Trust Among Vulnerable Communities Paper
Trust is a delicate balance among all communities, especially when it involves personal aspects of a person’s life, such as health care needs. Trust is built, earned and maintained which is a difficult part of being a care provider, which is not easily measured or reviewed for consistent performance improvement. Vulnerable populations in the health care world are categorized in groups such as race, ethnic economic and social circumstances (J. Hosp. Med, 2006). Historically, minority race and ethnicities have been the main factors in disparities in comparison to white populations groups. Past research has shown minorities were the most significantly impacted population of limited access to health care, financial struggles to access health care plans and significant socioeconomic challenges in comparison to predominately white communities (Shi & Singh, 2017). Ethnic groups, such as Latinos are the most common group identified when attempting to associate vulnerable populations with health care gap analyst. Research has indicated, minority populations are expected to significantly increase, expanding the disparity gap among the non-Caucasian population by 2050 (Pardasani & Bandyopadhyay, 2014). As we continue to evaluate trust among vulnerable populations, we must acknowledge the concerns within the care delivery system to identify trust barriers, why trust is necessary and how barriers can be reduced or improved.
As a physician or care provider, establishing trust is not easily achieved simply by being the care provider of a patient. Developing a relationship as a care provider with a patient requires an understanding and acceptance of the difference that is shared between provider and patient, such as religious beliefs, social economics and the belief of personal disconnection due to perceived financial differences. Often, providers will need to overcome an initial distrust by their patient simply due to a perceived belief from a patient that as a provider there is no possibility to understand their economic, religious beliefs and communication barriers (Pardasani & Bandyopadhyay, 2014). Another obstacle to trusting care providers has to do with the inability to access care. As care providers ultimately can choose to accept certain levels of health coverage, such as employer coverage over public insurance, this leads to vulnerable population who access public insurance plans due to financial challenges seeking care in an emergent capacity opposed to preventive since this is the only group of providers obligated to provide care (Zuvekas, 2005). Care providers must be willing to cross barriers of differences to make an impact, gaining trust among the most vulnerable populations will not be easy but can be achievable.
Trust is a cornerstone to delivering the highest quality of care. As the health care community continues to evaluate opportunities to improve health care delivery and access to all, improvement of trust among the provider and patient relationship is an essential part of the move for an overall improvement of health care services. Patients often rely on personal relationships in their decision-making process, usually this connected hold more weight to the patient’s decision-making process over and above the physician managing the care treatment plan (Collado, Oakman & Shah, 2017). Among the Latino population, decision making tends is based on close relationships that are long-standing and connected with them on a social, economic, language and religious connection, especially significant among the older adults (Collado, Oakman & Shah, 2017). Often, trust is quickly established when the patient and provider is of like culture, language, and beliefs. It does not mean a physician that does not share the same cultural background will be unable to build trust, it will just take a deeper connection with their patient and a real understanding of cultural competence to establish trust among their vulnerable patients, effective implementation will ensure a trust connection with their patient (Pardasani & Bandyopadhyay, 2014). Without trust, a care provider will be unable to gain loyalty by the patient to manage their care properly and seek the medical needs necessary to ensure their health needs are met and handled in the most appropriate manner. If a physician is unable to establish trust, a patient will not achieve the best level of health care possible. A solid plan to develop confidence and respect is not available to care providers as a road map, but building trust and breaking down the barriers that a vulnerable population will experience such as the inability to access care is necessary for the betterment of health care of the future (Collado, Oakman & Shah, 2017).
Breaking down the barrier will be a long road but will have a significant impact on the improvement of health care for all, particularly the vulnerable population. Cultural competence will be vital in removing barriers as care providers continue to improve their understanding of cultural gaps and how these gaps influence the behaviors of the vulnerable population (Pardasani & Bandyopadhyay, 2014). As health care reform continues to make necessary improvements, extended learning of how to impact the vulnerable people will be essential. It will be key to involve people from this diverse communities to be part of the research, asking the hard questions such as their concerns and opinions about accessing health care and making the necessary changes to improve their access for ultimate health care access improvement for all (Pardasani & Bandyopadhyay, 2014 Trust Among Vulnerable Communities Paper). Yes, a care provider can ultimately treat a patient appropriately without first establishing trust, but the establishment of a trust will ensure the patient is receiving the high level of quality care delivery services and will working very diligently with their care provider to provide treatment plans that are followed and improved health care is achieved.
Trust and respect must be a part of any care delivery treatment plan; otherwise, the program cannot truly achieve the highest quality of care. The relationship established between care provider and the patient is necessary and will drive how a patient accepts and follows physician medical advice, without the trust a patient will be less likely to support any established treatment plan (Collado, Oakman & Shah, 2017). Trust, respect and cultural awareness will continue to be critical factors of high-quality care moving forward. Our nation has made improvements to the care delivery system over the past few decades, and more needs to be done to continue addressing the health care disparities among the vulnerable populations (Shi & Singh, 2017). As the health care community evaluates ways to connect further with vulnerable populations, acknowledgment of building trust, maintaining trust and respecting difference will be essential for vast improvements to health care.
Trust Among Vulnerable Communities Paper References
Care of vulnerable populations. J. Hosp. Med 2006;1;62-62. doi:10.1002/jhm.42. Retrieved
Collado, M., Oakman, T., Shah, M. (2017). To improve health care, how do we build trust and
respect for patients? Health affairs blog. Retrieved from
Pardasani, M., & Bandyopadhyay, S. (2014). Ethnicity matters: The experiences of minority
groups in public health programs. Journal of cultural diversity, 21(3), 90-98. Retrieved from https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=97805348&site=eds-live&scope=site
Shi, L. & Singh, D. (2017). Essentials of the U.S. Health Care System (4th Ed.). Retrieved from
Zuvekas, A. (2005). Health centers and the healthcare system. Journal of ambulatory care
management, 28(4), 331. Retrieved from https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edo&AN=18325445&site=eds-live&scope=site