According to Confucian teaching “A woman is under her father
influence when she is at home... When she get married, she is under
her husband’s and when her husband passed away... her sons will
take over” In other words in her entire life any decisions in life,
a woman will depend on other influence to decide the course of
action from money to journey, from procession to education... and
therefore, one can conclude that any decision relating to a woman
health and/or medical TREATMENT or PROCEDURE must be mage
in conjunction and collaboration with her men...This notion to
be applied to the Oriental, African, Muslim cultures and all other
ethnic/immigrant groups in USA...
In the last 20 years, I have the privilege to serve as the Ethnic/
Cultural Consultant for different medical clinics and organizations
and hospitals across USA in the matter of HOW TO DEAL WITH THE
ETHNIC and/or IMMIGRANT PATIENTS in the medical treatment
and procedure... In this capacity, I offer the cultural angle as how
to communicate and understand the Ethnic “INSTITUTIONAL
STRUCTURE OF MEDICAL /HEALTH PERCEPTION” and provide
the effective action plan to treat the patient in the meaningful
and compassionate manner..Indeed, we must treat the immigrant
patient with proper understanding and pursue the course of action
with the right approach to be achieved the setting goal. Let tackle
the issue of ABORTION...In USA, the decision of having a abortion is
between the woman and her doctor...Not so in other cultures and
in different ethnic and immigrant groups in USA...The decision of whether or not a woman should have an abortion is 80% depends
on her family mostly her father and her husband... In this instance,
the doctor must focus more in her men than the woman herself to
establish the channel of communication, to convey message,and
able to offer the feasible course of action in the procedure...Yes, the
woman will sign the Consent form, but her men must approve and
support it.
OK, take another example... A woman needs to have a SPINAL
surgery...In any consultation as well as treatment, there must be her
men standby...It is NOT the matter of Language difference, but it is
the matter of COMMUNICATION...We must convey the message that
all involved parties must understand and APPROVE the treatment
and procedure before anything to happen...It is extremely important that the patient understand the procedure approach and feel OK
with it... But it is much more important that her men believe in it,
support it and approve it.
Lesson to be learned
If you deal with a MALE IMMIGRANT/ETHNIC PATIENT...HE,
himself will be one one that you interact and work with in the entire
of medical treatment course of action...But if you have to provide
the medical services to a female immigrant/ethnic patient...you are,
not only have to offer the best treatment for her health interest, but
also you must consult and work with her father, husband and family
members as well.