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Pharmacists' considerations when serving Amish patients.

Stephanie Y Crawford¹, Aimée M Manuel, Bruce D Wood

¹Department of Pharmacy Administration, College of Pharmacy, Universityof Illinois at Chicago, IL 60612, USA. crawford@uic.edu

Journal of the American Pharmacists Association : Japha

|February 7, 2009

Summary

Pharmacists should understand Amish culture and beliefs to provide patient-centered care. Tailoring services to individual needs and addressing barriers like language and cost improves health outcomes for the Amish community.

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Area of Science:

Sociology of health
Cultural competency in healthcare
Pharmacy practice

Background:

The Old Order Amish are a religious group with distinct health beliefs and decision-making processes.
Amish communities value health and actively participate in healthcare choices, often influenced by community and family.
Their understanding of health and illness may differ from mainstream American society, incorporating folk and alternative medicine alongside conventional care.

Purpose of the Study:

To explore historical and sociocultural factors influencing Amish health decisions.
To describe the role of pharmacists in providing culturally and linguistically appropriate care to Amish populations.
To highlight culturally competent pharmacy practices for serving diverse communities.

Main Methods:

A community independent pharmacy in Arthur, IL, serving a significant Amish population from 1991 to 2008.
Reflections and practice insights from a pharmacist-owner.
Analysis of Amish cultural norms, beliefs, and healthcare-seeking behaviors.

Main Results:

Cultural awareness is crucial, but stereotyping must be avoided due to variations across Amish districts.
Individualized care is essential, considering specific cultural aspects and patient needs.
Barriers to care include unique dialects, affordability for cash-paying patients, lower prenatal care utilization, and reduced vaccination rates.

Conclusions:

Increased awareness and sensitivity to Amish lifestyles improve patient-centered pharmacy care.
Building trust and working within community norms are key to effective care.
Applying cultural competency techniques helps pharmacists overcome barriers and optimize services for Amish patients.