Abstract
Despite advocacy for systems-level approaches to cultural competence, the primary focus in the literature remains on competence strategies aimed at health promotion initiatives, workforce development and student education. This chapter aims to bridge the gap in available evidence about systems approaches to cultural competence by systematically searching, selecting and synthesising existing publications to map key concepts, types of evidence and gaps in research.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
T.L. Cross et al., Towards a Culturally Competent System of Care: A Monograph on Effective Services for Minority Children Who Are Severely Emotionally Disturbed (Georgetown University, Child Development Center, Washington, DC, 1989)
J.E. Hosking et al., Reducing ethnic disparities in the quality of trauma care: an important research gap. Ann. Surg. 253(2), 233–237 (2011)
J.L. Dreachslin, V.L. Myers, A systems approach to culturally and linguistically competent care. J. Healthc. Manag. 52(4), 220–226 (2007)
D.H. Peters, N.T. Tran, T. Adam, Implementation Research in Health: A Practical Guide (Alliance for Health Policy and Systems Research, World Health Organization, Geneva, 2013)
National Quality Forum, A Comprehensive Framework and Preferred Practices for Measuring and Reporting Cultural Competency (NQF, Washington, DC, 2009)
J.R. Betancourt, Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches (The Commonwealth und, New York, 2002)
B.D. Smedley et al., Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare (National Academies Press, Washington, D.C, 2003)
I. Anderson et al., Indigenous and tribal peoples’ health (The Lancet-Lowitja Institute Global Collaboration): a population study. Lancet 388, 131–157 (2016)
K. Fiscella, M.R. Sanders, Racial and ethnic disparities in the quality of health care. Annu. Rev. Public Health 37, 375–394 (2016)
C. Divi et al., Language proficiency and adverse events in US hospitals: a pilot study. Int. J. Qual. Health Care 19(2), 60–67 (2007)
K. Fiscella, Eliminating Disparities in Health Care Through Quality Improvement, in Healthcare Disparities at the Crossroads with Healthcare Reform, ed. by R. A. Williams (Ed), (Springer, Boston, MA, 2011), pp. 231–267
B. Longest, S. Rakich, K. Darr, Managing Health Services Organizations and Systems (Health Professions Press, Baltimore, 2000)
R. Weech-Maldonado et al., Moving towards culturally competent health systems: organizational and market factors. Soc. Sci. Med. 75(5), 815–822 (2012)
U.S. Department of Health and Human Services Office of the Secretary, National standards on culturally and linguistically appropriate services (CLAS) in health care. Fed. Regist.,2000. 65(247): p. 80865-80879.
A. Wiley, At cultural crossroads: lessons on culture and policy from the New Zealand Disability Strategy. Disabil. Rehabil. 31(14), 1205–1214 (2009)
C. Siegal, G. Haugland, E.D. Chambers, Performance measures and their benchmarks for assessing organizational cultural competency in behavioral health care service delivery. Admin. Pol. Ment. Health 31(2), 141–170 (2003)
Australian Health Ministers’ Advisory Committee, Cultural Respect Framework (AHMAC, Canberra, 2016)
B. Majumdar et al., Effects of cultural sensitivity training on health care provider attitudes and patient outcomes. J. Nurs. Scholarsh. 36(2), 161–166 (2004)
C. Brach, I. Fraserirector, Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med. Care Res. Rev. 57(Suppl 1), 181–217 (2000)
M. Truong, Y. Paradies, N. Priest, Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC Health Serv. Res. 14(1), 99–99 (2014)
E.F. Curtis, J.L. Dreachslin, M. Sinioris, Diversity and cultural competence training in health care organizations: hallmarks of success. Health Care Manag. 26(3), 255 (2007)
A. Clifford et al., Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review. Int. J. Qual. Health Care 27(2), 89–98 (2015)
R. Bainbridge et al., Cultural Competency in the Delivery of Health Services for Indigenous People, in Closing the Gap Clearinghouse, ed. by Australian Institute of Health and Welfare and Australian Institute of Family Studies (Ed), (ACT, Canberra, 2015)
