Culturally Competent Healthcare Systems: A Systematic Review

dc.contributor.authorAnderson, Laurie M
dc.contributor.authorScrimshaw, Susan G
dc.contributor.authorFullilove, Mindy T
dc.contributor.authorFielding, Jonathan E
dc.contributor.authorNormand, Jacques
dc.contributor.authorthe Task Force on, Community Preventive Services
dc.description.abstractCulturally 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.
dc.identifier.citationAnderson, Laurie M and Scrimshaw, Susan G and Fullilove, Mindy T and Fielding, Jonathan E and Normand, Jacques and the Task Force on, Community Preventive Services (2003) Culturally Competent Healthcare Systems: A Systematic Review. American Journal of Preventive Medicine, 24 (3S). pp. 68-79.
dc.identifier.otherEprint ID 279
dc.subjectAccess To Healthcare
dc.subjectcultural competence
dc.subjecthealthcare systems
dc.subjectracial and ethnic disparities
dc.subjectquality of healthcare
dc.titleCulturally Competent Healthcare Systems: A Systematic Review