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Published on: February 16, 2011
Culturally competent care pedagogy: what works?
Daryll C Dykes1, Augustus A White
1Twin Cities Spine Center, Minneapolis, MN, USA.
Clinical Orthopaedics and Related Research
|April 5, 2011
Summary
Culturally competent care education shows variation in approaches and lacks robust evaluation. More research is needed to develop evidence-based strategies that reduce healthcare disparities for minority patients.
Area of Science:
- Health Services Research
- Medical Education
- Health Disparities
Background:
- Racial and ethnic minorities receive lower-quality health care than white Americans.
- Caregiver bias may contribute to health care disparities.
- Accreditation bodies mandate culturally competent care education.
Purpose of the Study:
- Assess current approaches to culturally competent care education.
- Identify tools for evaluating such education.
- Examine the impact on caregivers and patient outcomes.
Main Methods:
- Literature review of PubMed-searched articles.
- Analysis of authors' experience in culturally competent care education.
- Evaluation of existing educational strategies and their effectiveness.
Main Results:
- Significant variation exists in educational approaches; guidelines and evaluation methods are lacking.
- Current programs may improve provider knowledge and attitudes but lack empirical evidence of reducing care disparities.
- There is limited evidence that existing programs reduce indicators of disparate care.
Conclusions:
- Evidence-based educational strategies are needed to change provider behavior and reduce healthcare disparities.
- Ongoing dialogue, research, and development in educational methodologies are crucial.
- Addressing systemic barriers is essential for effective culturally competent care education.
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