OBJECTIVES To develop an explanatory framework of the problems accessing primary care health services experienced by British South Asian patients with a long-term condition or mental health problem. METHODS This study used meta-ethnographic methods. Published qualitative studies were identified from a structured search of six databases and themes synthesized across studies to develop a new ex...

We articulate an intellectual history and a definition, description, and model of patient safety. We define patient safety as a discipline in the health care professions that applies safety science methods toward the goal of achieving a trustworthy system of health care delivery. We also define patient safety as an attribute of health care systems that minimizes the incidence and impact of adve...

This study investigated whether cultural justification or filial piety had a higher applicability to cultural values that affect care-giving behavior in the Korean cultural context. Ultimately, cultural justification, rather than filial piety, showed to have a greater effect on care-giving behavior of married children in Korea.

OBJECTIVE The academic debate on cross-cultural interaction within the context of end-of-life care takes for granted that this interaction is challenging. However, few empirical studies have actually focused on what health care professionals think about this interaction. This study aimed to explore health care professionals' understandings of cross-cultural interaction during end-of-life care. ...

BACKGROUND The terms 'cultural safety' and 'cultural competence' are used widely in indigenous and culturally and linguistically diverse health contexts. They form the basis for effective patient centred care and the professional advocacy role of the general practitioner. OBJECTIVE This article discusses the concepts of cultural safety and cultural competence. A checklist of cultural competen...

A core mission of health professions schools is to educate and train a workforce that will be optimally prepared to provide health care and public health services for the diverse communities that they serve. It is important to create and develop a health care workforce who can understand and assist in the battle against health care disparities. For health care workers and health profession scho...

Purpose: Training residents to deliver care to increasingly diverse patients in the United States is an important strategy to help alleviate racial and ethnic disparities in health outcomes. Cross-cultural care training of residents continues to present challenges. This study sought to explore the associations among residents' cross-cultural attitudes, preparedness, and knowledge about disparit...

OBJECTIVES Racial/ethnic disparities in health in the U.S. have been well described. The field of "cultural competence" has emerged as one strategy to address these disparities. Based on a review of the relevant literature, the authors develop a definition of cultural competence, identify key components for intervention, and describe a practical framework for implementation of measures to addre...