The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.
Interventions to improve cultural competency in healthcare: a systematic review of reviews
Open accessAbstract
BACKGROUND: Cultural competency is a recognized and popular approach to improving the provision of health care to racial/ethnic minority groups in the community with the aim of reducing racial/ethnic health disparities. The aim of this systematic review of reviews is to gather and synthesize existing reviews of studies in the field to form a comprehensive understanding of the current evidence base that can guide future interventions and research in the area. METHODS: A systematic review of review articles published between January 2000 and June 2012 was conducted. Electronic databases (including Medline, Cinahl and PsycINFO), reference lists of articles, and key websites were searched. Reviews of cultural competency in health settings only were included. Each review was critically appraised by two authors using a study appraisal tool and were given a quality assessment rating of weak, moderate or strong. RESULTS: Nineteen published reviews were identified. Reviews consisted of between 5 and 38 studies, included a variety of health care settings/contexts and a range of study types. There were three main categories of study outcomes: patient-related outcomes, provider-related outcomes, and health service access and utilization outcomes. The majority of reviews found moderate evidence of improvement in provider outcomes and health care access and utilization outcomes but weaker evidence for improvements in patient/client outcomes. CONCLUSION: This review of reviews indicates that there is some evidence that interventions to improve cultural competency can improve patient/client health outcomes. However, a lack of methodological rigor is common amongst the studies included in reviews and many of the studies rely on self-report, which is subject to a range of biases, while objective evidence of intervention effectiveness was rare. Future research should measure both healthcare provider and patient/client health outcomes, consider organizational factors, and utilize more rigorous study designs.
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Cites
Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations
GREENHALGH, T., ROBERT, G., MACFARLANE, F., BATE, P., & KYRIAKIDOU, O. (2004) · The Milbank Quarterly · doi:10.1111/j.0887-378x.2004.00325.x · Cited by 7,448
The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care
Campinha-Bacote, J. (2002) · Journal of Transcultural Nursing · doi:10.1177/10459602013003003 · Cited by 1,602
What drives change? Barriers to and incentives for achieving evidence‐based practice
Grol, R., & Wensing, M. (2004) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2004.tb05948.x · Cited by 1,378
Can Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model
Brach, C., & Fraserirector, I. (2000) · Medical Care Research and Review · doi:10.1177/1077558700057001s09 · Cited by 1,160
Cultural Competence: A Systematic Review of Health Care Provider Educational Interventions
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., et al. (2005) · Medical Care · doi:10.1097/01.mlr.0000156861.58905.96 · Cited by 1,015
Planning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives
GROL, R. P. T. M., BOSCH, M. C., HULSCHER, M. E. J. L., ECCLES, M. P., & WENSING, M. (2007) · The Milbank Quarterly · doi:10.1111/j.1468-0009.2007.00478.x · Cited by 943
Culturally competent healthcare systems
Anderson, L. M., Scrimshaw, S. C., Fullilove, M. T., Fielding, J. E., & Normand, J. (2003) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00657-8 · Cited by 758
Patient Centeredness, Cultural Competence and Healthcare Quality
Saha, S., Beach, M. C., & Cooper, L. A. (2008) · Journal of the National Medical Association · doi:10.1016/s0027-9684(15)31505-4 · Cited by 702
(2015) · Canadian social work review · doi:10.7202/cswr · Cited by 653
Cited by
Racism and health: evidence and needed research
Williams, D. R., Lawrence, J. A., & Davis, B. A. (2019) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-040218-043750 · Cited by 2,398
Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S.-J., & Reid, P. (2019) · International Journal for Equity in Health · doi:10.1186/s12939-019-1082-3 · Cited by 1,214
Zestcott, C. A., Blair, I. V., & Stone, J. (2016) · Group Processes & Intergroup Relations · doi:10.1177/1368430216642029 · Cited by 381
Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023) · Cureus · doi:10.7759/cureus.39549 · Cited by 349
Handtke, O., Schilgen, B., & Mösko, M. (2019) · PLOS ONE · doi:10.1371/journal.pone.0219971 · Cited by 287
Metadata
- Authors
- Truong, M., Paradies, Y., & Priest, N.
- Venue
- BMC Health Services Research
- Published
- 2014-03-03
- Volume
- 14
- Issue
- 1
- Pages
- 99-99
- ISSN
- 1472-6963 (ISSN-L)
- OpenAlex
- W2017105724
- Cited by
- 655
- References
- 54
- FWCI
- 17.00
- Type
- journal article
- Language
- en
- Open access
- gold
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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