203132 A Bridge of Understanding: Creating a resource guide for non-Vietnamese health care providers

Sunday, November 8, 2009

Terri P. Vise, MHA, FACMPE , Vietnamese Community of Orange County, Inc. Asian Health Center, Santa Ana, CA
Tricia T. Nguyen, MPH , Vietnamese Community of Orange County, Inc. Asian Health Center, Santa Ana, CA
The Vietnamese population of Orange County, CA, experienced 97% growth between 1990 and 2000, and numbers over 300,000, the largest Vietnamese population of any county in the United States. This population is the largest concentration of Vietnamese outside of Vietnam. Access to primary health care is a major barrier, as VNCOC Asian Health Center is one of only two community clinics in Orange County equipped to serve the needs of over 75,000 Vietnamese needing safety-net health care services. The Asian Health Center (AHC) is a Federally Qualified Health Center, Look-Alike that is part of the Vietnamese Community of Orange County, Inc. and provides primary medical and dental care services to underserved and uninsured Vietnamese residents.

Difficulties in access to care for Vietnamese patients are compounded by barriers that include limited English proficiency (LEP) and provider understanding of cultural beliefs and attitudes towards disease. The AHC undertook development of a Health Care Provider Resource Guide to provide critical information to non-Vietnamese health care providers on the cultural beliefs of Vietnamese patients and perceptions about specific disease categories. Using input from focus groups of Vietnamese user/patients of the health center and health care providers in the community, cultural beliefs and attitudes to specific diseases including cancer, diabetes, Hepatitis B and mental health were explored within the framework of two health models over the human life cycle. The feedback from non-Vietnamese providers in the community using virtual conferencing helped guide the development and lead to a product that is relevant and useful.

Learning Objectives:
1) Identify at least one cultural belief that Vietnamese and other APIs hold regarding the following disease processes: cancer, diabetes, hepatitis B, mental health and cardiovascular diseases 2) Describe the critical elements of a resource guide for non-Vietnamese or non-API health care providers. 3) Assess Vietnamese and API cultural beliefs about diseases using the Health Belief Model and Kleinman's seven questions.

Keywords: Asian and Pacific Islander, Cultural Competency

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over ten years of program development, planning, and evaluation of public health programs experience, as well as over 5 years of non-profit expertise with the administrative and fiscal functions of the agency. I was a past APHA presenter on Hepatitis B in the Vietnamese community several years ago in Boston. I hold a Master's of Public Health from UCLA and just recently developed the API Resource Guide for Culturally Appropriate Care of Vietnamese Americans.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.