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Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
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Knowledge Base for Transcultural Health

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  • 1. Medals: A Knowledge Base for Transcultural Health and Medicine
    Dr. Riccardo Colasanti
    Rielo Institute for Integral Development
    colasanti@rieloinstitute.org
  • 2. What is Integral health?
  • 3. Communicative competence
    Anthropological competence
    Clinical competence
    Psychological competence
    Four competences are defined:
  • 4. According Van Wieregen et al. (2002) in medical consultation in general practice mutual understanding was poor in 33% of consultations with ethnic-minority patient versus 13% with native-born patient
    Eur J Public Health. 2002 Mar;12(1):63-8.
    Intercultural communication in general practice.
    Van Wieringen JC, Harmsen JA, Bruijnzeels MA.
    Communication in Transcultural Medicine
  • 5. The lack of comprehension may imply, medical misdiagnosis (false positive or false negative), erroneous prescriptions, a possible death toll
    Outcomes of poor comprehension in medicine
  • 6. We need to know:
    Cultural medical models of the patient
    His cultural expectative
    How he/she communicates with linguistical and not-linguistical skills his/her problems
    How the doctor can communicate to her/him
    To improve medical comprehension
  • 7. Models of Health and Disease in different cultures
    According to Tirodkar et al. (2011) …physician’s explanatory models of illness are still largely biomedical in that they emphasize the biological and physical aspects of disease etiology . However, patients or individuals who are experiencing illness may have different explanatory models.
    Explanatory models of health and disease among South Asian immigrants in Chicago
    Tirodkar,M.A.; Baker,D.W. ; Makoul,G.T.; Khurana,N.; Paracha,M.W.; Kandula,N.R.
    J.ImmigrMinor.Health., 2011, 13, 2, 385-394, United States
  • 8. Pre-linguistic
    Linguistic
    Cultural (Different Customs in Food, Habits etc)
    Philosophical and Religious (Explanatory Model of Health and Disease, Existential meaning of Life and Disease )
    The medical incomprehension is a multilayer issue:
  • 9. Patient
    Doctor
    Sickness
    Intercultural communication is very complex
    Judgment
    fears
    objectifying
    subjectifying
    objectifying
  • 10. Gesture Ambiguity (ex.: nodding and shaking head)
    Lack of grammatical precision
    Hyperbolic use of deictical terms (ex. that, this) that hides the meaning in case of lack of context
    Lexical Differences (Ethnoanatomy)
    False Friends in the Vocabulary
    The Rethorical use of Medical Language
    Differences in Conceptual Schemas (Frames di Minsky)
    Difference in the medical encyclopedia
    Difference in Health Customs
    Difference in Symbolic Values
    Difference in philosophical and religious values
    Some tipical issue in Crosscultural Communication in Medicine in
  • 11. Some examples
  • 12. Tamil terms related to health :
    The lungs, liver, spleen, and other viscera
    ஈரல் : irel
    Offensive smell of blood.
    இரத்தக்கவிச்சு, (irattacavicciù)
  • 13.
  • 14. No!
  • 15. Foot/Leg Diversity in language
    (De Blasio, Colasanti 2009)
  • 16. Foot-Leg
    (De Blasio, Colasanti 2009)
  • 17. The reduction of the cultural gap in Healthis a two-way path
    Patient-PhysicianRelationship and RacialDisparities in the Quality of Health Care
    Saha et al. American Journal of Public HealthOctober 2003 Vol 93 n. 10
  • 18. It is really necessary to constitute a knowledge base of alle the medical observations related to cultural and linguistically topics in all the culture ion the world
  • 19. Pub Med (NLM Bethesda) for “cultural diversity” return 10.000 articles
    Non medical scientific literature: indetermined number
    Google Video looking for “traditionalmedicine” return 19.700 clips.
    Slideshare (presentations) for “traditionalmedicine ”return 28000 Powerpointpresentation.
    + i social forum, le news etc
    Terabytedi data
    Basic Problem: Huge Dimension of the Data Base
  • 20. I we the number of cultural groups is proportional to the number of linguistic differences:
    How many cultures in the world?
    How many cultures in the world?
  • 21. How many people clusters in the world?
    Modificato da http://www.joshuaproject.net/how-many-people-groups.php
  • 22.
  • 23.
  • 24. Broad
    Up-to-date
    Scientific
    But open to Social Network of Healthcare Professionals
    The Knowledge Base has to be
  • 25. 3 Structural Blocks of the Knowledge Base
    1
    2
    3
  • 26.
  • 27. Define the taxonomical tree in Medical Anthropology and in Transcultural Medicine
    1. Taxonomy Ontology Based
  • 28.
  • 29. From the scientific literature peer reviewed
    Medical (Medline)
    Non Medical
    From the social Network of Health Care Professional
    2. Cultural Data Collection
  • 30. A data base to be consulted via web
    Interface user friendly
    A IT Social Network platform
    3. IT database
  • 31. 3. IT database: Zentity 2.0
  • 32. This vision for an integrated approach is intended to serve as a catalyst for transforming the health care system to meet the needs of limited-literacy, culturally diverse, and limited English proficiency patients. Clinicians and health care staff have an important role to play, but the responsibility for achieving real progress for patients facing challenges related to literacy, culture, and language must extend to organizations that support them.
    Integrating Literacy, Culture, and Language to Improve Health Care Quality for Diverse PopulationsDennis P Andrulis, Cindy Brach. American Journal of Health Behavior. : Sep/Oct 2007.

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