Does cultural competency training of health professionals improve patient outcomes? A systematic review and proposed algorithm for future research

Journal of General Internal Medicine

Volumn 26, Issue 3, 2011, Pages 317-325

  Lie, Désirée A ^a   Lee Rey, Elizabeth ^b   Gomez, Art ^c   Bereknyei, Sylvia ^d   Braddock III, Clarence H ^d  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

assessment; curriculum; health disparities; patient outcomes

Indexed keywords

ARTICLE; CINAHL; CULTURAL COMPETENCE; CURRICULUM; DATA BASE; HEALTH CARE PERSONNEL; HEALTH CARE UTILIZATION; HEALTH DISPARITY; HUMAN; INFORMATION RETRIEVAL; MEDLINE; OUTCOME ASSESSMENT; PATIENT CARE; PSYCINFO; PUBLICATION; QUALITY CONTROL; STAFF TRAINING; SYSTEMATIC REVIEW;

ALGORITHMS; BIOMEDICAL RESEARCH; CULTURAL COMPETENCY; FORECASTING; HEALTH PERSONNEL; HUMANS; PATIENT CARE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; TREATMENT OUTCOME;

EID: 79953698415     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-010-1529-0     Document Type: Article

References (50)

1. Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare. Washington, DC: The National Academies Press; 2002:552-593.
2. US Department of Health and Human Services (HHS), Healthy People 2010: National Health Promotion and Disease Prevention Objectives. Washington, D.C.; 2000.
3. DR Williams PB Jackson 2005 Social sources of racial disparities in health Health Aff (Millwood) 24 2 325 334 10.1377/hlthaff.24.2.325 (Pubitemid 40532946)
4. C Brach I Fraser 2000 Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model Med Care Res Rev 57 Suppl 181 217 10.1177/1077558700574009 11092163
5. WR Smith JR Betancourt MK Wynia J Bussey-Jones VE Stone CO Phillips, et al. 2007 Recommendations for teaching about racial and ethnic disparities in health and health care Ann Intern Med 147 654 665 17975188
6. Beach MC, Cooper LA, Robinson KA, et al. Strategies for Improving Minority Healthcare Quality. Evidence Report/Technology Assessment No. 90. Rockville, MD: Agency for Healthcare Research and Quality; 2004. AHRQ Publication No. 04-E008-02.
7. JR Betancourt 2003 Cross-cultural medical education: conceptual approaches and frameworks for evaluation Acad Med 78 6 560 569 10.1097/00001888-200306000-00004 12805034 (Pubitemid 36712578)
8. JR Betancourt AR Green JE Carillo, et al. 2003 Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health an health care Public Health 118 293 302 12815076 (Pubitemid 36828331)
9. M Kagawa-Singer S Kassim-Lakha 2003 A strategy to reduce cross-cultural miscommunication and increase the likelihood of improving health outcomes Acad Med 78 6 577 587 10.1097/00001888-200306000-00006 12805036 (Pubitemid 36712580)
10. C Hobgood S Sawning J Bowen K Savage 2006 Teaching culturally appropriate care: a review of educational models and methods Acad Emerg Med 13 12 1288 1295 10.1111/j.1553-2712.2006.tb00292.x 17158724 (Pubitemid 44802998)
11. J Betancourt A Green 2010 Commentary: linking cultural competence training to improved health outcomes: perspectives from the field Acad Med 85 4 583 585 10.1097/ACM.0b013e3181d2b2f3 20354370
12. MC Beach TL Gary EG Price, et al. 2006 Improving health care quality for racial/ethnic minorities: a systematic review of the best evidence regarding provider and organization interventions BMC Public Health 6 104 10.1186/1471-2458-6-104 16635262 (Pubitemid 44165343)
13. MC Beach EG Price TL Gary KA Robinson A Gozu A Palacio, et al. 2005 Cultural competence: a systematic review of health care provider educational interventions Med Care 43 356 373 10.1097/01.mlr.0000156861.58905.96 15778639 (Pubitemid 40515625)
14. A Gozu MC Beach EG Price TL Gary K Robinson A Palacio C Smarth M Jenckes C Feuerstein EB Bass NR Powe LA Cooper 2007 Self-administered instruments to measure cultural competence of health professionals: a systematic review Teach Learn Med 19 2 180 190 17564547
