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Cultural competence in health care
ОглавлениеCultural sensitivity is a powerful strategy that health care providers can use to help reduce the negative impact of cultural differences on health outcomes. The following is a partial list of web‐based resources that may be useful. A more complete list can be accessed through search engines using keywords such as cultural diversity, cultural competence, explanatory model, health promotion programs, and disease self‐management.
Diversity Rx (http://www.diversityrx.org/topic‐areas/cultural‐competence‐101): This portion of the www.diversityrx.org website promotes language and cultural competence to improve the quality of health care for minority, immigrant, and ethnically diverse communities. It describes how language and culture affect the delivery of quality services to ethnically diverse populations and provides resources to enable providers to learn about language and cultural competence in health care, design better programs and policies, and network with colleagues and experts. It also provides information on working with an interpreter and gives examples of model programs.
American Hospital Association (AHA) Institute for Diversity and Health Equity Disparities Toolkit (www.ifdhe.aha.org/hretdisparities.toolkit): A web‐based toolkit that provides guidance on collecting patient race, ethnicity, and primary language data. The free toolkit includes resources on collecting data from patients, training staff, and addressing legal and privacy concerns. The toolkit identifies the patient’s preferred method of communication, any potential language barriers, and the patient’s culture. With this information, the provider can enlist any outside assistance needed to ensure proper patient–provider communication. The toolkit is designed to educate and inform staff about the importance of data collection, how to implement a framework to collect race, ethnicity, and primary language data, and ultimately how to use these data to improve quality of care for all populations.
EthnoMed (http://ethnomed.org): Focuses on information about cultural beliefs, medical issues, and other related issues pertinent to the health care of recent immigrants to the United States, many of whom are refugees. Cultural profiles are provided for 16 different cultures. The website offers videos in many languages on taking basic medical histories with interpreters. Hyperlinks on this site may be useful when provider and patient languages differ. Disease‐specific patient education materials are provided in 25 different languages.