Emergency medical practice: Advancing cultural competence and reducing health care disparities

Academic Emergency Medicine

Volumn 16, Issue 1, 2009, Pages 69-75

  Padela, Aasim I ^a   Punekar, Imran R A ^b  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY   (United States)

Author keywords

Bioethics; Cultural competency; Cultural diversity; Emergency medicine; Health care disparities; Physician patient relations

Indexed keywords

ARTICLE; AWARENESS; COMPREHENSION; CULTURAL COMPETENCE; CULTURAL SENSITIVITY; DOCTOR PATIENT RELATION; EMERGENCY CARE; EMERGENCY MEDICINE; EMERGENCY WARD; ETHNIC DIFFERENCE; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HUMAN; MEDICAL PRACTICE; MINORITY GROUP; PRIORITY JOURNAL; SOCIOECONOMICS;

CULTURAL COMPETENCY; CULTURAL DIVERSITY; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTHCARE DISPARITIES; HUMANS; MALE; MINORITY GROUPS; PHYSICIAN-PATIENT RELATIONS; UNITED STATES;

EID: 58249114058     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2008.00305.x     Document Type: Article

References (56)

1. Burgess DJ, Fu SS, van Ryn M. Why do providers contribute to disparities and what can be done about it? J Gen Intern Med. 2004; 19:1154-9.
2. Smedley BD, Stith AY, Nelson AR, Institute of Medicine. Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Unequal treatment: confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press, 2003.
3. Heron SL, Stettner E, Haley LL Jr. Racial and ethnic disparities in the emergency department: a public health perspective. Emerg Med Clin North Am. 2006; 24:905-23.
4. Plautz C, Kim J, Martin M. Cultural Competence Case Presentation: The "HLF" (Race, Gender). Monograph on Cultural Competency, University of Virginia. Available at: http://www.med-ed.virginia.edu/courses/culture/PDF/ marcuscase011hlfcs.pdf. Accessed Jul 23, 2008.
5. Martin J, Arbelaez C. Cultural Competence Case Presentation Culture/Race: Cambodian Refugee Community, Monograph on Cultural Competency. University of Virginia. Available at: http://www.med-ed.virginia.edu/courses/culture/PDF/ marcuscase002cambodianrefugeecs.pdf. Accessed Jul 23, 2008.
6. O'Toole B. Four ways we approach ethics. J Dent Educ. 2006; 70:1152-8.
7. Beauchamp TL, Childress JF. Principles of biomedical ethics. New York, NY: Oxford University Press, 1983.
8. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Belmont Report: Ethical Principles and Guidelines for the protection of human subjects of research. Available at: http://ohsr.od.nih.gov/guidelines/belmont.html. Accessed Sep 18, 2008.
9. Park JK. Cross Cultural Issues in Medicine. In: Loewy EH, Loewy RS (eds). Changing Health Care Systems from Ethical, Economic, and Cross Cultural Perspectives. New York, NY: Kluwer Academic/Plenum Publishers. 2001, pp. xvi, 187.
10. Tripp-Reimer T, Choi E, Kelley LS, Enslein JC. Cultural barriers to care: inverting the problem. Diabetes Spectr. 2001; 14:13-22.
11. Dedier J, Penson R, Williams W, Lynch T Jr. Race, ethnicity, and the patient-caregiver relationship. Oncologist. 1999; 4:325-31.
12. Irvine R, McPhee J, Kerridge IH. The challenge of cultural and ethical pluralism to medical practice. Med J Aust. 2002; 176:174-5.
13. SAEM Ethics Committee. Virtue in emergency medicine. Acad Emerg Med. 1996; 3:961-6.
14. Richardson LD, Babcock Irvin C, Tamayo-Sarver JH. Racial and ethnic disparities in the clinical practice of emergency medicine. Acad Emerg Med. 2003; 10:1184-8.
15. United States Agency for Healthcare Research and Quality, United States. Dept. of Health and Human Services. National Healthcare Disparities Report. Rockville, MD: U.S. Dept. of Health and Human Services, 2006.
16. Armstrong K, Hughes-Halbert C, Asch DA. Patient preferences can be misleading as explanations for racial disparities in health care. Arch Intern Med. 2006; 166:950-4.
17. Tijunelis MA, Fitzsullivan E, Henderson SO. Noise in the ED. Am J Emerg Med. 2005; 23:332-5.
18. Gert HJ. How are emergencies different from other medical situations? Mt Sinai J Med. 2005; 72:216-20.
19. Richardson LD, Hwang U. America's health care safety net: intact or unraveling? Acad Emerg Med. 2001; 8:1056-63.
20. Mohanty SA, Woolhandler S, Himmelstein DU, Pati S, Carrasquillo O, Bor DH. Health care expenditures of immigrants in the United States: a nationally representative analysis. Am J Public Health. 2005; 95:1431-8.
21. Augustine JJ, Kellermann AL. The emergency medicine workforce study: more questions than answers. Ann Emerg Med. 2002; 40:16-8.
22. Burgess D, van Ryn M, Dovidio J, Saha S. Reducing racial bias among health care providers: lessons from social-cognitive psychology. J Gen Intern Med. 2007; 22:882-7.
23. Cooper LA, Beach MC, Johnson RL, Inui TS. Delving below the surface. Understanding how race and ethnicity influence relationships in health care. J Gen Intern Med. 2006; 21(Suppl 1):S21-7.
24. McKenna M. Debate rages over the "future of emergency care". Ann Emerg Med. 2006; 48:138-40.
25. Venkat A, Hoekstra J, Lindsell C, et al. The impact of race on the acute management of chest pain. Acad Emerg Med. 2003; 10:1199-208.
