Healthcare Issue In Culturally Diverse Situation Research Paper

Length: 8 pages Sources: 10 Subject: Healthcare Type: Research Paper Paper: #90191911 Related Topics: Health Issues, Gonorrhea, Health History, Nursing Home Abuse
Excerpt from Research Paper :

Healthcare Case Study Schuylkill County, PA

County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill River originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).

The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill County is one of the most heavily Lithuanian parts of the United States, but also had a number of Austrian, German and Polish immigrants during the early part of the 20th century, brought to the area with mining opportunities. Politically, Republicans have a slight edge (48% to 43%) (Election Statistics, 2010). Pottsville is the only city in the county, with 30 boroughs, and 36 townships. Partially due to the continual decline in population, the county has partnered with VISION, a non-profit organization that is based in Pottsville and dedicated to improving the quality of life in the county by partnering with other organizations that focus on modern concerns and community development -- typically in more of a strategic partnership paradigm (VISION - Strategic Plan, 2011)

Figure 1 -- Basic Demographic Overview of Schuylkill County, PA (U.S. average data listed for comparison only):


Schuylkill County

U.S. Average

Household Size



Average Family Size



In labor force (over 16)



Median HH income



Per Capita Income (2009 adj.)



Individuals below poverty level



Median Age









Owner Occupied Homes



Seniors 65 years and older



Figure 2 -- Demographic Statistics -- The County is not very diverse in terms of ethnicity, it is almost entirely Caucasian. This is quite different than the U.S. national average, and is also different than most of the major urban areas on the Eastern Seaboard. This preponderance of White middle class citizens has ramifications within the healthcare market. Income levels combined with expectations from historical trends, a somewhat depressed economy, and an area that is slowly losing population means that the healthcare market is growing in need as the population ages, but not necessarily in technology and size as income and economic indicators move downward. This mix also changes the level of services needed (continuing to trend towards more geriatric care, more cardio-pulmonary issues, diabetes, obesity control, etc.), but also the quality of those services and whether the area can attract certain types of physicians. That the income ranges seem lower than U.S. averages should not be too alarming, though. As a percentage, cost of living expenses in the county are less than in the major urban areas. We can also see some trends in issues involving education in the area, since as a community, less than 20 precent of the population has received a BA degree or above.

The county boasts a 71 precent religious affiliation as compared to 48 precent nationally. The primary religious affiliation is Catholic, 42 precent, double the national average. Eleven precent re Lutheran, and 12 precent other Christian, with the rest a small mix of protestant faiths. There is very little violent crime and property crime, 1/2 of the national average. Cost of living is 13 points below the national average, with food and utilities just slightly above. Overall, it costs about 13 precent less to live in the county. The unemployment rate is a bit higher than the national average, 9.6 precent compared to 9.1, and recent job growth is at a 2 precent loss. Income levels present some challenges, but as the chart below shows, it is not too far from the average American middle class (Schuylkill County, 2010):

The Schuylkill healthcare system...


The services are designed not just as medical centers, but as resource areas and educational facilities. In fact, in 2011 there have been several awards and national recognitions for the centers:

June 2011 -- a new Paediatric program with ties to the Children's hospital in Danvile announced a paediatric hospitalist who will dedicate their practice solely to treating children in a hospital setting -- from the ER through maternity and up to adolescence.

June 2011 -- The National League for Nursing Accrediting recognized the Schuylkill Health School of Nursing in Pottsville as a full-fledged member.

May 2011 -- The American Heart Association awarded the Schuylkill Medical Centers with Silver Performance Awards in heart disease prevention.

February 2011 -- The Schuylkill Rehabilitation Center was recognized nationally for its excellence in Physical Rehab Programs (Press Releases and Awards, 2011)

In addition, in a commitment to excellence in preventative medicine, the health centers offer classes in Diabetes, Childbirth, Chemotherapy, Childbirth, Infant and Toddler Safety, Fitness and CPR.

Because Pottsville is the largest urban area in the county, many of the health related issues are focused in that area. There are a number of parks and recreational areas for activity, a fairly strong regional sport and recreation presence, and transportation services that include a small general aviation airport, a Trailways/Greyhound Bus Terminal, intercity bus service, but no rail service into Philadelphia or other major cities. There are two major highways that converge on Pottsville, PA Rout 61 and U.S. Rout 209. Educationally, there is a School of Business and Technology, a Satellite Campus of Alvernia University, and Penn State Schuylkill located quite near in Schuylkill Haven (Comprehensive Plan, 2010)

Like many cities of the same relative age and location, Pottsville's housing is a diverse mix of owner-occupied and rental units. The City (and County's) neighborhoods range from densely populated, heavily urbanized locations near the downtown corridor to stately mansions and suburban, low-density housing. Home ownership is consistent within the area, and no large scale conversion effort seems in place. However, the advanced age and condition of the housing units are a major challenge. About 60% of single family homes were build prior to 1940, and even though they were well constructed, they are nearing 70 plus years of age and have some deterioration. More often, certain micro-neighborhoods with housing issues are endemic with more of the modern social problems of substance abuse, unemployment, and violence. Subsidized housing accounts for about 13% of Pottsville's total housing stock. However, the City and County are well aware that there is a need to revitalize the neighborhoods in the areas. The City offers Block Grants up to $7,500 per home and there is HUD Home program funds up to $25,000 per year that are designed for larger projects that benefit more than a single family. The City has set some rather unique and optimistic goals trying to bring more funds, new home buyers, and professionals into the area:

Attract more market rate, owner-occupied housing construction.

