Moving towards culturally competent health systems: Organizational and market factors

Social Science and Medicine

Volumn 75, Issue 5, 2012, Pages 815-822

  Weech Maldonado, Robert ^a   Elliott, Marc N ^b   Pradhan, Rohit ^a   Schiller, Cameron ^c   Dreachslin, Janice ^d   Hays, Ron D ^b,e  

^a UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^b RAND CORPORATION   (United States)

^c Schiller Research Consulting   (United States)

^d PENNSYLVANIA STATE UNIVERSITY   (United States)

^e UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Cultural competency; Cultural Competency Assessment Tool for Hospitals (CCATH); Diversity management; Ethnicity; Institutional theory; Markets; Resource dependence theory; USA

Indexed keywords

CONCEPTUAL FRAMEWORK; CULTURAL LANDSCAPE; ETHNIC MINORITY; ETHNICITY; HEALTH CARE; HEALTH POLICY; HEALTH SERVICES; PROFITABILITY; RACIAL DISPARITY; REGRESSION ANALYSIS;

ARTICLE; CONCEPTUAL FRAMEWORK; CULTURAL ANTHROPOLOGY; CULTURAL COMPETENCE; ENVIRONMENTAL FACTOR; ETHNIC DIFFERENCE; FINANCIAL MANAGEMENT; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE SYSTEM; HUMAN; INCOME; MANAGED CARE; MEDICAID; ORGANIZATIONAL DEVELOPMENT; PATIENT SATISFACTION; RESOURCE MANAGEMENT; SOCIAL BEHAVIOR; SOCIAL LIFE; TEACHING HOSPITAL;

CALIFORNIA; CULTURAL COMPETENCY; DELIVERY OF HEALTH CARE; ECONOMIC COMPETITION; ECONOMICS, HOSPITAL; ETHNIC GROUPS; HEALTH STATUS DISPARITIES; HOSPITAL ADMINISTRATION; HUMANS; MINORITY GROUPS; ORGANIZATIONAL POLICY;

CALIFORNIA; UNITED STATES;

EID: 84862771412     PISSN: 02779536     EISSN: 18735347     Source Type: Journal    
DOI: 10.1016/j.socscimed.2012.03.053     Document Type: Article

References (59)

