culture_tool_tl06.html

Cultural Competency Tools

Levin, Like, & Gottlieb's ETHNIC Framework

ETHNIC is a framework for culturally competent clinical practice. It consists of 6 elements designed to gain an understanding of how the patient views his or her illness, and how to follow through with the healthcare intervention based on the cultural inventory.

Explanation
Treatment
Healers
Negotiate
Intervention
Collaboration

The ETHNIC model is a framework designed
to gain an understanding of how the
patient views his or her illness.

Enter text for rollover 1Center for Healthy Families and Cultural Diversity, Department of Family Medicine, University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School © 1997. Developed by: Steven J. Levin, MD Robert C. Like, MD, MS Jan E. Gottlieb.... or select a jpg

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What do you think may be the reason you have these symptoms?
What do friends, family, others say about these symptoms?
Do you know anyone else who has had or who has this kind of problem?
Have you heard about it on TV or radio or read about it in a newspaper? (If patient cannot offer explanation, ask what most concerns them about their problems).

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What kinds of medicines, home remedies, or other treatments have you tried for this illness?
Is there anything you eat, drink, or do (or avoid) on a regular basis to stay healthy?
Tell me about it.
What kind of treatment are you seeking from me?

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Have you sought any advice from alternative/folk healers, friends, or other people (non-doctors) for help with your problems?
Tell me about it.

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Negotiate options that will be mutually acceptable to you and your patient and that do not contradict, but rather incorporate, your patient's beliefs.
Ask what are the most important results your patient hopes to achieve from this intervention.

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Determine an intervention with your patient.
May include incorporation of alternative treatments, spirituality, and healers as well as other cultural practices (e.g., foods eaten or avoided in general, and when sick).

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Collaborate with the patient, family members, other healthcare team members, healers, and community resources.

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