Travis County:
Days with high wet bulb temperatures: 1-5
Average number of very large fires per year: NA
Percentage of property below high tide: 0
Percent decline in crop yields: 44%-67%
Climate damage as a percent of GDP: 0-0.3
The object of the study was to determine what cultural competence means across the relationships of patients, clinicians, and administrators. The study was performed to reveal the 'barriers' in patient care becasue of cultural implications. The lack of a patient-physcian relationship due to cultural barriers whether that be race or ethnicity, lack of explanation of a diagnosis or the differences in appraoches to patient care- as percieved by administration, patients and doctors.
The study is publiched on NCBI in a library of medicine for NIHM. On this database (original publisher could not be found- presumed to be in a medical journal, the author works for Columbia University) contains may important and valid articles that contain vital information for the future of mental and physical health of others. Publications in this database are natural and presumed to be credible because its association with NIHMS.
The study was perfomed by taking three groups of people from a diverse hospital in Brooklyn-patients, administrators and physicsans and asks them the same ballpark set of question about cultural competence. And how it affects a patient-physician relationship. This is not a new way of studying issues, case studies are quite a common way (in group questioning) to determine how "populations" feel about a topic.
This study has travelled via the definition of cultural competence on many academic and medical websites regarding psychological ideologies.
Technical professionals can make use of this study as a basis of how cultral competnce should be viewed in a healthcare workplace. TO determine the needs of the patients, physicians and higher ups use culture and their expertice to determine a proper patient-physician relationship.
The study addresses vulnerable populations by presiding in an area of high culture and diversity. The study participants were from all backround and genders, so teh study would not be biased.
The study was not funded it was on a volunteer basis, where particpiants would be paid for their time and information gathered would be used for the study.
The Emergency Medical Treatment and Labor Act is a law requiring that anyone coming into the emergency department will be stabilized and treated no matter what their insurance situation is. In terms of women's health, it is important to note that this means for active labors, medical treatment is necessary and required, no matter the health insurance of the patient. The purpose of this law to prevent certain patients from being turned away in an emergency situation or refused medical treatments if they are unable to pay, putting their health at risk.
EMTALA was enacted by Congress in 1986 and was part of the Consolidated Omnibus Budget Reconciliation Acts of 1985. Congress saw different cases around America where doctors were refusing medical care to patients who could not make a deposit at the time of their admittance to the ER. An example of this is a patient Eugene Barnes, who in 1985 suffered a stab wound and ultimately ended up dying because 6+ doctors refused to help him without payment or some form of compensation. This made national news and other cases began to come to light, such as at Baptist Hospital in Miami and many other areas. News outlets began to follow these cases and this caught attention of government officials. Shortly after, EMTALA was enacted.