Provider and clinic cultural competence in a primary care setting

Research output: Contribution to journalArticle

Abstract

A multilevel approach that enhances the cultural competence of clinicians and healthcare systems is suggested as one solution to reducing racial/ethnic disparities in healthcare. The primary objective of this cross-sectional study was to determine if there is a relationship between the cultural competence of primary care providers and the clinics where they work. Forty-nine providers from 23 clinics in Baltimore, Maryland and Wilmington, Delaware, USA completed an on-line survey which included items assessing provider and clinic cultural competence. Using simple linear regression, it was found that providers with attitudes reflecting greater cultural motivation to learn were more likely to work in clinics with a higher percent of nonwhite staff, and those offering cultural diversity training and culturally adapted patient education materials. More culturally appropriate provider behavior was associated with a higher percent of nonwhite staff in the clinic, and culturally adapted patient education materials. Enhancing provider and clinic cultural competence may be synergistic strategies for reducing healthcare disparities.

Original languageEnglish (US)
Pages (from-to)1204-1216
Number of pages13
JournalSocial Science and Medicine
Volume66
Issue number5
DOIs
StatePublished - Mar 2008

Fingerprint

Cultural Competency
health care
Primary Health Care
Healthcare Disparities
Patient Education
education
staff
Cultural Diversity
Baltimore
cultural diversity
online survey
cross-sectional study
Motivation
Linear Models
Cross-Sectional Studies
Delivery of Health Care
regression
Primary care
Cultural competence
Primary Care

Keywords

  • Cultural competence
  • Disparities
  • Health organizations
  • Healthcare
  • Primary care providers
  • USA

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

Cite this

Provider and clinic cultural competence in a primary care setting. / Paez, Kathryn A.; Allen, Jerilyn K.; Carson, Kathryn Anne; Cooper, Lisa A.

In: Social Science and Medicine, Vol. 66, No. 5, 03.2008, p. 1204-1216.

Research output: Contribution to journalArticle

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