26. Johnston SC, Fung LH, Gillum LA, et al. Utilization of intravenous tissue-type plasminogen activator for ischemic stroke at academic medical centers: the influence of ethnicity. Stroke. 2001; 32:1061-8.
27. Todd KH, Deaton C, D'Adamo AP, Goe L. Ethnicity and analgesic practice. Ann Emerg Med. 2000; 35:11-6.
28. Vasquez MJ. Cultural difference and the therapeutic alliance: an evidence-based analysis. Am Psychol. 2007; 62:875-85.
29. Beach MC, Price EG, Gary TL, et al. Cultural competence: a systematic review of health care provider educational interventions. Med Care. 2005; 43:356-73.
30. Paasche-Orlow M. The ethics of cultural competence. Acad Med. 2004; 79:347-50.
31. Fiscella K, Meldrum S, Franks P, et al. Patient trust: is it related to patient-centered behavior of primary care physicians? Med Care. 2004; 42:1049-55.
32. United States Supreme Court. Barbara Grutter, Petitioner v. Lee Bollinger, et al. Washington DC: United States Reports, 2003, volume 539, pp 306-95.
33. Friedman AL. Enhancing the diversity of the pediatrician workforce. Pediatrics. 2007; 119:833-7.
34. American Medical Association-Minority Affairs Consortium. Diversity in Medical Education, Board of Trustees Report 15, AMA MAC. Available at: http://www.ama-assn.org/ama/pub/category/12938.html. Accessed Sep 18, 2008.
35. Association of American Medical Colleges. Diversity. Available at: http://www.aamc.org/diversity/start.htm. Accessed Sep 18, 2008.
36. Cooper-Patrick L, Gallo JJ, Gonzales JJ, et al. Race, gender, and partnership in the patient-physician relationship. JAMA. 1999; 282:583-9.
37. Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med. 2003; 139:907-15.
38. LaVeist TA, Nuru-Jeter A, Jones KE. The association of doctor-patient race concordance with health services utilization. J Public Health Policy. 2003; 24:312-23.
39. Grumbach K, Hart LG, Mertz E, Coffman J, Palazzo L. Who is caring for the underserved? A comparison of primary care physicians and nonphysician clinicians in California and Washington. Ann Fam Med. 2003; 1:97-104.
40. Komaromy M, Grumbach K, Drake M, et al. The role of black and Hispanic physicians in providing health care for underserved populations. N Engl J Med. 1996; 334:1305-10.
41. Laveist TA, Nuru-Jeter A. Is doctor-patient race concordance associated with greater satisfaction with care? J Health Soc Behav. 2002; 43:296-306.
42. Saha S, Taggart SH, Komaromy M, Bindman AB. Do patients choose physicians of their own race? Health Aff (Millwood). 2000; 19:76-83.
43. Brach C, Fraser I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med Care Res Rev. 2000; 57(Suppl 1):181-217.
44. Cohen MG, Roe MT, Mulgund J, et al. Clinical characteristics, process of care, and outcomes of Hispanic patients presenting with non-ST-segment elevation acute coronary syndromes: results from Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA Guidelines (CRUSADE). Am Heart J. 2006; 152:110-7.
45. Blomkalns AL, Chen AY, Hochman JS, et al. Gender disparities in the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: large-scale observations from the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the American College of Cardiology/American Heart Association Guidelines) National Quality Improvement Initiative. J Am Coll Cardiol. 2005; 45:832-7.
46. Surbone A. Cultural aspects of communication in cancer care. Support Care Cancer. 2008; 16:235-40.
47. Schneider EC, Zaslavsky AM, Epstein AM. Racial disparities in the quality of care for enrollees in medicare managed care. JAMA. 2002; 287:1288-94.
48. Derse AR. What part of "no" don't you understand? Patient refusal of recommended treatment in the emergency department. Mt Sinai J Med. 2005; 72:221-7.
49. Betancourt JR. Cultural competency: providing quality care to diverse populations. Consult Pharm. 2006; 21:988-95.
50. Ilkilic I. Bioethical conflicts between Muslim patients and German physicians and the principles of biomedical ethics. Med Law. 2002; 21:243-56.
51. Padela AI. Can you take care of my mother? Reflections on cultural competency and clinical accommodation. Acad Emerg Med. 2007; 14:275-7.
52. Carroll J, Epstein R, Fiscella K, Gipson T, Volpe E, Jean-Pierre P. Caring for Somali women: implications for clinician-patient communication. Patient Educ Couns. 2007; 66:337-45.
53. Derose KP, Hays RD, McCaffrey DF, Baker DW. Does physician gender affect satisfaction of men and women visiting the emergency department? J Gen Intern Med. 2001; 16:218-26.
54. Berger JT. The influence of physicians' demographic characteristics and their patients' demographic characteristics on physician practice: implications for education and research. Acad Med. 2008; 83:100-5.
55. The Sullivan Commission. Missing Persons: Minorities in the Health Professions. Available at: http://www.aacn.nche.edu/Media/pdf/SullivanReport. pdf. Accessed Oct 19, 2008.
56. Horner RD, Salazar W, Geiger HJ, et al. Changing healthcare professionals' behaviors to eliminate disparities in healthcare: What do we know? How might we proceed? Am J Manag Care. 2004; 10 Spec No:SP12-19.