While promoting and encouraging diversity in hiring and advancement policies and actions is a definite area of concern for health care managers and executives, and this necessarily has an effect on the diversity of care ultimately offered to patients, this latter issue should be dealt with between physicians and patients themselves as much as possible (IDHM 2010). Manager involvement in this issue should consist of a broader appraisal of the physician's attitude towards cultural diversity in the patients seen by the physician; it could be that the efficacy and quality of care being provided by this doctor is diminished by a lack of cultural understanding. Developing a full plan of care for the individual patient in question, however, is not something that a manager at the health care organization should become involved in directly.

The ethical provision of healthcare includes meeting each individual patient on their own terms, applying their...
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