It's All About Trust and Respect: Cultural Competence and Cultural Humility in Mobile Health Clinic Services for Underserved Minority Populations

Abstract

Objectives. To explore participants' perceptions of cultural competence and cultural humility in mobile health clinic (MHC) service delivery, using the Cultural Competence Model (CCM) as an organizing framework. Methods. We conducted five focus groups with an ethnically diverse group of English-and Spanish-speaking men and women, ages 20-67, residing in five underserved neighborhoods in a Southeastern U.S. city. Data analysis followed a thematic approach and iterative qualitative content analysis. Results. Participants expressed a desire for well-trained and caring staff who practice cultural humility. Conclusions. By applying the CCM's five-pronged constellation of cultural abilities, health care personnel could ultimately be more responsive to ethnically diverse clients. There is a need to reinforce compliance with Culturally Linguistic and Appropriate Service (CLAS) standards and to develop programs to Mobile health providers' cultural competence 2 increase providers' cultural awareness, knowledge, and skills that ultimately would potentially reduce the amount of non-emergent Emergency Room visits and their associated costs.

Politics, Pandemics, and Trauma: Understanding and Addressing Latino Health Needs Through a Culturally-Informed Lens

“…Along this line, existing literature suggests the importance of organizations establishing safe zones in which immigrants are not at risk of immigration enforcement (123,124). Also reflective of existing literature, study findings also point to the role of cultural humility and linguistic competence when serving Latino clients (111,125).…”

A Scoping Review of Sensors, Wearables, and Remote Monitoring For Behavioral Health: Uses, Outcomes, Clinical Competencies, and Research Directions

“…Clinical, training, faculty development, and administrative missions can be consolidated, evidence-based, and supported by system policy and procedures (Hilty, Liu et al, 2019;. This suggests a further shift toward patient-and learner-centered approaches, based on effectiveness, implementation science, and model of assessment of technology paradigms (Proctor et al, 2010;Curran et al, 2012;Gargon et al, 2019;Kidholm et al, 2018;Marcolino et al, 2019)-to be for sustainable and feasible across cultures (Berrouiguet et al, 2016;Hobson et al, 2019;de Peralta et al, 2019;Hilty, Gentry et al, 2020). Patient-clinician interactions and measurement of empathy, positive regard, and genuineness related to therapeutic effectiveness will be instrumental (Grekin et al, 2019;.…”

“…The results of this review provide an outline of sensor, wearable, and remote patient monitoring competencies based on clinician practices. These have been organized in the Accreditation Council of Graduate Medical Education (ACGME) Milestone framework (Table 5), based on past work on informatics Milestones (2014) (Hersh et al, 2014(Hersh et al, ), telepsychiatry/video (2015(Hersh et al, , 2018 (Hilty, Crawford et al, 2015;Hilty, Maheu et al, 2018), social media (2018) (Hilty, Zalpuri et al, 2018;Zalpuri et al, 2018), mobile health (2019) , asynchronous technologies (2020) , and cultural competencies for technology (Hobson et al, 2019;de Peralta et al, 2019;Hilty, Gentry et al, 2020). Institutional competencies are also pertinent for sensors and wearables, and prototypes exist for the transition from in-person to video synchronous care (Hilty, Unützer et al, 2019) and for asynchronous care .…”

COVID-19 in Brazilian cities: Impact of social determinants, coverage and quality of primary health care

“…However, these effects are minimized when PHC coverage is expanded. Based on these inferences, some social protection measures should be developed by the government in the current situation, such as 1) the provision of free and comprehensive tests, prioritizing communities that present a greater risk for the worsening and contagion of the disease, also the collection of sociodemographic data from individuals [26], 2) government officials, community leaders and the local media should consult and collaborate with specialists in medicine and public health to offer public health messages directed at low-income and high-risk populations [26]; 3) government officials must provide a minimum income for informal or unemployed workers to be able to achieve social isolation in an appropriate manner and in a timely manner; 4) alternative options for providing creative, flexible, and accessible health services to populations with difficult access to health services [27,28]. These measures must be taken by Government officials to reduce health inequities, which makes PHC and its teams essential for the effectiveness of social protection measures, as they are inserted in vulnerable communities, and have knowledge of the territory and the resident population and their risk factors.…”