| Critical
Domains for Measuring Cultural Competence
Analysis of the conceptual and other literature led
to the extrapolation of nine "domains" that
provide a basis for developing a measurement profile.
Values and attitudes refer to beliefs
held by healthcare professions, organizations that influence
health care delivery.
Cultural sensitivity denotes the providers'
heightened awareness and can be a precursor to changing
values, attitudes, and behaviors.
Communication encompasses the variety
of ways that describe how the exchange of information
among those involved in care delivery occurs.
Policies and procedures consist of
the programmatic and planning vehicles through which
organizations can facilitate the provision of culturally
competent care.
Training and staff development concentrate
on providing professionals with the requisite knowledge
and skills to supply culturally competent care.
Facility characteristics, capacity, and infrastructure
focus or access and availability of care and the environment
in which it is provided, including location, physical
resources, and information systems.
Intervention and treatment model features
includes evaluation, diagnosis, treatment, and referral
and how culture-specific knowledge and sensitivity can
enhance them.
Family and community participation
recognizes the role of the family and community in achieving
quality health care.
Monitoring, evaluation and research
includes activities to assess progress in cultural competence
efforts as well as to create and disseminate new knowledge.
Areas of overlap exist where topic areas align with
several domains. These areas of overlap are highlighted
in Section II.C.
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