There are various barriers to the collection of comprehensive health history needed for the provision of a culturally-competent care. It is worthy to note that culturally-competent care cannot be administered in the absence of a comprehensive health history (Thompson et al., 2013). The first major barrier to this collection of comprehensive health history is language misunderstandings. Language barriers between me and the patient make it impossible for me to have the needed information from them.
Secondly, most patients do not have the required information about their health history. They do not store this information and it is difficult for them to recollect it off-head. There is minimal sharing of information among family members regarding their health history in the modern world (Powell et al., 2013). Therefore, while a lot of people may be willing to share their health history, they have very scarce information about it. However, there are cases where some people may simply refuse to share their health history because they feel it is embarrassing to do so. This open refusal to share health history because of fear of embarrassment is also a major barrier to collection of comprehensive data regarding an individual’s health background.
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Another barrier that I face is the lack of knowledge about the best questions to ask a person in order to get a comprehensive health history from them. Sometimes the questions asked determine the information got. There are times when the questions I ask are shallow and lead to collection of information that is not comprehensive. In some cases, I fear to ask some necessary questions because fearing backlash from the interviewee. People are very different and there are questions that may irritate some individuals and make them become hostile (Hasnain‐Wynia & Baker, 2006). This possible outcome makes me restrain on asking some necessary questions hence limiting the collection of comprehensive health history.
References
Hasnain‐Wynia, R., & Baker, D. W. (2006). Obtaining data on patient race, ethnicity, and primary language in health care organizations: current challenges and proposed solutions. Health services research , 41 (4p1), 1501-1518.
Powell, K. P., Christianson, C. A., Hahn, S. E., Dave, G., Evans, L. R., Blanton, S. H., ... & Hinrich, V. C. (2013). Collection of family health history for assessment of chronic disease risk in primary care. NCMJ , 74 (4), 279-86.
Thompson, T., Seo, J., Griffith, J., Baxter, M., James, A., & Kaphingst, K. A. (2013). “You don’t have to keep everything on paper”: African American women’s use of family health history tools. Journal of community genetics , 4 (2), 251-261.
