most common chronic diseases our 
      nation is facing today, it is also a major contributor to rising health care 
      costs. Complications from uncontrolled T2DM result in significantly higher 
      per-patient health care costs for patients with diabetes compared to health care 
      costs for nondiabetic patients. Genetic factors play an important role in the 
      development of T2DM, with prevalence among some ethnic groups--including certain 
      Asian American groups--considerably higher than among white Americans. Studies 
      have shown that glucose control is also significantly poorer in this subgroup of 
      patients. The need to address these ethnic disparities has led to the growing 
      interest in cultural competency in medical care. While patient-centered care has 
      tended to focus on the patient as a unique person, cultural competency recognizes 
      that the individual is a product of his or her culture. The degree of disparity 
      also varies, depending on how long the individuals have been living in the United 
      States and how Americanized these individuals are. Patients whose health care 
      providers may need a higher level of cultural competency include those who have 
      recently emigrated from their home countries and those who have been residing in 
      the United States for a long time but have not acculturated to the mainstream 
      society, a scenario highlighted in the following case study.
FAU - Hsu, William C
AU  - Hsu WC
AD  - Harvard Medical School; Director, Asian Clinic, Joslin Diabetes Center, Boston, 
      MA USA.
FAU - Yoon, Henry H
AU  - Yoon HH
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - J Fam Pract
JT  - The Journal of family practice
JID - 7502590
SB  - IM
MH  - *Asian
MH  - Communication Barriers
MH  - *Cultural Competency
MH  - Diabetes Mellitus, Type 2/diagnosis/*drug therapy/*ethnology
MH  - Family Practice/methods
MH  - Female
MH  - Humans
MH  - Medical History Taking
MH  - Middle Aged
MH  - Physician-Patient Relations
RF  - 17
EDAT- 2007/09/01 00:00
MHDA- 2007/09/01 00:01
CRDT- 2007/09/01 00:00
PHST- 2007/09/01 00:00 [pubmed]
PHST- 2007/09/01 00:01 [medline]
PHST- 2007/09/01 00:00 [entrez]
AID - jfp_5609o [pii]
PST - ppublish
SO  - J Fam Pract. 2007 Sep;56(9 Suppl Building):S15-21.