What is the key to culturally competent care: Reducing bias or cultural tailoring?
Objective:To gain a better understanding as to whether disparities in patient–provider relationships arise from ethnic minority patients being treated differently than European American patients while they would prefer to be treated the same, or whether disparities arise when ethnic minority patient...
| Published in: | Psychology & Health Vol. 32; no. 4; pp. 493 - 508 |
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| Main Authors: | , , |
| Format: | research Journal Article |
| Published: |
Taylor & Francis Ltd
Apr2017
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121369467&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121369467 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08870446 7WK jtl: Psychology & Health issn: 08870446 maglogo: N pubinfo: dt: Apr2017 vid: 32 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 121369467 121369467 121369467 10.1080/08870446.2017.1284221 121369467 ppf: 493 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: What is the key to culturally competent care: Reducing bias or cultural tailoring? aug: au: Cuevas, Adolfo G. O'Brien, Kerth Saha, Somnath affil: Department of Psychology, Portland State University, Portland, OR, USA sug: subj: Physician-Patient Relations Cultural Competence Healthcare Disparities Minority Groups Patient Centered Care Patient Attitudes African Americans White Persons Ethnic Groups Focus Groups Hispanic Americans Human Coding Thematic Analysis Data Analysis Software Physicians Racism Trust Comparative Studies Consumer Satisfaction Audiorecording Alternative Therapies Health Knowledge Discrimination Insurance Coverage Funding Source ab: Objective:To gain a better understanding as to whether disparities in patient–provider relationships arise from ethnic minority patients being treated differently than European American patients while they would prefer to be treated the same, or whether disparities arise when ethnic minority patients are treated the same as European American patients while they would prefer to be treated differently. Method:African-American, Latina/Latino and European American community members were recruited to participate in one of 27 focus group discussions. Topics included what made a good or bad relationship with a doctor and what led one to trust a doctor. A thematic analysis was conducted usingNVivo 10. Results:Patients of all groups described experiences that reflected the concepts of patient-centred care, such as wanting a clinician who is attentive to patients’ needs. African-American patients reported experiences they viewed as discriminatory. Some African-American patients felt it was appropriate to racially/ethnically contextualise their care, and most Latina/Latino patients preferred language/culturally concordant clinicians. Conclusion:Health care disparities might be reduced through a patient-centred approach to cultural competency training, general knowledge of the cultural context of clinicians’ patient population, and attention to the effects of racial bias and discrimination among both clinicians and non-clinical staff. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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