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Health Care Provision and Service
TABLE OF CONTENTS INTRODUCTION...........................................................................................................................1 1. 1 Sexual Minority in Hong Kong and in Germany.................................................................1 1.2 Culture belief in Hong Kong and Germany.........................................................................1 1.3 Historical event.....................................................................................................................2 2. Health care policies and service provision for Hong Kong and Germany..................................2 2.1 Health issues associated with sexual minorities in both places............................................2 2.1.1 Public attitude to sexual minorities – Social exclusion.....................................................3 2.1.2 The need for mental health service...................................................................................3 2.1.3 Risk factors – unprotected sex..........................................................................................4 2.2 Health care policies for sexual minorities in Hong Kong and Germany...................................5 2.2.1 How Health care polices impact sexual minorities in Hong Kong and Germany............5 2.2.2What health service provision for Sexual Minorities people in Hong Kong and in Germany......................................................................................................................................6 CONCLUSION................................................................................................................................6 REFERENCES...............................................................................................................................7
INTRODUCTION TheSexual minority constitutes of a small number of people who differs from the majority of population in term of sexual preference identity which can be lesbian , gay, Bisexual that are not accepted by the people(Rowniak and Selix, 2016).The health and care servicesfor sexual minorities inHong Kong was published in a market-oriented economic matrix, which gives a huge range of social protection and medical service system (Pulakka,Kawachi,and Kivimaki, 2017). On the other side health care services in Germany for the sexual minorityare based on principles of self-governing, solidarity etc. This report will address a comparison in sexual minority of Hong Kong to Germany on the grounds of culture side,events of history and health issues that are related to sexual minorities. Between the people of Hong Kong and Germany the perception based on sexual minority is different from each other. It will also represent the policies and services provision for sexual minorities of these countries. 1. 1 Sexual Minority in Hong Kong and in Germany For Confucian values most Hong Kongers are affected by traditional philosophy. As the people at Hong Kong are more traditional so the LGBT minority is still fighting for their rights. However on the other side the treatment given to LGBT short for Lesbian, Gay, Bisexual and Transgender at workplace is better than the Hong Kong(Jabson, Mitchell and Doty, 2016). 1.2 Culture belief in Hong Kong and Germany The values of culture are needed to evaluatethe behaviour of a person as patient and what it means to be sick and particularly to be patient of hospital. Due to difference in cultural aspect there may be issues in communication, rapport, physical examination and so on. From culture to culture the perception of physical pain and psychological distress varies in both Hong Kong and Germany(Peter, 2017).The hospital-based treatment and care are especially related to religion beliefs and attitudes about death that may have many cultural variations. In Hong Kong ,the linguistic and cultural translators are important. To reduce the health disparities it is essentialforthestudentsandprofessionaltounderstandtheculturaldiversity.Asthe Confucianism have been established in Hong Kong so there is a concept of masculinity and femininity over there so most of the LGBT population have to hide their identity to avoid embarrassment among their families and friends(Donaldson and Vacha-Haase, 2016). 1
The diverse cultural background of both Hong Kong and Germany can lead to creation of different attributions of illness, health, disease, symptoms and treatment. The practitioners need to be trained about the cultural-bound syndromes. In health care services of both countries social factors like immigration, acculturation plays a major part. Different cultural aspects may result in different expectations of how to meet the need of remedies of patients as in Hong Kong individualistic belief is followed whereas in Germany social welfare oriented society is there (Lukkerz, 2017). 1.3 Historical event In 1883, Germany scientist discovered modern science based medicine which shaped endless scientific discoveries. In the mid 1970 s various attempts were made by the German health care community to control the growth of health cost. And in 1993 through the act of health carestructuralreformnewinstrumentsweremadetoobservecloselyacestomedical practice .Even though the law have been passed in 1995 in Hong Kong for protecting sexual orientation but there is no such laws is followed over there(Jabson, Mitchell and Doty, 2016) . Germany in comparison to Hong Kong is more open minded and also the same sex marriage is allowed. It is also encouraging and motivating other laces for providing equal rights to the minority section. In Hong Kong with the help of WHO and support of the health minister in china control of over infectious disease was controlled. And the Primary health care(PHS) was possible due to support of government ,health professionals that achieved its full potential. Many society contribute towards the development of health and human care (Victor and Nel, 2017). 2. Health care policies and service provision Hong Kong and Germany’s sexual minorities 2.1 Health issues associated with sexual minorities in both places. In Germany, equal rights are given to all under the policy of government and other guiding principles. Since the laws of homosexuality is adopted and practised in Germany and there is a disobedience in rights for members of sexual minorities which can enhance the risk of HIV infection. This can increase the spread of virus. This is the condition where an individual will contract a particular disease or illness. According to past reports the main cause of this transmission among people in Germany is homosexuality(Champion, Young and Rew, 2016). 2
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