Innovative approaches to promote a culturally competent, diverse health care workforce in an institution serving hispanic students

Academic Medicine

Volumn 88, Issue 12, 2013, Pages 1870-1876

  Ghaddar, Suad ^a   Ronnau, John ^a   Saladin, Shawn P ^a   Martínez, Glenn ^b  

^a UNIVERSITY OF TEXAS PAN AMERICAN   (United States)

^b OHIO STATE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84889079089     PISSN: 10402446     EISSN: 1938808X     Source Type: Journal    
DOI: 10.1097/ACM.0000000000000007     Document Type: Article

References (69)

1. Smedley BD, Butler AS, Bristow LR. In the Nation's Compelling Interest: Ensuring Diversity in the Health-Care Workforce. Washington, DC: Institute of Medicine; 2004.
2. Cohen JJ, Gabriel BA, Terrell C. The case for diversity in the health care workforce. Health Aff (Millwood). 2002;21:90-102.
3. Fernandez A, Schillinger D, Warton EM, et al. Language barriers, physician-patient language concordance, and glycemic control among insured Latinos with diabetes: The Diabetes Study of Northern California (DISTANCE). J Gen Intern Med. 2011;26:170-176.
4. Pippins JR, Alegría M, Haas JS. Association between language profciency and the quality of primary care among a national sample of insured Latinos. Med Care. 2007;45:1020-1025.
5. Saha S, Komaromy M, Koepsell TD, Bindman AB. Patient-physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999;159:997-1004.
6. Saha S, Sanders DS, Korthuis PT, et al. The role of cultural distance between patient and provider in explaining racial/ethnic disparities in HIV care. Patient Educ Couns. 2011;85:e278-e284.
7. U.S. Census Bureau. State and county quick facts. http://quickfacts. census.gov/qfd/states/00000.html. Accessed August 26, 2013.
8. U.S. Census Bureau. 2012 national population projections. http://www. census.gov/population/projections/data/national/2012.html. Accessed August 19, 2013.
9. Congressional Budget Office. Updated Estimates for the Insurance Coverage Provisions of the Affordable Care Act. March 2012. http://www.cbo.gov/sites/ default/fles/cbofles/attachments/03-13-Coverage%20 Estimates.pdf. Accessed August 24, 2013.
10. Clemans-Cope L, Kenney GM, Buettgens M, Carroll C, Blavin F. The Affordable Care Act's coverage expansions will reduce differences in uninsurance rates by race and ethnicity. Health Aff (Millwood). 2012;31:920-930.
11. U.S. Bureau of Labor Statistics. 2012 Current Population Survey. http://www.bls.gov/cps/cpsaat11.pdf. Accessed August 24, 2013.
12. Special Health Care Opportunity Grant Program. Section 774(b) of the Health Manpower Education Initiative Awards (HMEIA). Comprehensive Manpower Training Act of 1971 (Public Law 92-157).
13. Patient Protection and Affordable Care Act (Public Law no. 111-148). 2010.
14. Andrulis DP, Siddiqui NJ, Purtle J, Duchon L. Patient Protection and Affordable Care Act of 2010: Advancing Health Equity for Racially and Ethnically Diverse Populations. Washington, DC: Joint Center for Political and Economic Studies; 2010.
15. Smith SG, Nsiah-Kumi PA, Jones PR, Pamies RJ. Pipeline programs in the health professions, part 1: Preserving diversity and reducing health disparities. J Natl Med Assoc. 2009;101:836-840, 845-851.
16. Acosta D, Olsen P. Meeting the needs of regional minority groups: The University of Washington's programs to increase the American Indian and Alaskan native physician workforce. Acad Med. 2006;81:863-870.
17. Fincher RM, Sykes-Brown W, Allen-Noble R. Health science learning academy: A successful "pipeline" educational program for high school students. Acad Med. 2002;77:737-738.
18. Thomson WA, Ferry P, King J, Wedig CM, Villarreal GB. A baccalaureate-MD program for students from medically underserved communities: 15-year outcomes. Acad Med. 2010;85:668-674.
19. Office of Institutional Research and Effectiveness. UTPA Stats at a Glance. Edinburg, Tex: University of Texas-Pan American; Fall 2012.
20. Cooper MA. Top 100 colleges for Hispanics: A portrait, by the numbers, of Hispanics in higher education. Hisp Outlook Higher Educ. May 13, 2013. http://www. hispanicoutlook.com/top-100-schools/. Accessed August 19, 2013.
21. U.S. Census Bureau. State and county quick facts. http://quickfacts. census.gov/qfd/index. html. Accessed August 19, 2013.
22. U.S. Census Bureau. 2010 small area health insurance estimates. http://www.census.gov/did/www/sahie/. Accessed August 19, 2013.
