Cultural Competency at the Community Level: A Strategy for Reducing Racial and Ethnic Disparities

Ornelas, India J.

doi:10.1017/s0963180108080213

Cited by 8 publications

(5 citation statements)

References 19 publications

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“…Furthermore, culturally competent diabetes service interventions involving ethnic minority groups should be designed to evaluate the satisfaction levels of patients and service providers, which may improve patient concordance and providers’ job satisfaction [3]. Healthcare organizations should have culturally competent staff and services, which should result in positive health outcomes to ethnic minority groups [41]. Whilst there are some benefits for ethnic minority groups to conserve their cultural identities within their host nations, service providers should learn and be aware of the cultural and linguistic needs of ethnic minority groups to ensure that their perceived healthcare needs are met in a sensitive manner.…”

Section: Conclusion and Recommendations For Future Researchmentioning

confidence: 99%

The impact of culturally competent diabetes care interventions for improving diabetes‐related outcomes in ethnic minority groups: a systematic review

et al. 2012

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Aim: To examine the evidence on culturally-competent interventions tailored to the needs of people with diabetes from ethnic minority groups.Methods: Medline (NHS Evidence), CINAHL and reference lists of retrieved papers were searched from inception to September 2011 and two NHS specialist libraries. Google, Cochrane and DARE databases were interrogated, and experts consulted. Studies were included if they reported primary research on the impact of culturally-competent interventions on outcome measures of any Ethnic Minority Group with diabetes. Paper selection and appraisal were conducted independently by two reviewers. The heterogeneity of the studies required narrative analysis. A novel culturallycompetent assessment tool (CCAT) was used to systematically assess the cultural competency of each intervention.Results: 320 papers were retrieved and eleven included. Study designs varied with a diverse range of service providers. Of the interventions, 64% were found to be highly culturally-competent (scoring 90%-100%), and 36% moderately culturally-competent (70%-89%). Data were collected from 2616 participants on 22 patient reported outcome measures. A consistent finding from ten of the studies was that: any structured intervention, tailored to Ethnic Minority Groups by integrating elements of culture, language, religion, and health literacy skills, produced a positive impact on a range of patient important outcomes. Conclusions:Benefits in using culturally-competent interventions with Ethnic Minority Groups with diabetes were identified. The majority of interventions described as culturally-competent were confirmed as so, when assessed using the CCAT. Further good quality research is required to determine effectiveness and cost-effectiveness of culturally-competent interventions to influence diabetes service commissioners.

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Section: Conclusion and Recommendations For Future Researchmentioning

confidence: 99%

The impact of culturally competent diabetes care interventions for improving diabetes‐related outcomes in ethnic minority groups: a systematic review

et al. 2012

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“…In dentistry, as well as in other healthcare fields, many authors have insisted that learners develop their ability to question and analyse their own biases, beliefs and interactions with underserved patients (Formicola, Stavisky, and Lewy 2003;Eriksen, Bergdahl, and Bergdahl 2008;Ornelas 2008;Pilcher, Charles, and Lancaster 2008;Stone 2008;Rule and Welie 2009;Coria et al 2013). Few, however, have offered specific tools that might help accomplish this.…”

Section: Discussionmentioning

confidence: 99%

Translating knowledge on poverty to humanize care: benefits and synergies of community engagement with the arts

Lévesque

Dupéré

Morin³

et al. 2014

Educational Action Research

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The knowledge translation movement in health has led to the production of vast amounts of knowledge tools aimed at broadening clinicians' evidence base and improving the quality and efficacy of their practices. However important, these tools, largely oriented towards biomedical and technological aspects of care, are of limited potential for addressing the complex interactions between patients' socio-economic contexts and their health. Yet health professionals frequently lack the sensitivity, knowledge and ability to incorporate approaches to poverty within their practices; this is partly due to their limited understanding of the lived experience of poverty and of the complexity of barriers underprivileged people face to achieve and maintain health. In a context of persisting social inequalities in oral health, the Montreal-based Listening to Others multi-stakeholder partnership has been engaged in developing health professional education on poverty since 2006. In this article, we describe and reflect on how service users representing the Québec antipoverty coalition, academics from University of Montreal and McGill University, representatives of Québec dental regulatory bodies and artists collaborated to produce an educational film on poverty. Project partners' specific contributions to the film script are highlighted, emphasizing their potential to enrich the health professional educator's practice knowledge base. In doing so, this article provides an explicit and concrete example of how participatory processes can support co-learning and knowledge co-production through engagement with the arts. The overall aim is to demonstrate how participatory research can enhance knowledge translation by producing educational tools that promote critical reflection and address complexity.

