Bentancourt et al. (2005) states that there are three distinctive reasons why cultural competence is so important to the American healthcare system. America is made up of a very diverse population, which means that healthcare providers will be continually exposed to treating individuals from different backgrounds and cultures; their beliefs about their health or healthcare can vary widely. When patients have a deficiency in the English language, providing appropriate healthcare becomes increasingly difficult as they will present symptoms in the syntax of their culture and first language. Furthermore, research shows that communication between the patient and their healthcare provider is directly related to their satisfaction, as well as their responsiveness or willingness to follow the healthcare provider's medical instructions; this ultimately affects the patient's health outcome (Bentancourt et al., 2005). It is fair to say that a positive health outcome also depends on the interaction between healthcare provider and patient. The Institute of Medicine (IOM) report – “Crossing the Quality Chasm and Unequal Treatment”, confirms that cultural competence that places patient care at the center through
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