BACKGROUND: The Consumer Assessment of Healthcare Providers and Systems Cultural Competency Item Set assesses patient perceptions of aspects of the cultural competence of their health care. OBJECTIVE: To determine characteristics of patients who identify the care they receive as less culturally competent. RESEARCH DESIGN: Cross-sectional survey consisting of face-to-face interviews. SUBJECTS: Safety-net population of patients with type 2 diabetes (n=600) receiving ongoing primary care. MEASURES: Participants completed the Consumer Assessment of Healthcare Providers and Systems Cultural Competency and answered questions about their race/ethnicity, sex, age, education, health status, depressive symptoms, insurance coverage, English proficiency, duration of relationship with primary care provider, and comorbidities. RESULTS: In adjusted models, depressive symptoms were significantly associated with poor cultural competency in the Doctor Communication--Positive Behaviors domain [odds ratio (OR) 1.73, 95% confidence interval, 1.11-2.69]. African Americans were less likely than whites to report poor cultural competence in the Doctor Communication--Positive Behaviors domain (OR 0.52, 95% CI, 0.28-0.97). Participants who reported a longer relationship (≥ 3 y) with their primary care provider were less likely to report poor cultural competence in the Doctor Communication--Health Promotion (OR 0.35, 95% CI, 0.21-0.60) and Trust domains (OR 0.4, 95% CI, 0.24-0.67), whereas participants with lower educational attainment were less likely to report poor cultural competence in the Trust domain (OR 0.51, 95% CI, 0.30-0.86). Overall, however, sociodemographic and clinical differences in reports of poor cultural competence were insignificant or inconsistent across the various domains of cultural competence examined. CONCLUSIONS: Cultural competence interventions in safety-net settings should be implemented across populations, rather than being narrowly focused on specific sociodemographic or clinical groups.
BACKGROUND: The Consumer Assessment of Healthcare Providers and Systems Cultural Competency Item Set assesses patient perceptions of aspects of the cultural competence of their health care. OBJECTIVE: To determine characteristics of patients who identify the care they receive as less culturally competent. RESEARCH DESIGN: Cross-sectional survey consisting of face-to-face interviews. SUBJECTS: Safety-net population of patients with type 2 diabetes (n=600) receiving ongoing primary care. MEASURES: Participants completed the Consumer Assessment of Healthcare Providers and Systems Cultural Competency and answered questions about their race/ethnicity, sex, age, education, health status, depressive symptoms, insurance coverage, English proficiency, duration of relationship with primary care provider, and comorbidities. RESULTS: In adjusted models, depressive symptoms were significantly associated with poor cultural competency in the Doctor Communication--Positive Behaviors domain [odds ratio (OR) 1.73, 95% confidence interval, 1.11-2.69]. African Americans were less likely than whites to report poor cultural competence in the Doctor Communication--Positive Behaviors domain (OR 0.52, 95% CI, 0.28-0.97). Participants who reported a longer relationship (≥ 3 y) with their primary care provider were less likely to report poor cultural competence in the Doctor Communication--Health Promotion (OR 0.35, 95% CI, 0.21-0.60) and Trust domains (OR 0.4, 95% CI, 0.24-0.67), whereas participants with lower educational attainment were less likely to report poor cultural competence in the Trust domain (OR 0.51, 95% CI, 0.30-0.86). Overall, however, sociodemographic and clinical differences in reports of poor cultural competence were insignificant or inconsistent across the various domains of cultural competence examined. CONCLUSIONS: Cultural competence interventions in safety-net settings should be implemented across populations, rather than being narrowly focused on specific sociodemographic or clinical groups.
Authors: Marie N Fongwa; William Cunningham; Robert Weech-Maldonado; Peter R Gutierrez; Ron D Hays Journal: J Health Care Poor Underserved Date: 2008-11
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Authors: Rachel L Johnson; Somnath Saha; Jose J Arbelaez; Mary Catherine Beach; Lisa A Cooper Journal: J Gen Intern Med Date: 2004-02 Impact factor: 5.128
Authors: Megan Johnson Shen; Emily B Peterson; Rosario Costas-Muñiz; Migda Hunter Hernandez; Sarah T Jewell; Konstantina Matsoukas; Carma L Bylund Journal: J Racial Ethn Health Disparities Date: 2017-03-08
Authors: Richard O White; Rosette J Chakkalakal; Caroline A Presley; Aihua Bian; Jonathan S Schildcrout; Kenneth A Wallston; Shari Barto; Sunil Kripalani; Russell Rothman Journal: J Health Commun Date: 2016-09-23