Theory of Culture Care Diversity and Universality
Patients often expect slow delivery of service. They have a lack of confidence that providers will really help, especially if the patient is poor. For this reason, patients may feel less confident about U.S. providers who are Latino. Physicians in Mexico are revered: “What is said is done, no questions asked.” Questions are not asked for fear of insulting the provider. This includes questions about the patient’s prognosis. Patients from Mexico and many underdeveloped countries are accustomed to providers who wear white coats. American providers who dress casually may have to prove themselves more. There are exceptions to this.
Uninsured and underinsured Latino patients are in survival mode. Maintaining the most basic needs, such as affording food and paying for housing, take over their everyday lives. Most of these people are close to becoming homeless and some are already homeless. As such, preventive care is viewed as a luxury, something that only the rich can afford. This attitude is only strengthened by previous experiences in Latin American countries, where treatment was almost nonexistent due to a major lack of financial resources. For most individuals, healthcare in Latin America was unaffordable and unattainable, and most experience the same problem in the U.S.
Latinos in the United States are without health insurance. Even though there are a large amount of preventive services available at free or reduced costs, patients and providers do not always know about these services. ...