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The Institute of Medicine in the United States says fragmentation of the U.S. health care delivery and financing system is a barrier to accessing care. Racial and ethnic minorities are more likely to be enrolled in health insurance plans which place limits on covered services and offer a limited number of health care providers. [8]: 10
Cultural competence is a practice of values and attitudes that aims to optimize the healthcare experience of patients with cross cultural backgrounds. [6] Essential elements that enable organizations to become culturally competent include valuing diversity, having the capacity for cultural self-assessment, being conscious of the dynamics inherent when cultures interact, having ...
The Purnell Model for Cultural Competence is a broadly utilized model for teaching and studying intercultural competence, especially within the nursing profession. Employing a method of the model incorporates ideas about cultures, persons, healthcare and health professional into a distinct and extensive evaluation instrument used to establish and evaluate cultural competence in healthcare.
For example, a study by Turan et al. (2017) [67] demonstrated that perceived discrimination in healthcare settings negatively affected adherence to antiretroviral therapy (ART) among HIV-positive individuals. This was mediated by stigma and depressive symptoms, emphasizing the need for culturally competent care and efforts to address racism in ...
Health Disparities Centers across the nation are active in implementing educational resources that range from undergraduate and graduate coursework, postdoctoral training opportunities, conference or seminar series, and diversity and cultural competency training programs. Additionally, these centers are devoted to the recruitment and retention ...
Organizations in academia, business, health care, government security, and developmental aid agencies have all sought to use 3C in one way or another. Poor results have often been obtained due to a lack of rigorous study of 3C and a reliance on "common sense" approaches. [29] Cross-cultural competence does not operate in a vacuum, however.
Flyer supporting equity, diversity, and inclusion in 2016. Diversity, equity, and inclusion (DEI) are organizational frameworks which seek to promote the fair treatment and full participation of all people, particularly groups who have historically been underrepresented or subject to discrimination on the basis of identity or disability. [1]
Cultural sensitivity training in health care providers can improve the satisfaction and health outcomes of patients from different minority groups. [16] Because standard measures for diagnosis and prognosis relate to established norms, cultural sensitivity is essential.