tailieunhanh - CULTURAL COMPETENCE IN HEALTH CARE: EMERGING FRAMEWORKS AND PRACTICAL APPROACHES

Participants stressed the importance of community input and review more often than anything else. The Cross Cultural Health Care Program’s Voices of the Communities project and subsequent community profiles employed a process in which profiles where either written by a community member or a community member and CCHCP staff. Each profile was reviewed by other community members and any resulting changes were incorporated in the final product. The process resulted in excellent products. The UW Medical Center employs a similar process for its Culture Clues. The medical center has advisory councils in specific service areas such as oncology or maternal. | CULTURAL COMPETENCE IN HEALTH CARE EMERGING FRAMEWORKS AND PRACTICAL APPROACHES Joseph R. Betancourt Massachusetts General Hospital-Harvard Medical School Alexander R. Green and J. Emilio Carrillo New York-Presbyterian Hospital Weill Medical College of Cornell University FIELD REPORT October 2002 Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors officers or staff. Copies of this report are available from The Commonwealth Fund by calling our toll-free publications line at 1-888-777-2744 and ordering publication number 576. The report can also be found on the Fund s website at . CONTENTS About the Executive Defining Cultural Barriers to Culturally Competent Benefits of Cultural Models of Culturally Competent Managed Community Key Components of Cultural Framework for Culturally Competent Strategies for Summary of Recommendations and Practical Approaches Linking Cultural Competence to the Elimination of Racial and Ethnic Disparities in Health Organizational Cultural Systemic Cultural Clinical Cultural Appendix I. Appendix II. Key LIST OF FIGURES Figure 1 Demographic Projections Growing Figure 2 Minorities Are Underrepresented Within Health Care Figure 3 Minorities Are Underrepresented Within the Health Care .