title: Hais cuaj txub kaum txub--to speak of all things: a Hmong cross-cultural case study.
abstract: Cross-cultural medicine is a field that describes how disparate value and belief systems concerning health and disease affect the delivery of health care. This report describes the conflict between a Hmong immigrant family and the Western medical establishment over the care of their child with end stage renal disease [ESRD]. The health care providers, social service agencies and medical center failed to adequately respond to the needs of the family. The medical staff [nephrologist, nurse coordinator, dietician, social worker, and CPS worker] worked with a transcultural nurse, Hmong community health worker and the family, to design and negotiate a treatment plan that would be acceptable to the family and the health care team. Trust was reestablished between the family and the healthcare providers and the medical outcome for the child improved.
authors.affiliation: Department of Pediatrics, School of Medicine, University of California--San Diego, La Jolla, California, 92093-0831, USA. vreznik@ucsd.edu
authors.forename: V
authors.initials: V
authors.lastname: Reznik
authors.forename: T
authors.initials: T
authors.lastname: Cooper
authors.forename: D
authors.initials: D
authors.lastname: MacDonald
authors.forename: N
authors.initials: N
authors.lastname: Benador
authors.forename: J
authors.initials: J
authors.lastname: Lemire