|
Culturally Effective Care Publications
Brach C, Paez
K, Fraser I. Cultural
Competence California Style. Agency for Healthcare Research
and Quality Working Paper No. 06, February 2006.
California health plans have led the country in implementing
innovative practices to improve health care for diverse
populations. This article reports on eight leading California
plans' cultural competence activities, and how they were
influenced by California's promulgation of cultural and
linguistic competence standards for public insurance programs.
While plans engaged in a variety of cultural competence
activities before the standards were issued, some activities
were clearly initiated or enhanced in response to the
state standards. California's experience provides guidance
to states considering following its lead, as well as to
health plans and the federal government.
Periodicals
Articles
- Anderson, P. P. Issues in serving culturally diverse
families of young children with disabilities. Early
Child Development and Care. 1989;50:167-188
- Atkin, K. Health, illness, disability and Black minorities:
A speculative critique
- Beach MC, Price EG, Gary TL, et al. Cultural
competence: A systematic review of health care provider
educational interventions. Medical Care . 2005;43(4):356-373.
Click
here for the abstract.
of pre- sent day discourse. Disability, Handicap &
Society. 1991;6:37-47
- Becerra, R., & lnglehart, A.Folk medicine use: Diverse
populations in a metropolitan area. Social Work in
Health Care. 1995;21(4):37-5 1
- Chan, S. Families with Asian roots. In E. W. Lynch &
M. J. Hanson (Eds)., Developing cross-cultural competence:
A guide for work- ing with young children and their families.
Baltimore, MD: Paul H. Brookes. 1992;181-257
- Chao, C. M. The inner heart: Therapy with Southeast
Asian families. In L. A. Vargas, & J. D. Koss-Chioino
(Eds)., Working with cultures: Psychotherapeutic interventions
with ethnic minority children and adolescents. San
Francisco: Jossey-Bass. 1992;157-181
- Dulan, J. R., & Blacher, J. African American families,
religion, and disability: A conceptual framework. Mental
Retardation. 1995 33(4):226-238
- Dunn AM. Culture competence and the primary care provider.
Journal of Pediatric Health Care. 2002;16(3):105-111
- D'Avanzo, C. E. Bridging the cultural gap with Southeast
Asians. MCN, 1992;17(4):204-208
- Flores G, Abreu M, Tomany-Korman SC, Limited
English proficiency, primary language spoken at home,
and disparities in children's health and healthcare: How
language barriers are measured matters. Public Health
Reports. 2005;120(4):418–30
- Flores, G, Laws, M B, Mayo, S J, Zuckerman, B, Abreu,
M, Medina, L, and Hardt, E J. Errors
in Medical Interpretation and Their Potential Clinical
Consequences in Pediatric Encounters. Pediatrics.
2003;111: 6-14
- Garret, M. T., & Myers, E. The rule of opposites:
A paradigm for counseling Native Americans. Journal
of Multicultural Counseling and Development. 1996;24:89-104
- Groce, N. E., & Zola, I - K. Multiculturalism,
chronic illness, and disability. Pediatrics.
1993;91(5): 1048-1055
- Hampers, L Cl, Cha, S, Gutglass, D J, Binns H J, Krug,
S E. Language Barriers and Resource Utilization in a Pediatric
Emergency Department. Pediatrics. 1999;103:1253-1256
- Harrison, D. F., Wodarski, J. S., & Thyer, B.
A. Cultural diversity and social work practice.
Springfield, IL: Charles Thomas; 1992; 981.
- Harry, B. Parental visions of "una vida nor-
mal/normal life": Cultural variations on a theme.
In L. H. Meyer, H. S. Park, M. Grenot- Scheyer, 1. S.
Schwartz, & B. Harry (Eds)., Making friends Baltimore,
MD: Paul H. Brookes. 1998;47-62
- Harry, B., & Kalyanpur, M. Cultural under-pinnings
of special education: Implications for professional interactions
with culturally diverse families. Disability & Society.
1994;9(2):145-165
- Heller, T., Markwardt, R., Rowitz, L., & Farber,
B. Adaptation of Hispanic families to a member with mental
retardation. American Journal on Mental Retardation.
1994;99(3):289 300
- Hmong Family. Hmong family prevents forced surgery
on son. Omaha World-Herald, January,1991;16
- Hughes, S. Serving culturally diverse families
of infants and toddlers with disabilities. Infant-Toddler
Intervention.1992;2(3):169-177
- Joe, J. R., & Malach, R. S.. Families with Native
American roots. In E. W. Lynch & M. J. Hanson
(Eds)., Developing cross-cultural competence Baltimore,
MD: Paul H. Brookes. 1998;127-164
- Kemp, C. Cambodian refugee health care beliefs and practices.
