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Pakikisama: Filipino Patient Perspectives on Health Care Access and Utilization
Charles G Jose1, Rachel Lucy2, Alma Manabat Parker2
1From the PeaceHealth, Ketchikan, AK (CGJ, RL, JC, LM); Ketchikan Wellness Coalition, Ketchikan, AK (AMP); University of Washington Department of Family Medicine, Seattle, WA (CGJ, AMC); Institute of Translational Health Sciences, Seattle, WA (AMC). cjose2@peacehealth.org.
Summary
Filipino culture and language are key to healthcare access. Building trust through relatable communication and understanding cultural values like "Pakikisama" can improve engagement with the US healthcare system.
Area of Science:
- Sociology of Health
- Cultural Competency in Healthcare
- Health Disparities Research
Background:
- Filipinos exhibit higher rates of cardiovascular comorbidities due to unique social determinants, cultural values, and beliefs.
- Understanding these factors is crucial for effective healthcare delivery to this population.
Purpose of the Study:
- To identify Filipino values, practices, and belief systems influencing healthcare access and utilization.
- To explore how cultural factors impact Filipinos' interaction with the healthcare system.
Main Methods:
- Qualitative study involving 1-on-1 semi-structured interviews with 20 self-identified Filipino patients.
- Constant-comparative approach for data collection, thematic coding, and interpretive analysis.
Main Results:
- Culture and language are considered fundamental pillars of health access by Filipinos.
- Trust in clinicians is enhanced by positive communication, relatable interactions, and familiarity with intercultural values, exemplified by 'Pakikisama'.
- Navigating the US healthcare system presents challenges that can deter access to care.
Conclusions:
- Culture and language are integral to healthcare access for the Filipino community.
- Healthcare systems should prioritize intercultural clinical training and increase diversity in staffing to improve care.
- Enhancing cultural understanding and communication strategies can improve healthcare navigation and utilization for Filipinos.
Keywords:
Access to Health CareClinical MedicineCommunity MedicineCommunity-Based ResearchCultural CompetencyDiversityDoctor-Patient RelationsEducation of PatientsFamily MedicineHealth CommunicationHealth DisparitiesHealth EquityHealth LiteracyImmigrantsLanguage BarriersMinority HealthPatient NavigatorsPatient-Centered CarePopulation HealthPrimary Health CareQualitative ResearchQuality of CareRural HealthMore Related Videos
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