Page 44 - ASCO Cultural Competency Toolkit

Carillo et al. provide examples of questions that can help open a dialogue with patients about barriers to health they may be facing.
THE SOCIAL CONTEXT “REVIEW OF SYSTEMS” MODEL
Control over the environment
▪ Doyouexperiencefinancialdifficulties?
▪ Doyoufeelthatyouhaveenoughfoodeverymonth?
▪ Whathelpsyoukeeptrackofappointments?
▪ Whatconcernsyoumore?Howyourhealthaffectsyourightnoworhowitmightaffectyouinthe
future?
Change in the environment
▪ Tellmeaboutyourhometown/country/city.
▪ Tellmeaboutyourexperiencesherecomparedtolifeinyourcountry/city/town. ▪ Whatwasmedicalcareliketherecomparedwithhere?
Social Stressors and Support Network
▪ Whatiscausingthemostdifficultyorstressinyourlife?Howareyoucopingwiththis?
▪ Doyouhavefriendsorrelativesclosebythatyoucancallonforsupport?
▪ Doyouparticipateinanyreligiousorsocialgroups?Doyoufeelthattheyprovideastrong
source of support in your life?
Literacy and Language
▪ Tellmewhat'schallengingaboutreadingyourmedicationbottlesorappointmentslips.
▪ Doyouspeakanotherlanguage?Inwhatlanguagedoyoufeelmostcomfortablecommunicating
everything you want to say to your doctor or staff?
Adapted from material cited in Carrillo JE et al. 1999.
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