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Culturally
Effective Care in a Medical Home
- The child’s or youth’s and family’s
cultural background, including beliefs, rituals, and customs,
are recognized, valued, respected, and incorporated into
the care plan.
- All efforts are made to ensure that the child or youth
and family understand the results of the medical encounter
and the care plan, including the provision of (para)professional
translators or interpreters, as needed.
- Written materials are provided in the family’s
primary language. 1
Announcements
Resources
 Unified Health Communication 101: Addressing Health Literacy, Cultural Competency, and Limited English Proficiency
A free online learning experience designed to help health professionals improve their patient-communication skills, increase their awareness and knowledge of factors that affect their communication with patients, and implement patient-centered communication practices. The course, developed by the Health Resources and Services Administration, comprises five modules and is estimated to take a total of 5 hours to complete.
Three New Physician Studies on Language Barriers
Hablamos Juntos / Vol. 4 No. 9 / September 2007
In the past five years, the population that speak a language other than English at home has increased to 52 million while the limited English speaking population has increased to 23 million total. These statistics turn into real patients; two thirds of adult physicians have LEP patient caseloads on average of about 12%; more than half (54%) see LEP patients daily or a few times a week. Recently, three major physician organizations have conducted studies on the challenges faced by their members. These national studies capture a snapshot of responses and challenges confronting physicians in practice.
- American College of Physicians (ACP) – “Language Services for Patients with Limited English Proficiency: Results of a National Survey of Internal Medicine Physicians” by Jack A. Ginsburg, MPE
- American Academy of Pediatrics – “Pediatricians’ Use of Language Services for Families with Limited English Proficiency” by Dennis Z. Kuo, MD, MHSa, Karen G. O’Connor, BSb, Glenn Flores, MDc, Cynthia S. Minkovitz, MD, MPPa,d
- American Medical Association – “Caring for Patients with Limited English Proficiency: The Perspectives of Small Group Practitioners” by Margaret Gadon MD MPH, Director, Health Disparities Adjunct Assistant Professor of Medicine, George I. Balch PhD, Principal and Courtesy Professor, Elizabeth A. Jacobs, MD, MPP, Assistant Professor of Medicine
Providing Language Services in State and Local Health-Related Benefits Offices: Examples from the Field, January 2007
The report includes dozens of sample forms, protocols, and other documents used by various states. For those who wish to learn more, detailed contact information is provided for each site
"Manual de Usuario del Proceso del Wraparound (Asistencia Integral)" is a professionally translated version of the "Wraparound Process User's Guide," originally published in English. This guide from the National Wraparound Initiative (NWI) provides a comprehensive description of what a family can expect from the wraparound process. The guide can also serve as an introduction to wraparound for service providers, policy makers, and other stakeholders.
Reports
American Academy of Pediatrics; Committee on Pediatric Workforce Enhancing the Diversity of the Pediatrician Workforce, Pediatrics, Apr 2007; 119: 833 - 837.
Communities as Teachers: Learning to Deliver Culturally Effective Care in Pediatrics; Pediatrics, Apr 2005; 115: 1160 - 1164. Dean E. Sidelinger, Dodi Meyer, Gregory S. Blaschke, Patricia Hametz, Milagros Batista, Rachel Salguero, and Vivian Reznik
Click here for more Publications on Culturally Effective Care.
Web sites/ Organizations
American Academy of Pediatrics Department of Community
Pediatrics web site on culturally effective pediatric care.
You can access the web page on culturally effective pediatric
care by going to www.aap.org/commpeds/cepc
This web page provides general information about culturally
effective pediatric care and specific information, such
as related Academy Policy Statements and projects supported
by the Department of Community Pediatrics. The following
are the components of the web page:
- Facts & Figures - Changes in Child Demographics
- The Need - Background Information on the Need for Culturally
Effective Pediatric Care
- Policy Statements - AAP Policy Statements Related to
Culturally Effective Pediatric Care
- Community Projects - Projects Supported by Department
of Community Pediatrics
- General Resources - Related Organizations, Publications,
& Reports
Cross Cultural Health Care Program: www.xculture.org/
Recognizing the diversity and the different ways to health,
the mission of the Cross Cultural Health Care Program is
to serve as a bridge between communities and health care
institutions to ensure full access to quality health care
that is culturally and linguistically appropriate.
Designs for Change: www.designsforchange.org/
Designs for Change (DFC) is a 23-year-old, multi-racial,
educational research and reform organization.
Diversity Rx: www.diversityrx.org/
Diversity Rx is a clearinghouse of information on how to
meet the language and cultural needs of minorities, immigrants,
refugees and other diverse populations seeking health care.
Exceptional Parent: www.eparent.com
Exceptional Parent Magazine's online resource. Continuing
30 award winning years of providing information, support,
ideas, encouragement and outreach for parents and families
of children with disabilities and the professionals who
work with them.
