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Interventions to improve cultural competency in healthcare: A systematic review of reviews

Truong, Mandy; Paradies, Yin; Priest, Naomi

Description

BACKGROUND: Cultural competency is a recognized and popular approach to improving the provision of health care to racial/ethnic minority groups in the community with the aim of reducing racial/ethnic health disparities. The aim of this systematic review of reviews is to gather and synthesize existing reviews of studies in the field to form a comprehensive understanding of the current evidence base that can guide future interventions and research in the area. METHODS: A systematic review of...[Show more]

dc.contributor.authorTruong, Mandy
dc.contributor.authorParadies, Yin
dc.contributor.authorPriest, Naomi
dc.date.accessioned2018-11-29T22:55:14Z
dc.date.available2018-11-29T22:55:14Z
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/1885/153092
dc.description.abstractBACKGROUND: Cultural competency is a recognized and popular approach to improving the provision of health care to racial/ethnic minority groups in the community with the aim of reducing racial/ethnic health disparities. The aim of this systematic review of reviews is to gather and synthesize existing reviews of studies in the field to form a comprehensive understanding of the current evidence base that can guide future interventions and research in the area. METHODS: A systematic review of review articles published between January 2000 and June 2012 was conducted. Electronic databases (including Medline, Cinahl and PsycINFO), reference lists of articles, and key websites were searched. Reviews of cultural competency in health settings only were included. Each review was critically appraised by two authors using a study appraisal tool and were given a quality assessment rating of weak, moderate or strong. RESULTS: Nineteen published reviews were identified. Reviews consisted of between 5 and 38 studies, included a variety of health care settings/contexts and a range of study types. There were three main categories of study outcomes: patient-related outcomes, provider-related outcomes, and health service access and utilization outcomes. The majority of reviews found moderate evidence of improvement in provider outcomes and health care access and utilization outcomes but weaker evidence for improvements in patient/client outcomes. CONCLUSION: This review of reviews indicates that there is some evidence that interventions to improve cultural competency can improve patient/client health outcomes. However, a lack of methodological rigor is common amongst the studies included in reviews and many of the studies rely on self-report, which is subject to a range of biases, while objective evidence of intervention effectiveness was rare. Future research should measure both healthcare provider and patient/client health outcomes, consider organizational factors, and utilize more rigorous study designs.
dc.format.mimetypeapplication/pdf
dc.publisherBioMed Central
dc.sourceBMC Health Services Research
dc.subjectKeywords: cultural competence; health care delivery; human; literature; organization and management; total quality management; treatment outcome; Cultural Competency; Health Services Accessibility; Humans; Outcome and Process Assessment (Health Care); Quality Impro Cultural competency; Health disparities; Health outcomes; Healthcare; Minority health; Systematic review
dc.titleInterventions to improve cultural competency in healthcare: A systematic review of reviews
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume14
dc.date.issued2014
local.identifier.absfor111799 - Public Health and Health Services not elsewhere classified
local.identifier.ariespublicationU3488905xPUB16560
local.type.statusPublished Version
local.contributor.affiliationTruong, Mandy, College of Arts and Social Sciences, ANU
local.contributor.affiliationParadies, Yin, Deakin University
local.contributor.affiliationPriest, Naomi, College of Arts and Social Sciences, ANU
local.bibliographicCitation.startpage99
local.bibliographicCitation.lastpage99
local.identifier.doi10.1186/1472-6963-14-99
local.identifier.absseo920503 - Health Related to Specific Ethnic Groups
dc.date.updated2018-11-29T08:05:12Z
local.identifier.scopusID2-s2.0-84897642205
local.identifier.thomsonID000332616200001
dcterms.accessRightsOpen Access
CollectionsANU Research Publications

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