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Table Of Contents
PART ONE: Introduction and key findings | 1 | |
I. Introduction | 3 | |
Context of Diversity and Cultural Competence in Health Care | 3 | |
The CLAS Standards and Cultural Competence Research Agenda Projects | 3 | |
Objectives of Cultural Competence Research | 4 | |
II. Overview of the Cultural Competence Research Agenda Project | 7 | |
Project Goals and Objectives | 7 | |
Project Methodology | 7 | |
Highlights of Literature Review Findings | 9 | |
Highlights of the Research Agendas | 10 | |
Summary of Methodological and Practical Considerations | 14 | |
PART TWO: Cultural Competence Research Agendas | 15 | |
I. Overview | 17 | |
Categories | 17 | |
Format | 18 | |
II. Category A: Culturally Sensitive Interventions | 19 | |
Research Agenda on Cultural Competence Education and Training | 19 | |
Research Agenda on Racial, Ethnic, and Linguistic Concordance | 24 | |
Research Agenda on Community Health Workers | 27 | |
Research Agenda on Culturally Competent Health Promotion | 30 | |
Research Agenda on Family/Community Inclusion in Health Care Delivery | 32 | |
Research Agenda on Coordination of Conventional Medicine and Traditional Practices/Healers | 34 | |
III. Category B: Language Assistance | 36 | |
Research Agenda on Language Barriers, Bilingual Services, Oral Interpretation, and Translated Written Materials | 36 | |
IV. Category C: Organizational Supports for Cultural Competence | 42 | |
State of the Literature | 42 | |
Research Agenda on Management, Policy and Implementation Strategies to Institutionalize Cultural Competence Activities | 43 | |
Research Agenda on Community Involvement in Cultural Competence Program Planning, Design, Implementation, Governance, Training, and Research | 44 | |
Research Agenda on Design and Use of Surveys and Profile Instruments to Plan for Services, and Measure Satisfaction and Quality | 45 | |
Research Agenda on Cultural Competence Self-Assessments and Ethnic Data Collection/Community Profiles | 46 | |
Research Agenda on Culturally Appropriate Ethics, Conflict, and Grievance Resolution Processes | 47 | |
Research Agenda on Public Information about CLAS Standards Performance | 47 | |
Research Agenda on Implementation of all the CLAS Standards as a Comprehensive Organizational Strategy | 48 | |
Methodological and/or Policy Considerations Influencing Future Research | 48 | |
PART THREE: Methodological and Practical Considerations Related to Conducting Research on Cultural Competence | 49 | |
I. Methodological Challenges to Conducting Cultural Competence Research | 51 | |
Definitions of Cultural Competence in Health Care | 51 | |
Study Design | 53 | |
II. Data Challenges | 55 | |
Universal Issues | 55 | |
Institutional Issues | 55 | |
Community/Individual Issues | 56 | |
III. Better Links Between Researchers and Cultural Competence Experts | 57 | |
IV. Funding and Publication Issues | 58 | |
Funding | 58 | |
Publication | 58 | |
Dissemination | 59 | |
Appendix One: Key Words Used in Literature Review | 61 | |
I. Keywords Used for Category A: Culturally Sensitive Interventions | 63 | |
II. Keywords Used for Category B: Language Assistance | 63 | |
III. Keywords Used for Category C: Organizational Supports for Cultural Competence | 64 | |
Appendix Two: Literature Reviews and Matrices | 65 | |
I. Format of Appendix Two | 67 | |
II. Category A: Culturally Sensitive Interventions | 68 | |
Cultural Competence Education and Training | 68 | |
Literature Summary Matrices | 71 | |
Racial, Ethnic and Linguist Concordance | 77 | |
Literature Summary Matrices | 79 | |
Community Health Workers | 85 | |
Literature Summary Matrices | 87 | |
Culturally Competent Health Promotion | 91 | |
Literature Summary Matrices | 94 | |
Family/Community Inclusion in Health Care Delivery | 108 | |
Literature Summary Matrices | 110 | |
Coordination of Conventional Medicine and Traditional Practices/Healers | 113 | |
Literature Summary Matrices | 114 | |
III. Category B: Language Assistance | 120 | |
Language Barriers, Bilingual Services and Oral Interpretation,and Translated Written Materials | 120 | |
Literature Summary Matrices | 125 | |
IV. Category C: Organizational Supports for Cultural Competence | 142 | |
Management, Policy and Implementation Strategies to Institutionalize Cultural Competence Activities | 142 | |
Design and Use of Surveys and Profile Instruments to Plan for Service and Measure Satisfaction and Quality | 142 | |
Other Organizational/Administrative Supports Not Part of this Literature Review | 143 | |
Research Considerations | 143 | |
Literature Summary Matrices | 144 | |
Appendix Three: Select Research Advisory Committee (RAC) Meeting Materials | 151 | |
I. Research Advisory Committee Participant Roster | 153 | |
II. Research Advisory Committee Meeting agenda | 155 | |
III. Research Advisory Committee Meeting Goals | 156 | |
References | 157 | |
Appendix Four: Abstracts | 173 | |
Preface | 175 | |
Cultural Competence Education and Training | 177 | |
Racial, Ethnic and Linguist Concordance | 182 | |
Community Health Workers | 185 | |
Culturally Competent Health Promotion | 188 | |
Family/Community Inclusion in Health Care Delivery | 197 | |
Coordination of Conventional Medicine and Traditional Practices/Healers | 199 | |
General | 203 | |
Language Assistance | 203 | |
Organizational Supports | 215 |
Read the preliminary report:
Assuring Cultural Competence in Health Care: Recommendations for National Standards and an Outcomes-Focused Research Agenda (1999).