15. EG Price MC Beach TL Gary KA Robinson A Gozu A Palacio C Smarth M Jenckes C Feuerstein EB Bass NR Powe LA Cooper 2005 A systematic review of the methodological rigor of studies evaluating cultural competence training of health professionals Acad Med 80 6 578 586 10.1097/00001888-200506000-00013 15917363 (Pubitemid 40734340)
16. Anderson LM, Scrimshaw SC, et al. Culturally competent healthcare systems: A systematic review. American Journal of Preventive Medicine. Special Issue: Supplement: The guide to community preventive services: Interventions in the social environment to improve community health: A systematic review. 2003;24(Suppl3): 68-79. (Pubitemid 36428518)
17. K Bhui N Warfa P Edonya K McKenzie D Bhugra 2007 Cultural competence in mental health care: a review of model evaluations BMC Health Serv Res 7 15 10.1186/1472-6963-7-15 17266765
18. TD Sequist GM Fitzmaurice R Marshall S Shaykevich A Marston DG Safran JZ Ayanian 2010 Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trial Ann Intern Med 152 1 40 46 20048271
19. JP Vandenbroucke E von Elm DG Altman PC Gotzsche CD Mulrow, et al. 2007 Strenghtening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration PloSMed 4 10 e297
20. DA Reed DA Cook TJ Beckman RB Levine DE Kern SM Wright 2007 Association between funding and quality of published medical education research JAMA 298 9 1002 1009 1:CAS:528:DC%2BD2sXhtVaisLzI 10.1001/jama.298.9.1002 17785645 (Pubitemid 47360811)
21. G Ogrinc SE Mooney C Estrada T Foster D Goldmann LW Hall, et al. 2008 The SQUIRE (standards for quality improvement reporting excellence) guidelines for quality improvement reporting: explanation and elaboration Qual Saf Health Care 17 Suppl 1 i13 32 10.1136/qshc.2008.029058 18836062
22. KF Schulz DG Altman CONSORT Group 2010 CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials PLoS Med 7 3 e1000251 10.1371/journal.pmed.1000251 20352064
23. DC Des Jarlais C Lyles N Crepaz Group T 2004 Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement Am J Public Health 94 3 361 366 10.2105/AJPH.94.3.361 14998794 (Pubitemid 38269486)
24. D Reed EG Price DM Windish SM Wright A Gozu EB Hsu MC Beach D Kern EB Bass 2005 Challenges in systematic reviews of educational intervention studies Ann Intern Med 142 12 Pt 2 1080 1089 15968033 (Pubitemid 40847711)
25. A Liberati DG Altman J Tetzlaff C Mulrow PC Gøtzsche, et al. 2009 The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration BMJ 339 b2700 10.1136/bmj.b2700 19622552
26. Cochrane library database of systematic reviews. Accessed September 20, 2010 at http://www.thecochranelibrary.com/view/0/AboutTheCochraneLibrary. html#CDSR
27. BEME database for evidence-based education studies and systematic reviews accessed September 20, 2010 at http://www2.warwick.ac.uk/fac/med/beme/
28. Evidence-based medical education 'clearinghouse.' Accessed September 20 2010 at http://mededdevelopment.com/evidence.htm.
29. J Little JPT Higgins PA John, et al. 2007 The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies Ann Intern Med 147 573 577
30. The STROBE checklist available on PLoS Medicine at http://www. plosmedicine.org/. Information on the STROBE Initiative available at http://www.strobe-statement.org, Accessed September 20, 2010.
31. I Boutron S Dutton P Ravaud DG Altman 2010 Reporting and interpretation of randomized controlled trials with statistically non significant results for outcomes JAMA 303 2058 2064 1:CAS:528:DC%2BC3cXntVWrtbY%3D 10.1001/jama.2010.651 20501928
32. C Mulrow P Panghorne J Grimshaw 1997 Integrating heterogeneous pieces of evidence in systematic reviews Ann Intern Med 127 11 989 995 1:STN:280:DyaK1c%2FjtF2luw%3D%3D 9412305 (Pubitemid 27516611)
33. P Wade B Berstein 1991 Cultural sensitivity training and counselor's race: effects on black female clients's perceptions and attrition J Couns Psychol 38 9 15 10.1037/0022-0167.38.1.9
34. SS Mazor LC Hampers VT Chande SE Krug 2002 Teaching Spanish to pediatric emergency physicians Arch Pediatr Adolesc Med 156 693 695 12090837
