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

Betancourt, Joseph R.; Green, Alexander R.; Carrillo, J. Emilio; Ananeh-Firempong, Owusu

doi:10.1016/s0033-3549(04)50253-4

Cited by 1,294 publications

(867 citation statements)

References 55 publications

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“…Formal teaching and training of patientcentered approaches to cross-cultural care, based on assessing core cross-cultural issues, exploring meaning of illness to patient, determining patient's lived social context, and negotiating adherence to recommendations and treatments, is being implemented in many countries [76,77,85]. To be effective, individual cultural competence must be accompanied by the establishment of culturally competent health care systems with the capacity to adapt their services to meet the culturally unique needs of their patients, also through the involvement of their different communities [85,86].…”

Section: The Cultural Dimension Of Supportive Care In Cancermentioning

confidence: 99%

Psychosocial care for patients and their families is integral to supportive care in cancer: MASCC position statement

Surbone

Baider

Weitzman

et al. 2009

Support Care Cancer

102

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This position paper, written on behalf of the MASCC Psychosocial Study Group, reviews the most common psychosocial concerns and needs of cancer patients during all phases of the cancer continuum, from diagnosis to death or survivorship. Developments in psychosocial care at both individual and systems levels are surveyed and summarized, along with gaps in knowledge and research and needed improvements in the dissemination and application of acquired knowledge and expertise. The roles of culture, spirituality, and religion as part of psychosocial care are reviewed, along with families' and caregivers' specific psychosocial concerns and needs, and areas of needed psychosocial interventions in supportive cancer care. Deficits in recognizing and meeting patients' psychosocial needs at the system level are examined, and international guidelines and models of psychosocial care are reviewed, including their potential applications to local contexts. The paper calls for a shift to a new paradigm of care through adoption of an integrated approach to identify and meet the psychosocial needs of cancer patients and survivors as part of supportive care worldwide.

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Section: The Cultural Dimension Of Supportive Care In Cancermentioning

confidence: 99%

Psychosocial care for patients and their families is integral to supportive care in cancer: MASCC position statement

Surbone

Baider

Weitzman

et al. 2009

Support Care Cancer

102

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“…Cultural variations in patient's health beliefs, values, preferences, and behaviors affect the recognition of symptoms, the threshold for seeking care, the willingness and ability to communicate and explain symptoms, the understanding of standard information about diagnosis, prognosis and treatment options, the trust in different professionals, and the adherence to prescribed treatments [3,4,31]. Cultural competence is, therefore, especially needed in the practice of oncology.…”

Section: Culture and Cultural Competence In Oncologymentioning

confidence: 99%

“…A culturally competent health care system must also consider social, racial, and cultural factors in their separateness and yet in their reciprocal influences. Studies suggest that culturally competent health care leads to improved therapeutic outcome and may decrease disparities in medical care [4,34,63]. Teaching cultural competence to western medical student and young oncologists involves the provision of relevant information about different cultures with respect to different health issues, such as different cultural practices of truth telling or different decision-making styles throughout the world [59].…”

Section: Culture and Cultural Competence In Oncologymentioning

confidence: 99%

“…Cultural factors influence the way patients, physicians, and communities deal with communication in the clinical setting, and major cross-cultural differences exist worldwide with respect to information and decision-making in oncology [41]. Cultural factors also play a role in the existing major disparities in access to health care and research for minority and underprivileged cancer patients [4,34].…”

Section: Introductionmentioning

confidence: 99%

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Cultural aspects of communication in cancer care

Surbone

2008

Support Care Cancer

152

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Cultural competence in oncology requires the acquisition of specific knowledge, clinical skills, and attitudes that facilitate effective cross-cultural negotiation in the clinical setting, thus, leading to improved therapeutic outcomes and decreased disparities in cancer care. Cultural competence in oncology entails a basic knowledge of different cultural attitudes and practices of communication of the truth and of decision-making styles throughout the world. Cultural competence always presupposes oncology professionals' awareness of their own cultural beliefs and values. To be able to communicate with cancer patients in culturally sensitive ways, oncologists should have knowledge of the concept of culture in its complexity and of the risks of racism, classism, sexism, ageism, and stereotyping that must be avoided in clinical practice. Oncologists should develop a sense of appreciation for differences in health care values, based on the recognition that no culture can claim hegemony over others and that cultures are evolving under their reciprocal influence on each other. Medical schools and oncology training can teach communication skills and cultural competence, while fostering in all students and young doctors those attitudes of humility, empathy, curiosity, respect, sensitivity, and awareness that are needed to deliver effective and culturally sensitive cancer care.

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“…The incorporation of culturally and linguistically competent values, policy, structures, and practices in health care systems remains a great challenge for many states and communities even though there is a growing body of evidence that validates cultural and linguistic competence as effective interventions in the goal to eliminate racial and ethnic health disparities and in the provision of quality care [16,[21][22][23]. As such, "translating this evidence" into policy and practice continues to be a significant barrier for organizations, programs, and personnel concerned with health care delivery, education, and advocacy [24][25][26][27][28].…”

Section: Policy and Program Responsesmentioning

confidence: 99%

Implementation of Culturally and Linguistically Competent Policies by State Title V Children with Special Health Care Needs (CSHCN) Programs

Telfair

Bronheim

Harrison³

2008

Matern Child Health J

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directors were solicited to participate in the survey and 42 (86%) responded. Standard quantitative and qualitative analyses of the data were conducted to address key questions linked to the study's overall objective. Results Findings indicated that almost all respondents are implementing some actions to provide culturally and linguistically competent services including adapting service practices, addressing workforce diversity, providing language access, engaging communities and including requirements in contracts. These individual actions were less often supported by processes such as selfassessment and creating an ongoing structure to systematically address cultural and linguistic competence. Programs are challenged to implement cultural and linguistic competence by state agency organization and budget restrictions. Conclusions The results of the study indicate a continued need for support within state MCH CSHCN programs in order to maintain or enhance the systematic incorporation of culturally and linguistically competent efforts. public policy | public health | maternity health | child health | special health care

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

Cited by 1,294 publications

References 55 publications

Psychosocial care for patients and their families is integral to supportive care in cancer: MASCC position statement

Psychosocial care for patients and their families is integral to supportive care in cancer: MASCC position statement

Cultural aspects of communication in cancer care

Implementation of Culturally and Linguistically Competent Policies by State Title V Children with Special Health Care Needs (CSHCN) Programs

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