1. Advances in health care organization theory 2003, Jossey-Bass, San Francisco. A.J. Alexander, T. D'Aunno (Eds.).
2. Banaszak-Holl J., Berta W.B., Bowman D.M., Baum C.J.A., Mitchell B.W. The rise of human service chains: antecedents to acquisitions and their effects on the quality of care in US nursing homes. Managerial and Decision Economics 2002, 23(4-5):261-282.
3. Bokhari F.A.S. Managed care competition and the adoption of hospital technology: the case of cardiac catheterization. International Journal of Industrial Organization 2009, 27(2):223-237.
4. Brach C., Fraser I. Reducing disparities through culturally competent health care: an analysis of the business case. Quality Management in Healthcare 2002, 10(4):15.
5. Brach C., Paez K., Irene F. Cultural competence California style 2006, Agency for Healthcare Research and Quality, Washington D.C.
6. California Healthcare Foundation California health plans and insurers 2011, California Healthcare Foundation, Oakland.
7. Campbell J.L. Why would corporations behave in socially responsible ways? An institutional theory of corporate social responsibility. The Academy of Management Review 2007, 32(3):946-967.
8. Caronna C.A. The misalignment of institutional " pillars" : consequences for the US health care field. Journal of Health and Social Behavior 2004, 45:45-58.
9. Center for Medicare & Medicaid Services Medicare program; hospital inpatient; value-based purchasing program 2011, Government Printing Office, Washington D.C, Available at, (Accessed 22.12.11). http://www.gpo.gov/fdsys/pkg/FR-2011-05-06/pdf/2011-10568.pdf.
10. Chait R., Ryan W.P., Taylor B.E. Governance as leadership: Reframing the work of nonprofit boards 1995, Wiley, Hoboken.
11. Committee of Experts on Health Services in a Multicultural Society Adapting health care services to cultural diversity in multicultural Europe 2006, Council of Europe, Paris.
12. Commonwealth Fund New Jersey: Cultural competency training 2005, Commonwealth Fund, New York.
13. Curtis E.F., Dreachslin J.L., Sinioris M. Diversity and cultural competency training in health care organizations: hallmarks of success. The Health Care Manager 2007, 26(3):255-262.
14. David R.A., Rhee M. The impact of language as a barrier to effective health care in an underserved urban Hispanic community. Mount Sinai Journal of Medicine 1998, 65(5-6):393-397.
15. Dillman D.A. Mail and telephone surveys: The total design method 1978, Wiley, New York.
16. DiMaggio P.J., Powell W.W. The iron cage revisited: institutional isomorphism and collective rationality in organizational fields. American Sociological Review 1983, 147-160.
17. DiMaggio P.J., Powell W.W. The new institutionalism in organizational analysis 1991, University of Chicago Press, Chicago.
18. Dreachslin J.L., Myers V.L. A systems approach to culturally and linguistically competent care. Journal of Healthcare Management 2007, 42(4):220-226.
19. Gaynor M.S. What do we know about competition and quality in health care markets? 2006, Available at, (Accessed 27.12.11). http://www.nber.org/papers/w12301.
20. Giordano L.A., Elliott M.N., Goldstein E., Lehrman W.G., Spencer P.A. Development, implementation, and public reporting of the HCAHPS survey. Medical Care Research and Review 2010, 67(1):27-37.
21. Greening D.W., Gray B. Testing a model of organizational response to social and political issues. Academy of Management Journal 1994, 37(3):467-498.
22. Hays R., Weech-Maldonado R., Brown J., Sand K., Dreachslin J., Dansky K. Cultural competency assessment tool for hospitals (CCATH): Final report for contract number 282-00-0005, task order # 7 2006, Department of Health & Human Services, Washington D.C, Available at, (Accessed 27.02.12). https://www.thinkculturalhealth.hhs.gov/pdfs/CCATHOverview.pdf.
23. Institute of Medicine Unequal treatment: Confronting racial and ethnic disparities in healthcare 2003, Institute of Medicine, Washington D.C.
24. Kaiser Family Foundation Population distribution by race/ethnicity 2011, Kaiser Family Foundation, Washington D.C.
25. Kaluzny A.D., McLaughlin C.P., Jaeger B.J. TQM as a managerial innovation: research issues and implications. Health Services Management Research 1993, 6(2):78-88.
26. Kane N.M., Magnus S.A. The Medicare cost report and the limits of hospital accountability: improving financial accounting data. Journal of Health Politics, Policy& Law 2001, 26(1):81-105.
27. King E.B., Dawson J.F., Kravitz D.A., Gulick L. A multilevel study of the relationships between diversity training, ethnic discrimination and satisfaction in organizations. Journal of Organizational Behavior 2010, 33(1):5-20.
28. Ku L., Flores G. Pay now or pay later: providing interpreter services in health care. Health Affairs 2005, 24(2):435-444.
29. Longest B.B., Rakich S.J., Darr K. Managing health services organizations and systems 2000, Health Professions Press, Baltimore.