23. U.S. Department of Health and Human Services, Health Resources and Services Administration. Health Professional Shortage Areas and Medically Underserved Areas/Populations. http://www.hrsa.gov/shortage/. Accessed August 19, 2013.
24. Solar O, Irwin A. A Conceptual Framework for Action on the Social Determinants of Health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). Geneva, Switzerland: WHO Press; 2010.
25. Montgomery JP, Durbeck H, Thomas D, Beck AJ, Sarigiannis AN, Boulton ML. Mapping student response team activities to public health competencies: Are we adequately preparing the next generation of public health practitioners? Public Health Rep. 2010;125(suppl 5):78-86.
26. Centers for Disease Control and Prevention, Council of State and Territorial Epidemiologists. Competencies for applied epidemiologists in governmental public health agencies (AECs). http://www.cdc.gov/ AppliedEpiCompetencies. 2008. Accessed August 19, 2013.
27. University of Michigan School of Public Health. The fea: Not just a vector of disease, but a source of health promotion. Public Health Frontlines. March 19, 2013. http://umsphfrontlines.wordpress.com/2013/03/. Accessed August 25, 2013.
28. Betancourt JR. Eliminating racial and ethnic disparities in health care: What is the role of academic medicine? Acad Med. 2006;81:788-792.
29. Weissman JS, Betancourt J, Campbell EG, et al. Resident physicians' preparedness to provide cross-cultural care. JAMA. 2005;294:1058-1067.
30. Park ER, Betancourt JR, Miller E, et al. Internal medicine residents' perceptions of cross-cultural training. Barriers, needs, and educational recommendations. J Gen Intern Med. 2006;21:476-480.
31. Lopez L, Vranceanu AM, Cohen AP, Betancourt J, Weissman JS. Personal characteristics associated with resident physicians' self perceptions of preparedness to deliver cross-cultural care. J Gen Intern Med. 2008;23:1953-1958.
32. Zolnierek KB, Dimatteo MR. Physician communication and patient adherence to treatment: A meta-analysis. Med Care. 2009;47:826-834.
33. Green SS, Comer L, Elliott L, Neubrander J. Exploring the value of an international service-learning experience in Honduras. Nurs Educ Perspect. 2011;32:302-307.
34. Hunt JB, Bonham C, Jones L. Understanding the goals of service learning and community-based medical education: A systematic review. Acad Med. 2011;86:246-251.
35. Mpofu E. Service learning: Impact on the achievement of pre-service human service students. Rehabil Educ. 2005;19:249-258.
36. Mpofu E. Teaching with service learning: Strategies and opportunities for rehabilitation counselor educators. Rehabil Educ. 2004;18:121-132.
37. Albritton TA, Wagner PJ. Linking cultural competency and community service: A partnership between students, faculty, and the community. Acad Med. 2002;77:738-739.
38. Ghaddar S, Brown C, Pagan J. Alliance for a healthy border: Obesity prevention in underserved US-Mexico border communities. In: Brennan V, Kumanyika S, Zambrana R, eds. Obesity Interventions in Underserved U.S. Communities. Baltimore, Md: Johns Hopkins University Press; 2013.
39. Wehrly RA, Mier N, Ory MG, et al. Confronting the diabetes disparity: A look at diabetes, nutrition, and physical activity programs in the Lower Rio Grande Valley. Health Promot Pract. 2010;11:394-399.
40. Lujan J, Ostwald SK, Ortiz M. Promotora diabetes intervention for Mexican Americans. Diabetes Educ. 2007;33:660-670.
41. Ryabov I, Richardson C. The role of community health workers in combating type 2 diabetes in the Rio Grande Valley. J Prim Care Community Health. 2011;2:21-25.
42. Shaibi GQ, Greenwood-Ericksen MB, Chapman CR, Konopken Y, Ertl J. Development, implementation, and effects of community-based diabetes prevention program for obese Latino youth. J Prim Care Community Health. 2010;1:206-212.
43. Berman R, Powe C, Carnevale J, et al. The crimson care collaborative: A student-faculty initiative to increase medical students' early exposure to primary care. Acad Med. 2012;87:651-655.
44. Meah YS, Smith EL, Thomas DC. Student-run health clinic: Novel arena to educate medical students on systems-based practice. Mt Sinai J Med. 2009;76:344-356.
45. Wang T, Bhakta H. A new model for interprofessional collaboration at a student-run free clinic. J Interprof Care. 2013;27:339-340.
46. Gu CN, McElroy JA, Corcoran BC. Potential advantage of student-run clinics for diversifying a medical school class. J Educ Eval Health Prof. 2012;9:8.
