Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item A qualitative case study examining intervention tailoring for minorities.(2010) Mier, Nelda; Ory, Marcia G; Toobert, Deborah J; Smith, Matthew Lee; Osuna, Diego; McKay, James R; Villarreal, Edna K; DiClemente, Ralph J; Rimer, Barbara KAbstract available at publisher's web site.Item Promising Practices For Patient-Centered Communication With Vulnerable Populations: Examples From Eight Hospitals(The Commonwealth Fund -- Institute for Ethics, American Medical Association, 2006) Wynia, Matthew; Matiasek, JenniferABSTRACT: As patient populations become increasingly diverse, health care organizations are looking for innovative ways to communicate effectively across cultures, languages, and health literacy levels. This study identified eight hospitals from across the country that have demonstrated a commitment to providing patient-centered communication with vulnerable patient populations. Through site visits and focus group discussions, the authors draw out “promising practices” from the hospital’s efforts to lower language barriers and ensure safe, clear, and effective health care interactions. The promising practices include: having passionate champions to advocate for communication programs; collecting information on patient needs; engaging communities; developing a diverse and skilled workforce; involving patients; spreading awareness of cultural diversity; providing effective language assistance services; addressing low health literacy; and tracking performance over time. Hospital and health system leaders can use these practices as starting points to encourage patient-centered communication in their own organizations.Item Culturally Competent Healthcare Systems: A Systematic Review(2003) Anderson, Laurie M; Scrimshaw, Susan G; Fullilove, Mindy T; Fielding, Jonathan E; Normand, Jacques; the Task Force on, Community Preventive ServicesCulturally competent healthcare systems—those that provide culturally and linguistically appropriate services—have the potential to reduce racial and ethnic health disparities. When clients do not understand what their healthcare providers are telling them, and providers either do not speak the client’s language or are insensitive to cultural differences, the quality of health care can be compromised. We reviewed five interventions to improve cultural competence in healthcare systems—programs to recruit and retain staff members who reflect the cultural diversity of the community served, use of interpreter services or bilingual providers for clients with limited English proficiency, cultural competency training for healthcare providers, use of linguistically and culturally appropriate health education materials, and culturally specific healthcare settings. We could not determine the effectiveness of any of these interventions, because there were either too few comparative studies, or studies did not examine the outcome measures evaluated in this review: client satisfaction with care, improvements in health status, and inappropriate racial or ethnic differences in use of health services or in received and recommended treatment.Item Report says economic, cultural gaps influence healthcare access(2004) Hughes, JayFactors that deny quality health care to some Arkansans - including economic and cultural disparities such as language barriers - can't be fixed overnight, a new study says. "These problems are ingrained in our society in Arkansas," said Dr. Creshelle Nash, one of the two principal authors of the study. "It's going to take long-term efforts to make a difference."Item NATIONAL INSTITUTE OF NURSING RESEARCH Five-Year Strategic Plan for Reducing Health Disparities(2002) National Institute, of Nursing ResearchThe overall focus of the NINR Health Disparities Strategic Plan is to provide leadership in emphasizing the inclusion of cultural and ethnic considerations throughout the areas of scientific inquiry within NINR's domain, and leadership in its research training and infrastructure development, and community outreach. The focus of its research areas of opportunity on health promotion activities and chronic illness management enable leadership in support of culturally sensitive interventions to decrease health disparities among groups. Historically, nursing research has had a major focus on minority health. NINR's research training and infrastructure goals focus on enhancing the development of nurse researchers through training, and developing research infrastructure in schools of nursing, with a specific emphasis on preparing minority nurse researchers. NINR=s community outreach goals focus on obtaining input and recommendations from nurse associations for research, infrastructure, and subject participation.