30. Marshall M.N., Shekelle P.G., Leatherman S., Brook R.H. The public release of performance data: what do we expect to gain? A review of the evidence. Journal of American Medical Association 2000, 283(14):1866-1874.
31. Mathews M.R. Socially responsible accounting 1993, Chapman & Hall, London.
32. Mukamel D.B., Mushlin A.I. Quality of care information makes a difference: an analysis of market share and price changes after publication of the New York State cardiac surgery mortality reports. Medical Care 1998, 36(7):945-954.
33. National Quality Forum Endorsing a framework and preferred practices for measuring and reporting culturally competent care quality 2008, National Quality Forum, Washington DC.
34. Ngo-Metzger Q., Telfair J., Sorkin D.L., Weidmer B., Weech Maldonado R., Hurtado M., et al. Cultural competency and quality of care: Obtaining the patient's perspective 2006, The Commonwealth Fund, New York.
35. Office of Management and Budget Report to congress. Assessment of the total benefits and costs of implementing executive order no. 13166: Improving access to services for persons with limited English proficiency 2002, Office of Management and Budget, Washington D.C.
36. Office of Minority Health National standards for culturally and linguistically appropriate services in health care: Final report 2001, Department of Health and Human Services, Washington DC.
37. Oliver C. Determinants of interorganizational relationships: integration and future direction. Academy of Management Review 1990, 11(2):241-265.
38. Pfeffer J., Salanick R.G. The external control of organizations: A resource dependence perspective 1978, Harper & Row, New York.
39. Robinson J.C. Decline in hospital utilization and cost inflation under managed care in California. Journal of American Medical Association 1996, 276(13):1060.
40. Sari N. Do competition and managed care improve quality?. Health Economics 2002, 11(7):571-584.
41. Scott W.R. Institutions and organizations 2001, Sage Publications, Thousand Oaks.
42. Scott W.R. Institutions and organizations: Ideas and interests 2008, Sage Publications, Thousand Oaks.
43. Scott W.R., Davis G.F. Organizations and organizing: Rational, natural, and open systems perspectives 2007, Pearson College Div, Upper Saddle River.
44. Scott W.R., Ruef M., Mendel P.J., Caronna C.A. Institutional change and healthcare organizations: From professional dominance to managed care 2000, Chicago University of Chicago Press.
45. Starkey K., Weech-Maldonado R., Mor V. Market competition and quality of care in the nursing home industry. Journal of Health Care Finance 2005, 32(1):67.
46. Suchman M.C. Managing legitimacy: strategic and institutional approaches. Academy of Management Review 1995, 20(3):571-610.
47. Tennyson D.H., Fottler M.D. Does system membership enhance financial performance in hospitals?. Medical Care Research & Review 2000, 57(1):22.
48. Tolbert P.S. Institutional environments and resource dependence: sources of administrative structure in institutions of higher education. Administrative Science Quarterly 1985, 30(1):1-13.
49. Tufts Health Care Institute A brief history of managed care 2010, Tufts Health Care Institute, Boston, (Accessed 27.12.11). http://www.thci.org/downloads/briefhist.pdf.
50. United Nations Trends in international migrant stock: The 2008 revision 2008, United Nations, New York.
51. US Census Bureau Language use and English-speaking ability: 2007 2010, US Census Bureau, Washington D.C, Available at, (Accessed 27.12.11). http://www.un.org/esa/population/meetings/eighthcoord2009/UNDESA_PopDiv.pdf.
52. US Census Bureau California: Quick facts 2011, US Census Bureau, Washington D.C.
53. Waddock S.A., Graves S.B. The corporate social performance. Strategic Management Journal 1997, 8(4):303-319.
54. Weech-Maldonado R., Dreachslin J.L., Brown J., Pradhan R., Rubin K.L., Schiller C., et al. Cultural competency assessment tool for hospitals: evaluating hospitals' adherence to the culturally and linguistically appropriate services standards. Health Care Management Review 2012, 37(1):54-66.
55. Weech-Maldonado R., Dreachslin J.L., Dansky K.H., De Souza G., Gatto M. Racial/ethnic diversity management and cultural competency: the case of Pennsylvania hospitals. Journal of Healthcare Management 2002, 47(2):111-124. discussion 124-116.
56. Weiner B.J., Alexander J.A. The challenges of governing public-private community health partnerships. Health Care Management Review 1998, 23(2):39.
57. Whelan A.K., Weech-Maldonado R., Dreachslin J.L. Diversity management in health: cross national organisational study. The International Journal of Diversity in Organisations, Communities and Nations 2008, 8(3):125-138.
58. Whitman M., Davis J. Cultural and linguistic competence in healthcare: the case of Alabama general hospitals. Journal of Healthcare Management 2008, 53(1):26-39.
59. Zinn J.S., Weech-Maldonado R., Brannon D. Resource dependence and institutional elements in nursing home TQM adoption. Health Services Research 1998, 33(2 Pt 1):261.