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“…As well, the development of socio-cultural competency does not always lead to patient-centred care, given that the clinician may integrate acquired knowledge of interpersonal relations that remains directive and biomedical (Eriksen et al 2008). Rather, as many dental education authors have advocated (Eriksen et al 2008;stone 2008;Formicola et al 2003;Ornelas 2008;Pilcher et al 2008;Rule and Welie 2009), stu-dents and learners must develop their ability to question and analyze their own biases, beliefs and interactions with underprivileged patients. According to stone (2008), becoming aware of one' s own prejudices and their impact on the patient-professional relationship is a key component of a transformative learning process.…”

Section: Discussionmentioning

confidence: 99%

Social Values, Regulatory Tensions and Professional Practices with Underprivileged Populations: The Case of Quebec’s Oral Healthcare System

Lévesque

Bedos²

2011

hcpol

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Objective: Dentists may experience frustration in their practice with people living on welfare, often perceiving them in a negative light. The difficulties encountered are detrimental to the patient-professional relationship and contribute to compromising access to care for this underprivileged population. In order to fully understand patient-professional interactions, we must consider the macroscopic contexts in which they occur. This paper examines the systemic influences of these interpersonal relationships to deepen our understanding of an important access-to-care determinant for people living on welfare. Methods: Two frameworks are applied to the analysis of quebec' s oral healthcare system: the social values framework and the regulatory logics framework. Results: Our assessment leads us to posit two phenomena: (1) certain negative stereotypes regarding patients living on welfare allow dentists to manage the inevitable regulatory conflicts (i.e., economic vs. professional) involved in their practice and (2) the behaviours of people living on welfare are frequently judged according to the social values embodied in the organization of quebec' s oral healthcare system, delivery and financing. Conclusion: quebec' s oral healthcare system fails to provide effective access to care for individuals living in poverty, and the government must significantly augment its involvement in this healthcare sector. Dentists should also understand the impact that systemic influences have on their rapport with people living on welfare. We argue that new orientations for the field of dental professional education should be considered. This paper was originally published in French, in the journal Pratiques et Organisation des Soins 2011 42(3). RésuméObjectif : Les dentistes éprouvent des frustrations face aux personnes bénéficiaires de l' aide sociale et tendent à les considérer négativement. Ces difficultés affectent la qualité de la relation thérapeutique et même l' accès aux soins de cette clientèle. La compréhension de ces interactions entre professionnels et patients ne peut se faire qu' en appréhendant les contextes macroscopiques qui participent à leur structuration. Ce travail examine donc les influences systémiques des relations interpersonnelles afin de mieux comprendre un important détermi-nant de l' accès aux soins dentaires des bénéficiaires de l' aide sociale. Méthode : Deux cadres d' analyse sont appliqués à l' étude du système de santé buccodentaire québécois, celui des valeurs sociales et celui des logiques de régulation. Résultats : L' analyse amène deux constats : certains stéréotypes négatifs à l' égard des personnes assistées sociales permettent aux dentistes d' arbitrer les inévitables conflits entre les logiques de régulation (i.e. économique vs professionnelle) inhérents à leur pratique. Aussi, certains jugements portés par les dentistes sur les comportements des bénéficiaires de l' aide sociale sont le reflet de valeurs sociales exprimées dans l' organisation, la dispensation et le financement des...

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Cultural Competency at the Community Level: A Strategy for Reducing Racial and Ethnic Disparities

Abstract: Special thanks to the editors of this issue, John R. Stone and Erika A. Blacksher, as well Eugenia Eng, Shelley Golden, and Mondi Mason, for their helpful comments.

Cited by 8 publications

References 19 publications

The impact of culturally competent diabetes care interventions for improving diabetes‐related outcomes in ethnic minority groups: a systematic review

The impact of culturally competent diabetes care interventions for improving diabetes‐related outcomes in ethnic minority groups: a systematic review

Translating knowledge on poverty to humanize care: benefits and synergies of community engagement with the arts

Social Values, Regulatory Tensions and Professional Practices with Underprivileged Populations: The Case of Quebec’s Oral Healthcare System

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