Markkula Center of Applied Ethics

Culturally Competent Care for Hispanic Patients

The material in this section is part of a larger project by the Markkula Center for Applied Ethics on culturally competent care; that is, health care that is sensitive to the differing values and needs of cultural subgroups within our pluralistic society. These materials focus on the challenges that can confront Hispanics in American health care settings.


"Reluctant Realism" is a report on The ELIPSE project on attitudes toward end-of-life care among Hispanics in San Jose, Calif. It was supported by a grant from Catholic Healthcare West and administered by the Catholic Community Initiative of Santa Clara County.

The case and reflections illustrate the kinds of challenges patients and health care professionals face when they come from different cultures and speak different languages. Underwriting for these materials was provided by the Honzel Family Foundation.

Introduction to the Case and Reflections

A Difficult Birth