35. BB Way B Stone M Schwager D Wagoner R Bassman 2002 Effectiveness of the New York State Office of Mental Health Core Curriculum: direct care staff training Psychiatr Rehabil J 25 398 402 12013268 (Pubitemid 34516534)
36. B Majumdar G Browne J Roberts B Carpio 2004 Effects of cultural sensitivity training on health care provider attitudes and patient outcomes J Nurs Scholarsh 36 2 161 166 10.1111/j.1547-5069.2004.04029.x 15227764 (Pubitemid 41794727)
37. DH Thom MD Tirado TL Woon MR McBride 2006 Development and evaluation of a cultural competency training curriculum BMC Med Educ 6 38 10.1186/1472-6920-6- 38 16872504 (Pubitemid 44299824)
38. BJ McElmurry LL McCreary, et al. 2009 Implementation, outcomes, and lessons learned from a collaborative primary health care program to improve diabetes care among urban Latino populations Health Promot Pract 10 2 293 302 10.1177/1524839907306406 18344318
39. CLA Hill PNR MN 2002 Designing and evaluating interventions to eliminate racial and ethnic disparities in health care J Gen Intern Med 17 6 477 486 10.1046/j.1525-1497.2002.10633.x 12133164 (Pubitemid 34989016)
40. D Atkins PA Briss M Eccles S Flottorp GH Guyatt RT Harbour S Hill R Jaeschke A Liberati N Magrini J Mason D O'Connell AD Oxman B Phillips H Schünemann TT Edejer GE Vist GRADE Working Group 2005 Systems for grading the quality of evidence and the strength of recommendations II: pilot study of a new system BMC Health Serv Res 5 1 25 10.1186/1472-6963-5-25 15788089 (Pubitemid 40727406)
41. EB Anderson 2002 Patient-centeredness: a new approach Nephrol News Issues 16 80 82 12452113
42. RL Johnson DL Roter NR Powe LA Cooper 2004 Patient race and the quality of patient-physician communication during medical visits Am J Public Health 94 2084 2090 10.2105/AJPH.94.12.2084 15569958 (Pubitemid 39578411)
43. EH Wagner SM Bennett BT Austin SM Greene M Vonkorff JK Schaefer 2005 Finding common ground: patient-centeredness and evidence-based chronic illness care J Altern Complement Med 11 s7 s15 10.1089/acm.2005.11.s-7 16332190
44. LA Cooper DL Roter, et al. 2009 A randomized controlled trial of interventions to enhance patient-physician partnership, patient adherence and high blood pressure control among ethnic minorities and poor persons: study protocol NCT00123045 Implement Sci 4 7 10.1186/1748-5908-4-7 19228414
45. LA Cooper DE Ford BK Ghods DL Roter AB Primm SM Larson JM Gill GJ Noronha EK Shaya NY Wang 2010 A cluster randomized trial of standard quality improvement versus patient-centered interventions to enhance depression care for African Americans in the primary care setting: study protocol NCT00243425 Implement Sci 5 18 10.1186/1748-5908-5-18 20178624
46. Beal, A. C.; Doty, M. M.; Hernandez, S. E.; Shea, K. K.; & Davis, K. Closing the divide: How medical homes promote equity in health care: Results from The Commonwealth Fund 2006 Health Care Quality Survey. The Commonwealth Fund, 2007, June 27: 62. Accessed September 20, 2010 from http://www. commonwealthfund.org/publications/publications-show.htm?doc-id=506814
47. Grumbach, K.; Bodenheimer, T.; & Grundy, P. (2009, August). The outcomes of implementing patient-centered medical home interventions: A review of the evidence on quality, access and costs from recent prospective evaluation studies. Accessed September 20, 2010, from http://familymedicine.medschool.ucsf. edu/cepc/pdf/outcomes%20of%20pcmh%20for%20White%20House%20Aug%202009.pdf
48. Reeves S, Zwarenstein M, Goldman J, Barr H, Freeth D, & Hammick M. Interprofessional education: Effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews, 2008, article CD002213. doi: 10.1002/14651858.CD002213.pub2 (Pubitemid 351807568)
49. C Chakraborti RT Boonyasai SM Wright DE Kern 2008 A systematic review of teamwork training interventions in medical student and resident education J Gen Intern Med 23 6 846 853 10.1007/s11606-008-0600-6 18386100 Epub 2008 Apr 2
50. L Gruppen 2007 Improving medical education research Teach Learn Med 19 4 331 335 17935460