Ardith Z Doorenbos3, Arden M Morris4, Emily A Haozous4, Heather Harris4, David R Flum4, Ardith Z Doorenbos3, Arden M Morris4, Emily A Haozous4, Heather Harris4, David R Flum4. 1. University of Washington, Seattle, WA; University of Michigan, Ann Arbor, MI; and University of New Mexico, Albuquerque, NM doorenbo@uw.edu. 2. University of Washington, Seattle, WA; University of Michigan, Ann Arbor, MI; and University of New Mexico, Albuquerque, NM. 3. University of Washington, Seattle, WA; University of Michigan, AnnArbor, MI; and University of New Mexico, Albuquerque, NM doorenbo@uw.edu. 4. University of Washington, Seattle, WA; University of Michigan, AnnArbor, MI; and University of New Mexico, Albuquerque, NM.
Abstract
PURPOSE: Racial and ethnic minority groups in the United States have the highest mortality rates for the most common cancers. Various factors, including a perceived lack of culturally congruent care and culturally competent providers, might lead minority patients to decline or delay care. As part of a large multimethod study to understand barriers to care among American Indian and Alaskan native patients with cancer, we examined surgical provider attributes associated with culturally congruent care. PATIENTS AND METHODS: Surgical providers from six hospitals in the Puget Sound region of Washington State were invited to participate. Participants completed a 50-item survey that assessed demographic data and incorporated the Cultural Competence Assessment (CCA) and the Marlowe-Crowne Social Desirability Scale. RESULTS: Survey response rate was 51.1% (N = 253). Participants reported treating diverse patient populations; 71% encountered patients from six or more racial and ethnic groups. More than one half of participants (58%) reported completing cultural diversity training, with employer-sponsored training being the most common type reported (48%; 71 of 147). CCA scores ranged from 5.99 to 13.75 of a possible 14 (mean, 10.3; standard deviation, ±1.3), and receipt of diversity training was associated with higher scores than nonreceipt of diversity training (10.56 v 9.82, respectively; P<.001). After controlling for Marlowe-Crowne Social Desirability Scale score and hospital system,participation in diversity training was the variable most significantly associated with CCA score (P<.001). CONCLUSION: Culturally competent care is an essential but often overlooked component of high-quality health care. Future work should compare training offered by various hospital systems.
PURPOSE: Racial and ethnic minority groups in the United States have the highest mortality rates for the most common cancers. Various factors, including a perceived lack of culturally congruent care and culturally competent providers, might lead minority patients to decline or delay care. As part of a large multimethod study to understand barriers to care among American Indian and Alaskan native patients with cancer, we examined surgical provider attributes associated with culturally congruent care. PATIENTS AND METHODS: Surgical providers from six hospitals in the Puget Sound region of Washington State were invited to participate. Participants completed a 50-item survey that assessed demographic data and incorporated the Cultural Competence Assessment (CCA) and the Marlowe-Crowne Social Desirability Scale. RESULTS: Survey response rate was 51.1% (N = 253). Participants reported treating diverse patient populations; 71% encountered patients from six or more racial and ethnic groups. More than one half of participants (58%) reported completing cultural diversity training, with employer-sponsored training being the most common type reported (48%; 71 of 147). CCA scores ranged from 5.99 to 13.75 of a possible 14 (mean, 10.3; standard deviation, ±1.3), and receipt of diversity training was associated with higher scores than nonreceipt of diversity training (10.56 v 9.82, respectively; P<.001). After controlling for Marlowe-Crowne Social Desirability Scale score and hospital system,participation in diversity training was the variable most significantly associated with CCA score (P<.001). CONCLUSION: Culturally competent care is an essential but often overlooked component of high-quality health care. Future work should compare training offered by various hospital systems.
Authors: Mohit Bhandari; P J Devereaux; Marc F Swiontkowski; Emil H Schemitsch; Ketan Shankardass; Sheila Sprague; Gordon H Guyatt Journal: Int J Epidemiol Date: 2003-08 Impact factor: 7.196
Authors: Joseph R Betancourt; Alexander R Green; J Emilio Carrillo; Elyse R Park Journal: Health Aff (Millwood) Date: 2005 Mar-Apr Impact factor: 6.301
Authors: Erin L Mead; Ardith Z Doorenbos; Sara H Javid; Emily A Haozous; Lori Arviso Alvord; David R Flum; Arden M Morris Journal: Am J Public Health Date: 2013-10-17 Impact factor: 9.308
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