Minority Health Archive

Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care.

Betancourt, Joseph R and Green, Alexander R and Carrillo, J Emilio and Ananeh-Firempong, Owusu (2003) Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports (Washington, D.C. : 1974), 118 (4). pp. 293-302. ISSN 0033-3549

Full text not available from this repository.

Abstract

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 address racial/ethnic disparities in health and health care. METHODS: The authors conducted a literature review of academic, foundation, and government publications focusing on sociocultural barriers to care, the level of the health care system at which a given barrier occurs, and cultural competence efforts that address these barriers. RESULTS: Sociocultural barriers to care were identified at the organizational (leadership/workforce), structural (processes of care), and clinical (provider-patient encounter) levels. A framework of cultural competence interventions--including minority recruitment into the health professions, development of interpreter services and language-appropriate health educational materials, and provider education on cross-cultural issues--emerged to categorize strategies to address racial/ethnic disparities in health and health care. CONCLUSIONS: Demographic changes anticipated over the next decade magnify the importance of addressing racial/ethnic disparities in health and health care. A framework of organizational, structural, and clinical cultural competence interventions can facilitate the elimination of these disparities and improve care for all Americans.


Export/Citation:EndNote | BibTeX | Dublin Core | ASCII (Chicago style) | HTML Citation | OpenURL | Reference Manager
Social Networking:

Item Type: Article
Additional Information: Free PMC article
Uncontrolled Keywords: racial/ethnic disparities, health care, cultural competence
Subjects: Health > Disparities
Practice > interventions
Research
Related URLs:
Depositing User: Users 141 not found.
Date Deposited: 28 Jul 2011 11:43
Last Modified: 28 Jul 2011 11:43
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2887

Actions (login required)

View Item