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Chicago College of Osteopathic MedicineCommunity Health Resource Center



 

Worlds Apart
A Four Part Series on Cross Cultural Healthcare

 

Author:

Maren Grainger-Monsen, MD, and Julia Haslett
Stanford University Center for Biomedical Ethics

Title:

Worlds Apart A Four Part Series on Cross Cultural Healthcare

Date:

 

Publisher:

Fanlight Productions   www.fanlight.com

ASIN:  
MeSH:  

Comments:

These unique trigger films follow patients and families faced with critical medical decisions, as they navigate their way through the health care system. Filmed in patients' homes, neighborhoods and places of worship, as well as hospital wards and community clinics, Worlds Apart provides a balanced yet penetrating look at both the patients' cultures and the culture of medicine. This series is an invaluable tool for raising awareness about the role sociocultural barriers play in patient-provider communication and in the provision of healthcare services for culturally and ethnically diverse patients.

  • Justine Chitsena needs surgery for a congenital heart defect, but her mother and grandmother, refugees from Laos, worry that the scar left by the operation will damage her in her next reincarnation. They want to seek advice from the local Buddhist temple. (11 Minutes)
  • Mohammad Kochi, a devout Muslim from Afghanistan, had surgery for stomach cancer, but is now refusing the chemotherapy recommended by his physician. His daughter thinks he may fear that the kind of chemotherapy offered will prevent him from observing daily prayer, and wonders if a professional translator might have avoided misunderstandings. (14 Minutes)
  • Robert Phillips, a health policy analyst who is African-American, believes he's likely to wait twice as long as a white patient for the kidney transplant he needs. He's looking for a new nephrologist — someone who will be more sensitive to his concerns. (10 Minutes)
  • Alicia Mercado, a Puerto Rican immigrant, has strong beliefs about using natural home remedies rather than prescription medications. Her diabetes, hypertension, asthma and depression have been aggravated by her recent eviction from her apartment of eighteen years, which has also disrupted the continuity of her care. Her son worries about the "assembly line" care he feels she is receiving. (13 Minutes)

The interactions between these patients and their healthcare providers reveal a great deal about both problems and opportunities in cross-cultural healthcare. The study guide for this documentary series was designed by cross-cultural medicine educators Drs. Alexander Green, Joseph Betancourt, and Emilio Carrillo. The series consists of four videos, ranging from 10 to 14 minutes each; total combined running time is 47 minutes.

This series is highly recommended.  The scenarios are all "real-life" and the video taping shows multiple perspectives from patients, families and providers.  The department of Family Medicine owns a copy of the video series.  Please contact Margaret Kirkegaard, MD at mkirke@midwestern.edu  for information on borrowing the videos.


This resource may be available on reserve and/or available for check-out at the Midwestern University Library.  If you are an MWU preceptor and are interested in borrowing a copy from the library, please contact Margaret Kirkegaard.  You should include your name, address, phone number, e-mail address and the name of the resource you are interested in.

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