Journal of Community Mental Health Nursing. 1985;2:41-52
- Krajewski-Jarnie, E. Folk-healing among Mexican-American
families as a consideration in the delivery of child welfare
and child health care services. Child Welfare.
1991;70(2):157-167
- Lecca P, Quervalu I, Nunes J, Gonzales F.(1998) Cultural
Competency in Health, Social & Human Services: Directions
for the 21st Century. Garland Publishing of Social
Science. v. 1085
- Lowenthal. B. (1996). Training early interventionists
to work with culturally diverse families. Infant-Toddler
Intervention. 6(2):145-152
- McCormack, G. L. Culture and communication in the treatment
planning for occupation al therapy with minority patients.
Occupational Therapy in Health Care. 1987;49(i),
17-36
- McCubbin, I 1. L, Thompson, E. A., Thompson, A. I.,
McCubbin, M. A., & Kaston, A. J. Culture, ethnicity,
and the family: Critical factors in childhood chronic
illnesses and disabilities. Pediatrics.
1993; 91:1063-1069
- Risser. A., & Mazur, L.. Use
of folk remedies in a Hispanic population. Archives
of Pediatrics and Adolescent Medicine. 1995;149:978
- Satcher, D.Our
Commitment to Eliminate Racial and Ethnic Health Disparities.
Yale Journal of Health Policy, Law and Ethics. 2001
- Shields, M K M.P.A., and Behrman, R E, M.D.Children
of Immigrant Families: Analysis and Recommendations
The Future of Children. 2004;14(2)
- Shenkman, E., Vogel,B. Brooks, R., Wegener,D.H., and
Naff, R. Race
and Ethnicity and the Identification of Special Needs
Children
Health Care Financing Review. 2001;23(2):35-51
- Sontag, J. C., & Schacht, R.Family diversity and
patterns of services utilization in early intervention.
Journal
of Early Intervention, 1993;17(4), 431-444
- Stevens GD, Seid M, Mistry R, et al. Disparities in
primary care for vulnerable children: The influence of
multiple risk factors. HSR: Health Services Research 2006;41(2):507-531.
Abstract available at: www.blackwell-synergy.com/doi/abs/10.1111/j.1475-6773.2005.00498.x.
- Stevens G, Mistry R, Zuckerman B, et al. The parent-provider
relationship: Does race/ethnicity concordance or discordance
influence parent reports of the receipt of high quality
basic pediatric preventive services? Journal
of Urban Health: Bulletin of the New York Academy
of Medicine. 2005;82(4):560-574
- Teufel-Shone NI, Staten LK, Irwin S, et al. Family cohesion
and conflict in an American Indian community. American
Journal of Health Behavior. 2005;29(5):413-422
- Tom, K. S. Echoes from old China. Honolulu:
University of Hawaii Press. 1989
- Willis, W. Families with African-American roots. In
E. W. Lynch & M.J. Hansen (Eds), Developing cross-cultural
competence. Baltimore, MD: Paul H Brookes. 1992;121-150
- Williams LJ, Rasmussen SA, Flores A, et al. Decline
in the prevalence of spina bifida and anencephaly by race/ethnicity:
1995-2002. Pediatrics.
2005;116(3):580-586
- Yu SM, Nyman RM, Kogan MD, et al.
Parent's Language of Interview and Access to Care for
Children with Special Health Care Needs. Ambulatory
Pediatrics. 2004:4(2):181-187
- Yu SM, Huang ZJ, Schwalber RH, et al. Parental
awareness of health and community resources among immigrant
families. Maternal and Child Health Journal. 2005;9(1):27-34
- Zhihuan J, Yu SM, Ledsky R. Health status and health
service access and use among children in U.S. immigrant
families. American Journal of Public Health. 2006;96(4):634-640.
Abstract available at: www.ajph.org/cgi/content/abstract/96/4/634
Policy
Statements
American Academy of Pediatrics; Committee on Pediatric Workforce Enhancing the Diversity of the Pediatrician Workforce,
Pediatrics, Apr 2007; 119: 833 - 837.
