Insights From the Experts: Hector Santiago, O.D., Ph.D.
Believe it or not, sometimes the differences among cultures can be found in foundational concepts such as time and space. This is a point that Hector Santiago, O.D., Ph.D., made clear in the "Meeting the Needs of Your Hispanic Patients" COPE-approved course, which he presented during the 2008 Optometry’s Meeting™ in Seattle.
Let’s look at time. Hispanics are part of a multi-active culture. Members of multi-active cultures love multi-tasking. For example, they feel comfortable driving, while they talk on their cell phones and listen to their car radios. They also love to interact with others. A lot of your Hispanic patients may consider human transactions more important than following a schedule. Therefore, be flexible by planning to spend more time chatting about their families, occupation and hobbies.
Now, let's look at space. In general, once they know you, they feel comfortable getting closer as you speak to them. If you sit behind a desk, they may feel you are keeping them at a distance. It is important to recognize that when waiting in line, people of Hispanic origin tend to stand closer to one another and perhaps the queue will look more like a zigzag than a straight line.
On the other hand, the American culture is considered to be a linear-active culture — where tasks are done sequentially, with the perception that time is money and punctuality and order are more important. Understanding these differences can be extremely helpful when determining how to conduct an eye exam with a patient of Hispanic origin.
An additional interesting fact regarding the Hispanic culture that Dr. Santiago discussed was that most Hispanics are a mixture of ethnicities — a rainbow that encompasses the Spanish, Indian and African origins and traditions. From the Spanish, they derive the strong family ties and the concept of extended family. From the Indian, Hispanics draw the sense of compassion, the sense of fatalism, the use of herbs and the fear of the unknown. Finally, from the African, they derive the love of music and dance. By understanding Hispanics, you can be a more successful clinician and provider of services.