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The Massachusetts General Hospital Textbook on Diversity and Cultural Sensitivity in Mental Health pp 55–74Cite as

Providing Medical Care to Diverse Populations

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Part of the Current Clinical Psychiatry book series (CCPSY)

Abstract

It is not yet evident how strong of an influence diversity holds on clinical decision-making or quality of care. What remains unclear is the manner in which disparate patient characteristics function. The associated cognitive procedures are complex. Affordable care, access to care, and compliance with recommended treatment are examples of factors that influence health outcomes but fail to provide a definitive explanation for variations that deviate from the norm. Explanations for these differences are lacking. The capacity for race and ethnicity to influence treatment and resource allocations, for example, is a decision process open to interpretation. This is problematic because the ability to evaluate a clinical decision requires understanding the many interrelated elements that contribute to judgment. In the end, there exists the need to evaluate clinical choices and to understand the extent to which patient attributes have the power to influence those determinations. This chapter will tackle the challenge of what it means to provide culturally sensitive healthcare to arguably the most diverse population on the planet. Although the information provided is focused on the healthcare environment, the concepts discussed are relevant to educators, diversity trainers, and professionals from other social sciences.

Negative use of social categories influences clinical decision-making. Adverse incorporation of information such as race/ethnicity, sexual orientation, or cognitive ability disadvantages marginalized groups and tags some aspects of identity as undesirable. Concepts such as intersectionality and cognitive dissonance provide frames for unmasking mental models that inform personal perceptions. These influences highlight the challenge in grasping the inner nature of decision-making compromised by the significance assigned to aspects of identity.

Keywords

  • Depression
  • American identity
  • Income
  • Coherence
  • Posit

If we are to achieve a richer culture, richer in contrasting values, we must recognize the full gamut of human potentialities.

(Margaret Mead)

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Acknowledgments

Thank you to Ms. Taquesha Dean for all of her administrative help during the writing of this chapter.

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Authors and Affiliations

  1. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA

    Deborah Washington & Robert Doyle

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  1. Deborah Washington
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Correspondence to Deborah Washington .

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Editors and Affiliations

  1. American Psychiatric Association, Arlington, VA, USA

    MD Ranna Parekh

  2. Harvard University, Boston, MA, USA

    MD Nhi-Ha T. Trinh

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Washington, D., Doyle, R. (2019). Providing Medical Care to Diverse Populations. In: Parekh, R., Trinh, NH. (eds) The Massachusetts General Hospital Textbook on Diversity and Cultural Sensitivity in Mental Health. Current Clinical Psychiatry. Humana, Cham. https://doi.org/10.1007/978-3-030-20174-6_4

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  • DOI: https://doi.org/10.1007/978-3-030-20174-6_4

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