American Academy of Pediatrics; Committee on Pediatric
Workforce . 2004;114 (6)::1677-1685
American Academy of Pediatrics; Committee on Pediatric
Workforce Culturally
Effective Pediatric Care: Education and Training Issues
(RE9753). Pediatrics. 1999;103(1):167-170
Reports/Documents
Academy working on issue of how to pay
for interpreters - AAP News (February
2004) Carmelita V. Britton, M.D., FAAP
Full
Text
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
Lillie-Blanton M, Lewis CB. Policy Challenges and Opportunities
in Closing the Racial/Ethnic Divide in Health Care. Kaiser
Family Foundation March 2005. www.kff.org
Shone LP, Dick AW, Klein JD, et al. Reduction
in racial and ethnic disparities after enrollment in the
State Children's Health Insurance Program. Pediatrics
Electronic Pages. 2005;115(6):e697-e705.
Swabey L, Thiel de Bocanegra H, Gany F, and Morrison R.
An Introduction to Medical Interpreting: A Trainer's Manual.
NY Task Force on Immigrant Health, NY University School
of Medicine, 1997. Contact New York Task Force on Immigrant
Health at 2-2-263-8783.
Torres B, "Best Practice Recommendations for Hospital-Based
Interpreter Services". Massachusetts Department of
Public Health, Office of Minority Health, 2001. www.state.ma.us/dph/omh/interp/interpreter.htm
Durham M, Madansky D, Lowell M, et al. "Establishing
Interpreter Services in Health Care Settings". Amherst,
MA: Diversity Resources, 2001. Contact Diversity Resources
at 1-800-865-5549.
Youdelman M, and Perkins J. "Providing Language
Interpretation Services in Health Care Setting: Examples
from the Field". The Commonwealth Fund, 2002. www.cmwf.org
Assessment of the Total Benefits and Cost of Implementing
Executive Order No 13116: Improving Access to Services for
Persons with Limited English Proficiency, U.S. Office of
Management and Budget Report to Congress, 2002. www.whitehouse.gov/omb/inforeg/regpol-reports_congress.html
In the Nation's Compelling Interest: Ensuring Diversity
in the Health Care Workforce. Institute of Medicine of the
National Academies Press 2004. www.nap.edu/books/030909125X/html/
"Models for the Provision of Language Access in Health
Care Settings". The National Council on Interpreting
in Healthcare Working Papers Series, 2002. www.ncihc.org
"The Role of the Health Care Interpreter: An Evolving
Dialogue". The National Council on Interpreting in
Healthcare Working Papers Series, 2001. www.ncihc.org
The Terminology of Health Care Interpreting: Glossary of
Terms. The National Council on Interpreting in Healthcare
Working Papers Series, Volume 3, 2001. www.ncihc.org
"Bridging the Language Gap: How to Meet the Need for
Interpreters in Minnesota, Interpreter Standards Advisory
Committee". University of Minnesota and the Minnesota
State Colleges and Universities Systems, 1998. www.cce.umn.edu/creditcourses/pti/
This site includes literacy activities, health
literacy and a section on listening to immigrants. These
interactive health literacy exercises provide practice in
4 different skill areas: reading a prescription medicine
label, reading an over-the-counter OTC medicine label, reading
special warning labels and information about side effects.
They also have introductions spoken and printable on these
topics in English, Arabic, Hmong and Somali.
The
Interpreter's World Tour: An Environmental Scan of Standards
of Practice for Interpreters, has been published on
The California Endowment Web site. In it, Marjory Bancroft,
M.A., founder and director of Maryland-based CrossCultural
Communications, reviews standards of practice in interpreting
within the U.S and around the world. Among her findings:
- Codes of ethics or standards-of-practice documents were
most commonly found in industrialized nations with high
levels of immigration, such as the U.S., Canada, Australia,
New Zealand, and European countries.
- In most industrialized countries, conference, legal,
and/or sign language interpreting are far more developed
than community or health care interpreting.
- Community and health care interpreting appears to be
driven by the presence and promotion of "language
access laws."
Bancroft concludes that as a global leader in the interpreting
profession, the United States "may bear a particular
responsibility to develop national standards of practice
for interpreters in health care."
Key
Questions About HIPAA and Language Services in Health Care
HIPAA and Language Services in Health Care discusses
how the Health Insurance Portability and Accountability
Act's (HIPAA's) patient privacy rules apply to interpreters
who provide language services to individuals with limited
English proficiency in health care settings. The issue brief
was prepared by the National Health Law Program with support
from the California Endowment.