C. Jongen, J. McCalman, R. Bainbridge, Health Workforce Cultural Competency Interventions: A Systematic Scoping Review (BMC Health Services Research, 2017)
C. Jongen, J. McCalman, R. Bainbridge, The implementation and evaluation of service level health promotion interventions to improve cultural competency: a systematic scoping review. Front. Public Health 5, 24 (2017). https://doi.org/10.3389/fpubh.2017.00024
S. Saha, M.C. Beach, L.A. Cooper, Patient centeredness, cultural competence and healthcare quality. J. Natl. Med. Assoc. 100(11), 1275–1285 (2008)
H. Colquhoun et al., Scoping reviews: time for clarity in definition, methods, and reporting. J. Clin. Epidemiol. 67(12), 1291–1294 (2014)
M. Dijkers, What is a Scoping Review? KT Update 4(1) (2015)
A. Chong et al., Improving cultural sensitivity to Indigenous people in Australian hospitals: a continuous quality improvement approach. Focus Health Prof. Educ.: A Multi-discip. J. 13(1), 84–97 (2011)
T. Freeman et al., Cultural respect strategies in Australian Aboriginal primary health care services: beyond education and training of practitioners. Aust. N. Z. J. Public Health 38(4), 355–361 (2014)
S.-T. Liaw et al., Improving cultural respect to improve Aboriginal health in general practice: a multi-methods and multi-perspective pragmatic study. Aust. Fam. Physician 44(6), 387–392 (2015)
A.P. O’Brien et al., Clinical indicators as measures of mental health nursing standards of practice in New Zealand. Int. J. Ment. Health Nurs. 13(2), 78–88 (2004)
A.P. O’Brien, J.M. Boddy, D.J. Hardy, Culturally specific process measures to improve mental health clinical practice: indigenous focus. Aust. N. Z. J. Psychiatry 41(8), 667–674 (2007)
T. Reibel, R. Walker, Antenatal services for Aboriginal women: the relevance of cultural competence. Qual. Prim. Care 18, 65–74 (2010)
R. Weech-Maldonado et al., Cultural competency assessment tool for hospitals: evaluating hospitals’ adherence to the culturally and linguistically appropriate services standards. Health Care Manag. Rev. 37(1), 54–66 (2012)
R. Weech-Maldonado et al., Hospital cultural competency as a systematic organisational intervention: key findings from the national center for healthcare leadership diversity demonstration project. Health Care Manag. Rev., 1–12 (2016)
R. Weech-Maldonado et al., Can hospital cultural competency reduce disparities in patient experiences with care? Med. Care 50, S48–S55 (2012)
T.A. Lieu et al., Cultural competence policies and other predictors of asthma care quality for Medicaid-insured children. Pediatrics 114(1), e102–e110 (2004)
A.K. Whelan, R. Weech-Maldonado, J.R. Dreaschslin, Diversity management in health: cross national organisational study. Int. J. Divers. Organ. Communities Nations 8(3), 125–137 (2008)
T.D. Noe et al., Providing culturally competent services for American Indian and Alaska Native veterans to reduce health care disparities. Am. J. Public Health 104 (2014)
A.P. O’Brien et al., The New Zealand development and trial of mental health nursing clinical indicators—a bicultural study. Int. J. Nurs. Stud. 40(8), 853–861 (2003)
M.V. Whitman, J.A. Davis, Cultural and linguistic competence in healthcare: the case of Alabama general hospitals. J. Healthc. Manag. 53(1), 26–39 (2008.); Discussion 39–40
C. Brach, I. Fraser, Reducing disparities through culturally competent health care: an analysis of the business case. Qual. Manag. Health Care 10(4), 15–28 (2002)
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 The Author(s)
About this chapter
Cite this chapter
Jongen, C., McCalman, J., Bainbridge, R., Clifford, A. (2018). Health Organisation and System Cultural Competence Interventions. In: Cultural Competence in Health. SpringerBriefs in Public Health. Springer, Singapore. https://doi.org/10.1007/978-981-10-5293-4_7
Download citation
DOI: https://doi.org/10.1007/978-981-10-5293-4_7
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-5292-7
Online ISBN: 978-981-10-5293-4
eBook Packages: MedicineMedicine (R0)