Course Summary

Asian American and Pacific Islander Americans (APIAs) are a diverse group of varied ethnicities and cultures and are among the fastest-growing population groups in the United States. The acronym APIA is used collectively for Asian Americans, Native Hawaiians, and Pacific Islanders but these are three distinct cultural groups. The acronym is used because they are typically identified as smaller individual groups within survey data and represented as one group. Cultural issues have consistently been identified as a barrier to healthcare for APIA patients. Some of the barriers that negatively affect healthcare access, use and effectiveness of healthcare for APIA patients are specific to that population and some of them are shared by every ethnic and immigrant population. Common themes that appear consistently in the published literature include the importance of routine check-ups and preventive care, lack of symptoms, lack of knowledge, fear and mistrust, fatalism, gender issues, culture, and acculturation.

Course Format


Learning Objectives

  • Objective 1

Course Syllabus

  • Introduction
  • Asian-Pacific Islander American Populations
    1. Issues in Healthcare
  • Unmet Health Care Needs of APIA
    1. Language
    2. Other Barriers to Healthcare
  • Improving Healthcare Access and Utilization
    1. Limited English Proficiency
    2. Cultural Assessment and Communication
  • Optimal Access and Utilization of Healthcare
    1. Physician Referral
    2. Culture and Language
    3. Health Navigators
  • Case Report: APIA COVID-19 Fatalities
  • Summary


Dana Bartlett, RN, BSN, MSN, MA, CSPI

Dana Bartlett is a professional nurse and author. His clinical experience includes 16 years of ICU and ER experience and over 27 years as a poison control center information specialist. Dana has published numerous CE and journal articles, written NCLEX material, textbook chapters, and more than 100 online CE articles, and done editing and reviewing for publishers such as Elsevier, Lippincott, and Thieme. He has written widely on the subject of toxicology and was a contributing editor, toxicology section, for Critical Care Nurse journal. He is currently employed at the Connecticut Poison Control Center. He lives in Wappingers Falls, NY.

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