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Published in: Journal of General Internal Medicine 2/2010

01-05-2010 | Perspectives

The Role of Worldviews in Health Disparities Education

Author: Jon C. Tilburt, MD, MPH

Published in: Journal of General Internal Medicine | Special Issue 2/2010

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Abstract

Worldviews are sets of beliefs and assumptions that express how cultures interpret and explain their experience. Worldview has been a useful explanatory construct in the social science literature, but has been used less often in the context of human health. Reducing and ultimately eliminating the negative role that health care providers play in producing health disparities will require a cultural change. Here I posit that “worldview” is a critically important concept for health disparities education that overtime will serve to transform the culture of health care professionals toward a more self-reflective, humble, and open-minded posture.
Literature
1.
go back to reference Smedley BD, Stith AY, Nelson AR. Institute of Medicine (US). Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academies Press; 2003. Smedley BD, Stith AY, Nelson AR. Institute of Medicine (US). Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academies Press; 2003.
2.
go back to reference Josephson AM, Peteet JR. Handbook of Spirituality and Worldview In Clinical Practice. 1st ed. Washington, DC: American Psychiatric Pub., Inc.; 2004. Josephson AM, Peteet JR. Handbook of Spirituality and Worldview In Clinical Practice. 1st ed. Washington, DC: American Psychiatric Pub., Inc.; 2004.
3.
go back to reference Koltko-Rivera ME. The psychology of worldviews. Rev Gen Psych. 2004;8(1):3–58.CrossRef Koltko-Rivera ME. The psychology of worldviews. Rev Gen Psych. 2004;8(1):3–58.CrossRef
4.
go back to reference Sjoberg L. Attitudes and risk perceptions of stakeholders in a nuclear waste siting issue. Risk Anal. 2003;23(4):739–49.CrossRefPubMed Sjoberg L. Attitudes and risk perceptions of stakeholders in a nuclear waste siting issue. Risk Anal. 2003;23(4):739–49.CrossRefPubMed
5.
go back to reference Hunter CD. Individualistic and collectivistic worldviews: implications for understanding perceptions of racial discrimination in African Americans and British Caribbean Americans. J Counsel Psych. 2008;55(3):321–32.CrossRef Hunter CD. Individualistic and collectivistic worldviews: implications for understanding perceptions of racial discrimination in African Americans and British Caribbean Americans. J Counsel Psych. 2008;55(3):321–32.CrossRef
6.
go back to reference Klassen AC, Smith KC, Shariff-Marco S, Juon HS. A healthy mistrust: how worldview relates to attitudes about breast cancer screening in a cross-sectional survey of low-income women. Int J Equity Health. 2008;7:5.CrossRefPubMed Klassen AC, Smith KC, Shariff-Marco S, Juon HS. A healthy mistrust: how worldview relates to attitudes about breast cancer screening in a cross-sectional survey of low-income women. Int J Equity Health. 2008;7:5.CrossRefPubMed
7.
go back to reference Kagee A, Dixon DN. Worldview and health promoting behavior: a causal model. J Behav Med. 2000;23(2):163–79.CrossRefPubMed Kagee A, Dixon DN. Worldview and health promoting behavior: a causal model. J Behav Med. 2000;23(2):163–79.CrossRefPubMed
8.
go back to reference Palmer CG. Risk perception: an empirical study of the relationship between worldview and the risk construct. Risk Anal. 1996;16(5):717–23.CrossRefPubMed Palmer CG. Risk perception: an empirical study of the relationship between worldview and the risk construct. Risk Anal. 1996;16(5):717–23.CrossRefPubMed
9.
go back to reference Fadiman A. The Spirit Catches You and You Fall Down: a Hmong Child, Her American Doctors, and the Collisioin of Two Cultures. New York: Farrara, Straus, and Giroux; 1997. Fadiman A. The Spirit Catches You and You Fall Down: a Hmong Child, Her American Doctors, and the Collisioin of Two Cultures. New York: Farrara, Straus, and Giroux; 1997.
10.
go back to reference Cooper LA, Hill MN, Powe NR. Designing and evaluating interventions to eliminate racial and ethnic disparities in health care. J Gen Intern Med. 2002;17(6):477–86.CrossRefPubMed Cooper LA, Hill MN, Powe NR. Designing and evaluating interventions to eliminate racial and ethnic disparities in health care. J Gen Intern Med. 2002;17(6):477–86.CrossRefPubMed
11.
go back to reference van Ryn M. Research on the provider contribution to race/ethnicity disparities in medical care. Med Care. 2002;40(1 Suppl):I140–51.PubMed van Ryn M. Research on the provider contribution to race/ethnicity disparities in medical care. Med Care. 2002;40(1 Suppl):I140–51.PubMed
12.
go back to reference Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med. 2003;139(11):907–15.PubMed Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med. 2003;139(11):907–15.PubMed
13.
go back to reference Burger W. The relation between medical education and the medical profession′s world view. Med Health Care Philos. 2001;4(1):79–84.CrossRefPubMed Burger W. The relation between medical education and the medical profession′s world view. Med Health Care Philos. 2001;4(1):79–84.CrossRefPubMed
14.
go back to reference Tilburt J, Geller G. Viewpoint: the importance of worldviews for medical education. Acad Med. 2007;82(8):819–22.CrossRefPubMed Tilburt J, Geller G. Viewpoint: the importance of worldviews for medical education. Acad Med. 2007;82(8):819–22.CrossRefPubMed
16.
go back to reference Kinghorn WA, McEvoy MD, Michel A, Balboni M. Professionalism in modern medicine: does the emperor have any clothes? Acad Med. 2007;82(1):40–5.CrossRefPubMed Kinghorn WA, McEvoy MD, Michel A, Balboni M. Professionalism in modern medicine: does the emperor have any clothes? Acad Med. 2007;82(1):40–5.CrossRefPubMed
17.
go back to reference Moon PJ. Death-talks: transformative learning for physicians. Am J Hosp Pal Med. 2008;25(4):271–7.CrossRef Moon PJ. Death-talks: transformative learning for physicians. Am J Hosp Pal Med. 2008;25(4):271–7.CrossRef
18.
20.
go back to reference Schön DA. Educating the Reflective Practitioner: Toward a New Design for Teaching and Learning in the Professions. San Francisco: Jossey-Bass; 1987. Schön DA. Educating the Reflective Practitioner: Toward a New Design for Teaching and Learning in the Professions. San Francisco: Jossey-Bass; 1987.
21.
go back to reference Kaufman DM. ABC of learning and teaching in medicine: applying educational theory in practice. BMJ. 2003;326:213–6.CrossRefPubMed Kaufman DM. ABC of learning and teaching in medicine: applying educational theory in practice. BMJ. 2003;326:213–6.CrossRefPubMed
Metadata
Title
The Role of Worldviews in Health Disparities Education
Author
Jon C. Tilburt, MD, MPH
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue Special Issue 2/2010
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-009-1229-9

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