Cultural competency in the delivery of health services for Indigenous people

Aim and objectives This review aims to examine available evidence on cultural competence in health care settings to identify key approaches and strategies that can contribute to improving the development and implementation of Indigenous health services and programs. The objectives are to: 1. define cultural competency –– we consider the significance of cultural competence and how it has been defined in international and local literature, including the use of similar terms and meanings 2. report on the quantity, nature and quality of available evidence –– we look at available evidence on cultural competency in Australia, New Zealand, Canada and the United States, including how cultural competence has been measured, and assess the quality of the evidence against basic methodological criteria 3. identify approaches and strategies that are effective in improving cultural competency among health services staff 4. examine the relationship between cultural competency and health outcomes 5. develop an evidence-informed conceptual framework of cultural competency

The Role of Cultural Competency on Treatment Adherence and Health Literacy for Persons of Color Living with HIV/AIDS

The Role of Cultural Competency on Treatment Adherence and Health Literacy for Persons of Color Living with HIV/AIDS Rohan Arora, Depts. of Psychology, Medical Humanities, & Chemistry, with Dr. Faye Pritchard, VCU Honors College For decades, the American medical establishment has been a notable perpetrator in the mass marginalization of minority groups, leading to a variety of health disparities. Given that the existing healthcare institution is not culturally equipped to serve the evolving American demographic, experts have called for the greater usage of cultural competency in medicine; however, little research has been done to better understand how the degree of cultural competency of a health-care provider impacts the complex disease management for those living with HIV/AIDS. The aim of this research is to better understand how cultural competency can impact the health literacy and treatment adherence for persons of color living with HIV/AIDS. In addition to considering what factors shape patient experience and expectations, the research explores how many socioeconomic and cultural factors lead to low treatment adherence and health literacy. Also, the research considers the nuance in the patient-provider relationship and explores tools, such as partnerships with existing community institutions, that may strengthen the relationship. In order to regain the trust lost in the medical establishment by persons of color living with HIV/AIDS, the research suggests that a healthcare provider ought to self-reflect about the cultural, linguistic, and socioeconomic complexities in America that necessitate cultural competency. By practicing modernized cultural competency in medicine, healthcare providers can shape patient care and strengthen the patient-provider relationship, which may increase treatment adherence and health literacy rates for persons of color living with HIV/AIDS. Bringing attention to how cultural competency can impact treatment adherence and health literacy, the research urges the medical establishment to take educational and policy-related steps to effectively provide healthcare to historically underserved groups such as people of color living with HIV/AIDS.https://scholarscompass.vcu.edu/uresposters/1353/thumbnail.jp

Cultural Competency in Capacity Building

Discusses different capacity building approaches to improving cultural competency that are informed by community participation and multicultural organizational development

Evaluating cultural competency and patient satisfaction in an urban dermatology clinic.

Cultural competency continues to gain increased attention in medicine. Not only does it play a significant role in the delivery of health care and patient outcomes, but it also remains a major determinant of patient satisfaction. This study investigated how patients in an urban dermatology clinic rated their satisfaction with cultural competency. Compared to White patients, satisfaction scores were greater for Hispanic or Latino patients and less for Asian patients, while there was no significant difference for Black or African American patients. There were clear differences in patient satisfaction rates of various dimensions of cultural competency. A follow-up study with a larger sample size is needed for closer examination into the conclusions

Addressing Health Disparities Through Organizational Change - Evaluation Report

In the coming decades, racial and ethnic minorities will constitute more than 50% of many states' populations -- including that of Colorado. Individuals of racial and ethnic minority status are disproportionally affected by disease and disability and have poorer health outcomes than do their white counterparts.1,2 These differences are disparaties in health. Even when minorities have the same insurance status, access, age income and chronic conditions, they still tend to receive lower-quality health care than the white population. Differences in access and quality constitute disparities in health care.3 Shifts in population, coupled with current inequalities in health status and quality of care, clearly establish the need for addressing these disparities.Recognizing the persistence of racial and ethnic health disparities, The Colorado Trust developed the Equality in Health Initiative in 2005. The Initiative provided funding for 14 organizations across the state of Colorado in the first funding cycle, supporting their efforts to reduce health disparities by addressing the needs of racial and ethnic minorities. The initiative intended to strengthen organizations' cultural competency so as to promote and ensure the following for racial and ethnic minority populations: 1) equality in treatment and medical services, 2) attainment of equal access to health care, 3) improvements of environmental conditions and 4) increased healthy behaviors. Grantees received technical assistance in three areas: cultural competency; program planning and implementation related to health disparities; and data collection and evaluation.The Colorado Trust believed if grantee organizations' culturally competent practices improved through technical assistance, interventions and networking then short term health outcomes would improve as well, ultimately leading to reductions in health disparities. This evaluation examined this conceptual model to determine the role organizational cultural competency played in improving short-term health and health care outcomes for racial and ethnic minority groups.Results showed that as grantees' cultural competency in the form of community relationships improved, so did their adaptations to their interventions as well as short-term health and health care outcomes. Cultural competency in the form of organizational policies and procedures predicted improvements in the short-term health and health care outcomes of service recipients. Based on the results of this evaluation, a new conceptual model was developed and is described in this report. Facilitating and challenging conditions to developing cultural competency are also outlined as well as lessons for funders, policy makers and grantees

Developing a cultural competence assessment tool for people in recovery from racial, ethnic and cultural backgrounds: the journey, challenges and lessons learned.

In 1997, Maryland implemented a new managed care mental health system. Consumer satisfaction, evaluation and cultural competency were considered high priorities for the new system. While standardized tools for measuring consumer satisfaction were readily available, no validated, reliable and standardized tool existed to measure the perception of people from minority groups receiving mental health services. The MHA*/MHP* Cultural Competency Advisory Group (CCAG) accepted the challenge of developing a consumer assessment tool for cultural competency. The CCAG, composed of people in recovery, clinicians and administrators used their collective knowledge and experiences to develop a 52-item tool that met standards for validity and reliability. Consultation from a researcher helped to further develop the tool into one possessing tremendous potential for statewide implementation within Maryland's Public Mental Health System. Recognizing the limitations of the study and the need for further research, this instrument is a work in progress. Strategies to improve the instrument are currently underway with the Mental Hygiene Administration's Systems Evaluation Center of the University of Maryland and several national researchers

Poster Abstracts

Contents: Lapsley, H., Nikora, L. W., & Black, R. Stigma and discrimination: Bicultural narratives of recovery from disabling mental health illness. Waitoki, M. Cultural Competency Training in Aotearoa. Can Multicultural Competency Training be Developed and Measured in a Bi-Cultural Context? Williams, M. H. Integration of Māori research methodologies with standard behavioural methodology: The example of precision teaching methods to attain behavioural fluency. Masters, B. Conceptualising a Kaupapa Māori Evaluation Methodology. Levy, M. Mental Health Research and Development Strategy. Pattison, R. How adolescents define emotional conflict between their parents.These are the poster abstracts from the Proceedings of the National Māori Graduates of Psychology Symposium 2002

Best Practices in Language Access and Cultural Competency

Checklist outlining an agency/company\u27s best practices and cultural environment for language access and competency

Equality in Health: An Annotated Bibliography With Resources on Health Disparities and Cultural and Linguistic Competency

Provides citations for articles, reports, books, and online resources on racial/ethnic disparities in health and health care, strategies to reduce them, assessment tools for cultural and linguistic competency, training and education, and other issues