Family T.I.E.S. Network: www.taalliance.org/centers/index.htm
Committed to working on behalf of infants, children and
youth with disabilities and their families. Family T.I.E.S.
Network's Regional Support Centers will provide outreach
to parents in all communities, offering a flexible and spontaneous
system of support and training that is family focused, culturally
competent, individualized and personalized.
The Family Village: www.familyvillage.wisc.edu/
A global community that integrates information, resources,
and communication opportunities on the Internet for persons
with cognitive and other disabilities, for their families,
and for those that provide them services and support. Our
community includes informational resources on specific diagnoses,
communication connections, adaptive products and technology,
adaptive recreational activities, education, worship, health
issues, disability-related media and literature, and much,
much more!
Federation for Children with Special Needs: www.fcsn.org
The Mission of the Federation for Children with Special
Needs is to provide information, support, and assistance
to parents of children with disabilities, their professional
partners, and their communities.
Hablamos Juntos ("We Speak Together"):
www.hablamosjuntos.org
Hablamos Juntos will develop affordable models for health
care organization to offer language services by funding
ten demonstration sites in regions with new and fast-growing
Latino populations. The project funded by The Robert Wood
Johnson Foundation, and administered by the UCSF Fresno
Center for Medical Education & Research, a major educational
and clinical branch of the UCSF School of Medicine.
Institute for Child Health Policy: www.ichp.ufl.edu/
The Institute for Child Health Policy focuses its attention
on issues of access, utilization, cost, quality and family
involvement in both their policy and program development
and health services research.
The Kid's Domain: www.kidsdomain.com/
Kids Domain is a kid-oriented site, with fun stuff for kids
to make, do and see. Kids, parents, caregivers and educators
will all find items of interest here.
Maternal and Child Health Bureau:
www.mchb.hrsa.gov/
Maternal and Child Health Bureau provides leadership,
partnership, and resources to advance the health of all
mothers, infants, children and adolescents-including families
with low income levels, those with diverse racial and ethnic
heritages and those living in rural or isolated areas without
access to care.
National Association for Hospitals and Related Institutions:
www.childrenshospitals.net
NACHRI is a not-for-profit membership organization of children's
hospitals, large pediatric units of medical centers and
related health systems, including those that specialize
in rehabilitative care of children with serious chronic
or congenital illnesses.
National Center for Cultural Competence:
gucchd.georgetown.edu//nccc/
The mission of the National Center for Cultural Competence
(NCCC) is to increase the capacity of health care and mental
health programs to design, implement and evaluate culturally
and linguistically competent service delivery systems.
www.chcs.org/NationalHealthPlanCollaborative/index.html
A public-private partnership bringing together nine major
health insurance companies to identify ways to improve the
quality of health care for racially and ethnically diverse
populations.
National Parent Information Network (NPIN): npin.org/
The National Parent Information Network (NPIN) is a project
of the ERIC system, which is administered by the National
Library of Education in the U.S. Department of Education.
NPIN is designed and maintained by two ERIC clearinghouses:
the ERIC Clearinghouse on Urban Education at Teachers College,
Columbia University, New York City; and the ERIC Clearinghouse
on Elementary and Early Childhood Education at the University
of Illinois at Urbana-Champaign.
Office of Minority Health Resource Center (OMHRC)
www.omhrc.gov/
The Office of Minority Health (OMH) established
the Office of Minority Health Resource Center (OMHRC) to
meet the public's need for reliable, accurate, and timely
information and technical assistance on issues affecting
the health of minority populations. Since that time, OMHRC
has grown to become one of the nation's largest sources
of minority health information. Some of OMHRC's services
include referrals, publications, reference information,
and access to its resource person's network -- a database
of minority health professionals from across the country.
Our-Kids: www.our-kids.org/
Our-Kids is a "Family" of parents, caregivers and others
who are working with children with physical and/or mental
disabilities and delays. Our-Kids provides an e-mail list
for caregivers of children with special needs to provide
support and information.
The new edition of Knowledge Path: Racial and Ethnic Disparities
in Health offers a selection of current, high-quality resources
about identifying and eliminating racial and ethnic disparities
in health. Produced by the MCH Library, the knowledge path
includes information on (and links to) Web sites, electronic
and print publications, Webcasts, and databases. It is intended
for use by health professionals, policymakers, program administrators,
researchers, and families who are interested in tracking
timely information on this topic.
Special Families Guide: www.specialfamilies.com/
Children with special needs can be endearing, lovable, and
extremely challenging. On this site, psychologist, author,
and parent Robert Naseef, Ph.D., shares his insights and
experiences on family life for parents, siblings, and children
with special needs. Autism, developmental disabilities,
cerebral palsy, learning disorders, special healthcare needs,
and many other conditions are discussed--with a focus on
the special needs of families and emphasizing the role of
fathers.
1. The medical home. Pediatrics. 2002;
110: 184-186
Last Updated
January 9, 2008
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