Provider perceptions of the organization’s cultural competence climate and their skills and behaviors targeting patient-centered care for socially at-risk populations

Tanjala S. Purnell, Jessie Kimbrough Marshall, Israel Olorundare, Rosalyn W. Stewart, Stephen Sisson, Brian Gibbs, Leonard S. Feldman, Amanda Bertram, Alexander R. Green, Lisa A. Cooper

Research output: Contribution to journalArticle

Abstract

As part of a cultural competence needs assessment study at a large academic health care system, we conducted a survey among 1,220 practicing physicians to assess their perceptions of the organization’s cultural competence climate and their skills and behaviors targeting patient-centered care for culturally and socially diverse patients. Less than half of providers reported engaging in behaviors to address cultural and social barriers more than 75% of the time. In multivariable logistic regression models, providers who reported moderate or major structural problems were more likely to report low skillfulness in identifying patient mistrust (aOR: 2.01; 95% CI: 1.23–3.28, p<0.01), how well patients read and write English (aOR: 1.63; 95% CI: 1.03–2.57, p=0.03), and socioeconomic barriers (aOR: 2.14; 95% CI: 1.14–4.01, p=0.01), than providers who reported only small or no structural problems. Improved structural support for socially and culturally complex medical encounters is needed to enhance care for socially at-risk patients.

Original languageEnglish (US)
Pages (from-to)481-496
Number of pages16
JournalJournal of health care for the poor and underserved
Volume29
Issue number1
DOIs
StatePublished - Feb 2018

Keywords

  • Cultural competence
  • Health care equity
  • Organization
  • Providers
  • Social risk factors

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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