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Cited by 1,015

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Cultural Competence: A Systematic Review of Health Care Provider Educational Interventions

Open access
Beach, Mary Catherine, Price, Eboni G., Gary, Tiffany L., Robinson, Karen A., Gozu, Aysegul, Palacio, Ana, Smarth, Carole, Jenckes, Mollie W., Feuerstein, Carolyn, Bass, Eric B., Powe, Neil R., Cooper, Lisa A.·2005·Medical Care
DOI 10.1097/01.mlr.0000156861.58905.96
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Abstract

OBJECTIVE: We sought to synthesize the findings of studies evaluating interventions to improve the cultural competence of health professionals. DESIGN: This was a systematic literature review and analysis. METHODS: We performed electronic and hand searches from 1980 through June 2003 to identify studies that evaluated interventions designed to improve the cultural competence of health professionals. We abstracted and synthesized data from studies that had both a before- and an after-intervention evaluation or had a control group for comparison and graded the strength of the evidence as excellent, good, fair, or poor using predetermined criteria. MAIN OUTCOME MEASURES: We sought evidence of the effectiveness and costs of cultural competence training of health professionals. RESULTS: Thirty-four studies were included in our review. There is excellent evidence that cultural competence training improves the knowledge of health professionals (17 of 19 studies demonstrated a beneficial effect), and good evidence that cultural competence training improves the attitudes and skills of health professionals (21 of 25 studies evaluating attitudes demonstrated a beneficial effect and 14 of 14 studies evaluating skills demonstrated a beneficial effect). There is good evidence that cultural competence training impacts patient satisfaction (3 of 3 studies demonstrated a beneficial effect), poor evidence that cultural competence training impacts patient adherence (although the one study designed to do this demonstrated a beneficial effect), and no studies that have evaluated patient health status outcomes. There is poor evidence to determine the costs of cultural competence training (5 studies included incomplete estimates of costs). CONCLUSIONS: Cultural competence training shows promise as a strategy for improving the knowledge, attitudes, and skills of health professionals. However, evidence that it improves patient adherence to therapy, health outcomes, and equity of services across racial and ethnic groups is lacking. Future research should focus on these outcomes and should determine which teaching methods and content are most effective.

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Metadata

Authors
Beach, M. C., Price, E. G., Gary, T. L., Robinson, K. A., Gozu, A., Palacio, A., Smarth, C., Jenckes, M. W., Feuerstein, C., Bass, E. B., Powe, N. R., & Cooper, L. A.
Venue
Medical Care
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2005-04
Volume
43
Issue
4
Pages
356-373
ISSN
0025-7079 (ISSN-L)
DOI
10.1097/01.mlr.0000156861.58905.96
OpenAlex
W2083831221
Cited by
1,015
References
3
FWCI
101.68
Type
journal article
Language
en
Open access
green

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