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Cultural Competence in Health A Review of the Evidence

:	Crystal Jongen, Janya McCalman, Roxanne Bainbridge, Anton Clifford
:	Cultural Competence in Health A Review of the Evidence
:	Springer-Verlag
:	9789811052934
:	1
:	CHF 47.50
:

:	Allgemeines
:	English

:	139
:	Wasserzeichen/DRM
:	PC/MAC/eReader/Tablet
:	PDF

Thi resource supports evidence-informed approaches to improving the cultural competence of health service delivery. By reviewing the evidence from Australia, Canada, New Zealand and the US, it provides readers with a clear and systematic overview of the interventions and indicators applied to enable health system agencies and professionals to work effectively in various cross-cultural health care situations. The book highlights the importance of cultural competence and describes the current situation in the studied countries; identifies effective approaches and strategies for improving the situation; reviews the indicators for measuring progress; assesses the health outcomes associated with cultural competence; summarizes the quality of the evidence; and presents an evidence-informed conceptual framework for cultural competence in health. Cultural competence is critical to reducing health disparities and has become a popular concept in these countries for improving access to high-quality, respectful and responsive health care. This book provides policy makers, health practitioners, researchers and students with a much needed summary of what works to improve health systems, services and practice.

	Foreword	6
	Preface	8
	Contents	11
	Chapter 1: Introduction	15
	1.1 Cultural Competence Defined	15
	1.2 Cultural Competence-Related Terms	17
	1.3 The Historical Development of Cultural Competence	17
	1.4 What Does Cultural Competence Encompass	18
	1.5 A Multilevel Framework for Cultural Competence in Healthcare	19
	1.6 The Purpose of This Book	20
	1.7 The Objectives of This Book	20
	1.8 Structure of the Book	21
	1.8.1 Chapter 2: The Drivers of Cultural Competence	21
	1.8.2 Chapter 3: Methods	21
	1.8.3 Cultural Competence: A Multilevel, Systematic Scoping Review	21
	1.8.4 Chapter 4: Health Workforce Development Interventions to Improve Cultural Competence	22
	1.8.5 Chapter 5: Cultural Competence Education and Training Interventions for Health and Medical Students	22
	1.8.6 Chapter 6: Programs and Services to Improve Cultural Competence in Healthcare	22
	1.8.7 Chapter 7: Health Organisation and System Cultural Competence Interventions	23
	1.8.8 Chapter 8: Cultural Competence Strengths, Weaknesses and Future Directions	23
	1.8.9 Chapter 9: Multilevel Cultural Competence Intervention Implementation and Evaluation Framework	23
	References	23
	Chapter 2: The Drivers of Cultural Competence	26
	2.1 Introduction: The Conceptual Underpinnings of Cultural Competence	26
	2.1.1 Pathway 1: Cultural or Sociocultural Differences	26
	2.1.2 Pathway 2: Healthcare Disparities	27
	2.2 Pathway 1: Culture and Sociocultural Differences	28
	2.2.1 What Is Culture?	29
	2.2.2 Sociocultural Differences and Healthcare Appropriateness	30
	2.2.3 Conflating Culture with Ethnicity and Race	31
	2.2.4 Worldviews, Language and Healthcare Appropriateness	32
	2.2.5 Increasing Population Diversity	34
	2.3 Pathway 2: Disparities in Healthcare Treatment and Quality	35
	2.3.1 The Role of Bias in Healthcare Disparities	37
	2.3.2 The Social Determinants of Health	39
	2.3.3 Racism as a Social Determinant of Health	41
	2.3.4 Colonisation as a Social Determinant of Health	42
	2.4 The Centrality of Power, Voice and Control	43
	2.5 Summary: Complexity in the Cultural Competence Conceptual Landscape	44
	2.6 Conclusion	46
	References	46
	Chapter 3: Methods	54
	3.1 Introduction	54
	3.2 Inclusion/Exclusion Criteria	54
	3.3 Search Strategy	55
	3.3.1 Identification, Screening and Inclusion of Publications	57
	3.3.2 Data Extraction and Analysis	58
	3.3.3 Limitations of the Review	59
	References	59
	Chapter 4: Health Workforce Development Interventions to Improve Cultural Competence	61
	4.1 Background	61
	4.2 Characteristics of Workforce Development Interventions	63
	4.3 Cultural Competence Workforce Development Intervention Strategies	63
	4.3.1 Cultural Competence Training	65
	4.3.2 Professional Development Interventions	67
	4.3.3 Delivery Mode	70
	4.4 Intervention Outcomes	70
	4.5 Measurement and Study Quality	72
	4.6 Conclusion	73
	References	74
	Chapter 5: Cultura