Sample
Topic Areas Addressed by the Critical Domains of Cultural
Competence
Each of the domains identified contains numerous topic
areas that provide a more detailed understanding of
the areas in which change can be seen and therefore
measured. Some specific topic areas are identified below.
(See Attachment 2 for more details)
Values and attitudes - acknowledges/respects
different cultures, diversity, mission
Cultural sensitivity - clinical and
non-clinical encounters, non-verbal communication, visual
representation
Communication - communication styles,
interpreter, translated materials, linguistically competent
organization, linguistic capacity of the provider, language
ability of consumer, provide information, cultural brokering
Policies and procedures - choice of
health plan network and providers, grievance and conflict
resolution, planning and governance, adequate financing,
staff hiring/recruitment, incentive systems, policy
development
Training and staff development - new
staff orientation, structured opportunities for ongoing
learning, bilingual training, assessment of the knowledge
and skills/attitudes of the provider, cultural knowledge,
knowledge of community needs, provider preparation
Facility characteristics, capacity, and infrastructure
- accessible services, physical environment, information
system
Intervention and treatment model features
- diagnosis, care planning, referral, and treatment,
quality of care, health benefit design, input into treatment
decisions, ethno pharmacology, traditional healers,
interdisciplinary teams
Family and community participation
- family-centered care, community and consumer participation,
community outreach
Monitoring, evaluation and research
- consumer satisfaction, community needs assessment,
organizational assessment evaluation of health plans
and providers
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