47. Sentell T, Shumway M, Snowden L. Access to mental health treatment by English language profciency and race/ethnicity. J Gen Intern Med. 2007;22(suppl 2):289-293.
48. Cheng EM, Chen A, Cunningham W. Primary language and receipt of recommended health care among Hispanics in the United States. J Gen Intern Med. 2007;22(suppl 2):283-288.
49. DuBard CA, Gizlice Z. Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. Am J Public Health. 2008;98:2021-2028.
50. Wisnivesky JP, Krauskopf K, Wolf MS, et al. The association between language profciency and outcomes of elderly patients with asthma. Ann Allergy Asthma Immunol. 2012;109:179-184.
51. Betancourt JR, Maina AW. The Institute of Medicine report "Unequal Treatment": Implications for academic health centers. Mt Sinai J Med. 2004;71:314-321.
52. Institute of Medicine, Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
53. Diamond LC, Tuot DS, Karliner LS. The use of Spanish language skills by physicians and nurses: Policy implications for teaching and testing. J Gen Intern Med. 2012;27:117-123.
54. Karliner LS, Jacobs EA, Chen AH, Mutha S. Do professional interpreters improve clinical care for patients with limited English profciency? A systematic review of the literature. Health Serv Res. 2007;42: 727-754.
55. Rivera T. - y no se lo tragó la tierra/ and the earth did not devour him. Houston, Tex: Arte Público Press; 1995.
56. Pan American Health Organization. Salud en las Américas/Health in the Americas. Scientifc and technical publication no. 636. 2012. http://www1.paho.org/saludenlasamericas/docs/hia-2012-summary. pdf. Accessed August 24, 2013.
57. Martinez G. Medical Spanish for heritage learners: A prescription to improve the health of Spanish speaking communities. In: Rivera-Mills S, Trujillo JA, eds. Building Communities and Making Connections. Newcastle upon Tyne, UK: Cambridge Scholars Publishing; 2010:2-15.
58. Martinez G, Schwartz A. Elevating "low" language for high stakes: A case for critical, community-based learning in a medical Spanish for heritage learners program. Herit Lang J. 2012;9:37.
59. Like RC. Clinical Cultural Competency Questionnaire. Center for Healthy Families and Cultural Diversity, Department of Family Medicine, UMDNJ-Robert Wood Johnson Medical School. http://rwjms.rutgers.edu/departments-institutes/ family-medicine/chfcd/grants-projects/aetna.html. Accessed August 19, 2013.
60. Echeverri M, Brookover C, Kennedy K. Nine constructs of cultural competence for curriculum development. Am J Pharm Educ. 2010;74:181.
61. Papanastasiou EC. Factor structure of the "Attitudes towards Research" scale. Statistics Edu Res. 2005;4:16-26.
62. Walker DA. A confrmatory factor analysis of the Attitudes towards Research scale. Mult Linear Regression View Points. 2010;36: 18-27.
63. Koehn PH, Swick HM. Medical education for a changing world: Moving beyond cultural competence into transnational competence. Acad Med. 2006;81:548-556.
64. McGee R Jr, Saran S, Krulwich TA. Diversity in the biomedical research workforce: Developing talent. Mt Sinai J Med. 2012;79:397-411.
65. Delgado DA, Ness S, Ferguson K, Engstrom PL, Gannon TM, Gillett C. Cultural competence training for clinical staff: Measuring the effect of a one-hour class on cultural competence. J Transcult Nurs. 2013;24:204-213.
66. Beach MC, Price EG, Gary TL, et al. Cultural competence: A systematic review of health care provider educational interventions. Med Care. 2005;43:356-373.
67. National Committee of Quality Assurance. Patient-Centered Medical Home Recognition Program. http://www.ncqa.org/Programs/Recognition/ PatientCenteredMedicalHomePCMH.aspx. Accessed August 25, 2013.
68. American Academy of Family Physicians; American Academy of Pediatrics; American College of Physicians; American Osteopathic Association. Joint Principles of the Patient-Centered Medical Home. 2007. http://www. aafp.org/dam/AAFP/documents/practice- management/pcmh/initiatives/PCMHJoint. pdf. Accessed August 25, 2013.
69. American Academy of Family Physicians; American Academy of Pediatrics; American College of Physicians; American Osteopathic Association. Guidelines for Patient-Centered Medical Home (PCMH) Recognition and Accreditation Programs. 2011. http://www.medicalhomeinfo. org/downloads/pdfs/Guidelines- PCMHRecogAccredPrograms.pdf. Accessed September 30, 2013.