Information is presented in a series of questions and answers
addressing such topics as who is covered by the HIPAA privacy
rules and how to know if the rules apply, what patient information
is protected under HIPAA, when an interpreter can disclose
protected patient information, HIPAA training for interpreters
and who is responsible for providing training, and what
to do if the interpreter believes that the privacy rules
are being violated.
Over the past two decades, the number of Americans who speak
a language other than English at home has increased, as
has the number of Americans with limited English proficiency
(LEP). Previous research has shown that disparities in children's
health and health care are associated with both of these
factors. New research shows, however, that LEP is the more
useful measure in gauging the impact of language barriers
on children's health and health care.
Physicians
Perspectives on Communication Barriers
The Robert Wood Johnson Foundation sponsored this focus
group study with physicians to better understand communication
challenges that exist between health care providers and
patients with limited or no English proficiency. Lake Snell
Perry & Associates, a research firm in Washington, DC,
conducted six focus groups in four sites across the country
May through July 2003. The purpose of this project was to
hear directly from physicians who treat a growing number
of patients who are non-English proficient (NEP) or limited
English proficient (LEP). It should be noted that this study
is exploratory. It offers descriptive insights into the
experiences and perceptions of physicians caring for NEP/LEP
populations.
This paper reviews recent reports that demonstrate disparities
in health care for children and current federal efforts
to eliminate them. Instead of simply describing disparities,
this paper also presents recommendations that can reduce
disparities. By reviewing current problems, practices, and
recommendations in health care coverage, quality, and provider
training, the author maps out a plan for reducing disparities
in child health that complements existing efforts.
Providing Language Services in Small Health Care Provider
Settings: Examples from the Field
Describes a variety of ongoing activities designed to improve
language services in small health care settings. The National
Health Law Program, with support from the Commonwealth Fund,
conducted site visits and phone interviews at small health
care settings (defined as those with 10 or fewer clinicians).
The report presents information on promising, replicable
activities including recruiting bilingual staff for dual
roles, providing ongoing cultural and language competency
training for interpreter staff, using community resources
(e.g., hospitals, managed care organizations, students,
volunteers), and capitalizing on underutilized funding sources.
The report is intended for use by health professionals in
developing strategies to meet the needs of individuals with
limited English proficiency and the communities in which
they reside.
Quality
Health Care for Limited English Populations: Hablamos Juntos
- Lessons Learned
After three years and many hours of work dedicated to improving
communication between heath care providers and their limited
English-proficient patients the Hablamos Juntos National
Program Office presentation of the results and lessons learned
are available from the efforts put forward through this
Robert Wood Johnson Foundation initiative. This information
includes the highlights of their Quality Health Care for
Limited English Populations: Hablamos Juntos Lessons Learned
meeting held in Washington, D.C. To access meeting materials
click here: hablamosjuntos.org/resource_guide_portal/lessons_learned/default.asp
2002
National Survey of Latinos
The Kaiser Foundation conducted a survey of Latino
communities which noted that three in 10 Latinos cite communication
problems with providers due to language barriers - including
12% who say this has been a major problem for them in the
past year. The survey indicates that 18% of Latinos also
have difficulty getting care because of their race or ethnic
background. More than 20% of respondents said they have
problems paying medical bills, and one-fifth have delayed
seeking care due to costs.
National
Survey of Physicians Part I: Doctors on Disparities in Medical
Care
"Selected findings from the Kaiser Family Foundation’s
forthcoming National Survey of Physicians reveal that most
physicians are aware of racial disparities in medical treatment
for specific conditions, but they don’t believe it
is a widespread problem."
Kaiser Family Foundation, March 2002
Providing
Language Interpretation Services in Health Care Settings:
Examples from the Field.
Published by The Commonwealth Fund.Mara Youdelman and Jane
Perkins, May 2002. (#541)
Reducing
Health Disparities Through a Focus on Communities
"The report presents evidence from research and practice
of the key role that neighborhood factors play in determining
health outcomes and explores the relationship between the
communities in which people live and their health."
PolicyLink, November 2002
Groups of immigrant mothers from Japan and South
America know less about child development than do their
European American counterparts, according to a study by
researchers at the National Institute of Child Health and
Human Development of the National Institutes of Health.
National Institute of Child Health
and Human Development (NICHD), November 1, 2004
Unequal
Treatment: Confronting Racial and Ethnic Disparities in
Health Care
"Report from the Institute of Medicine, March 2002,
supporting the long-held perception that minorities tend
to receive lower-quality health care than whites, even when
insurance status, income, age and severity of conditions
are comparable. "
Last Update
September 10, 2007
|