Stabilize the housing stock of marginal, "borderline" neighborhoods.

Reduce blight and disinvestment in declining neighborhoods.

Ensure that municipal services fully complement the City's housing-related initiatives (Comprehensive Plan).

We have established some of the demographic and psychographic similarities and differences between Schuylkill County and the median data from the United States. Now, we will look in a more detailed manner at the major health issues within the county, and how they effect the population and are being mitigated by healthcare professionals. Some of the highlights of a specific healthcare overview are:

Natality and Prengnacy -- Crude birth rate is 10.6/1,000 with 13.3% receiving prenatal care and 8.7 having low weight at birth. The fertility rate is 60.1 and the percentage of birth to mothers under 18 years of age is 2.7. To contrast, in Philadelphia almost 40% of babies require prenatal care, and mothers under 18 jumps to about 8%.

Morbitidy -- Reported incidences per 100,000 of population; higher than average rate of Sexually Transmitted Diseases in the area, at least when dealing with national average.




27; Rate 6.1


501; Rate 113.4


42; Rate 9.5

Hepatitis B (Chronic)

27; Rate 6.1


43; Rate 9.7

Cancer -- In most areas of the country, cancer and heart disease are the top killers, table below shows incidence of cancer in county, rate, and % of population affected:





All Types




Breast (F)










Non-Hodgkin Lympohona










Mortality -- Heart Disease is the Number 1 cause of death county wide; Cancer 2nd, Stoke 3rd, Respitory Disease 4th. These are…

Sources Used in Documents:


County Health Statistics - Healthcare 2010. (2009, March). Retrieved from Pennsylvania Department of Health:

Comprehensive Plan. (2010, March). Retrieved from City of Pottsville, PA:

Election Statistics. (2010, June). Retrieved from Pennsylvania Department of State:

Schuylkill County. (2010, June). Retrieved from Sperling's Best Places USA:

Cite this Document:

"Healthcare Issue In Culturally Diverse Situation" (2011, September 08) Retrieved October 17, 2021, from

"Healthcare Issue In Culturally Diverse Situation" 08 September 2011. Web.17 October. 2021. <>

"Healthcare Issue In Culturally Diverse Situation", 08 September 2011, Accessed.17 October. 2021,

Related Documents
Health Systems Issues and Strategic Planning
Words: 3151 Length: 10 Pages Topic: Healthcare Paper #: 41437384

Health Systems Issues and Strategic Planning The delivery of high quality healthcare services requires a sophisticated health system infrastructure that provides a multidisciplinary team approach. This health system infrastructure varies from country to country, but there are some common features that characterize health systems that can be used to identify best practices and current trends in healthcare delivery and administration in general and for an elderly American patient in particular. As

Healthcare Reform Revised
Words: 2111 Length: 7 Pages Topic: Healthcare Paper #: 45932911

Healthcare Reform Revised We know that the burden of diseases is increasing all over the world. The percentage of people suffering from diabetes, cardiovascular and pulmonary diseases has considerably increased in the last decade. It is noteworthy here that the importance of preventive care now comes at par with the importance of curative care. Considering the prevalence of diseases and the health status of the American population, President Obama introduced a

Health Care Disparity in Maryland
Words: 18449 Length: 67 Pages Topic: Healthcare Paper #: 96057578

Figure 1 portrays the state of Maryland, the location for the focus of this DRP. Figure 1: Map of Maryland, the State (Google Maps, 2009) 1.3 Study Structure Organization of the Study The following five chapters constitute the body of Chapter I: Introduction Chapter II: Review of the Literature Chapter III: Methods and Results Chapter IV: Chapter V: Conclusions, Recommendations, and Implications Chapter I: Introduction During Chapter I, the researcher presents this study's focus, as it relates to the

Health Care Systems Management As
Words: 9550 Length: 35 Pages Topic: History - Israel Paper #: 98461776

The infant mortality rate is of 8.97 deaths per 1,000 live births. This rate places Kuwait on the 160th position on the chart of the CIA. The adult prevalence rate of HIV / AIDS is of 0.1 per cent. In terms of economy, Kuwait is a relatively open, small and wealthy economy. It relies extensively on oil exports -- petroleum exports for instance account for 95 per cent of the

Healthcare the Population That Was
Words: 2597 Length: 10 Pages Topic: Women's Issues - Sexuality Paper #: 211164

He is made at himself for not coming to terms with himself earlier in life and he is mad at himself for spending so much time "giving his love" to people - men -- who didn't deserve it. He says that if he could go back, he would go to school, he would embrace who he is, he would be honest with family about his sexuality, and he would

Cultural Competency and Healthcare in Canada
Words: 4914 Length: 15 Pages Topic: Healthcare Paper #: 57498311

Cultural Competency Health Professionals Canada This paper discusses cultural competency for health professionals in Canada. Defining cultural competence for healthcare as respectful awareness of cultural differences, the importance of this perspective is discussed. Aspects of cultural competency, ranging from the purview of the healthcare insurance industry, to the perspective of the Canadian Nurses Association, are presented. Also, Rani Srivastava's 'Guide to Clinical Cultural Competence' is used to guide the discussion. Also,