Can Hospital Cultural Competency Reduce Disparities in Patient Experiences With Care?

Can hospital cultural competency reduce disparities in patient experiences with care?

BACKGROUND Cultural competency has been espoused as an organizational strategy to reduce health disparities in care. OBJECTIVE To examine the relationship between hospital cultural competency and inpatient experiences with care. RESEARCH DESIGN The first model predicted Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores from hospital random effects, plus fixed ...

Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model.

This article develops a conceptual model of cultural competency's potential to reduce racial and ethnic health disparities, using the cultural competency and disparities literature to lay the foundation for the model and inform assessments of its validity. The authors identify nine major cultural competency techniques: interpreter services, recruitment and retention policies, training, coordina...

Cultural competency as it intersects with racial/ethnic, linguistic, and class disparities in managed healthcare organizations.

Culture in and of itself is not the most central variable in the patient-provider encounter. The effect of culture is most pronounced when it intersects with low education, low literacy skills, limited proficiency in English, culture-specific values regarding the authority of the physician, and poor assertiveness skills. These dimensions require attention in Medicaid managed care settings. Howe...

Systematic care to reduce ethnic disparities in diabetes care.

AIMS We sought to determine whether systematic care can reduce the gap in diabetes control between Maori and non-Maori. METHODS A Primary Health Organisation implemented a chronic care management programme for diabetes in 2005. The data constitute an open, prospective cohort followed for approximately two years. Data describing process were also collected. RESULTS There were 1311 people wit...

Culture and the patient-physician relationship: achieving cultural competency in health care.