Cultural Competence: Essential Measurements of Quality for Managed Care Organizations
1996; American College of Physicians; Volume: 124; Issue: 10 Linguagem: Inglês
10.7326/0003-4819-124-10-199605150-00010
ISSN1539-3704
Autores Tópico(s)Geriatric Care and Nursing Homes
ResumoEditorials15 May 1996Cultural Competence: Essential Measurements of Quality for Managed Care OrganizationsRisa Lavizzo-Mourey, MD, MBA and Elizabeth R. Mackenzie, PhDRisa Lavizzo-Mourey, MD, MBAInstitute on Aging, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 and Elizabeth R. Mackenzie, PhDInstitute on Aging, University of Pennsylvania School of Medicine, Philadelphia, PA 19104Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-124-10-199605150-00010 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail We are currently witnessing a radical change in the health care system in the United States as a result of the managed care juggernaut. Driven by the imperative to stem increasing health care costs, managed care seeks to save money by “managing” health care utilization and narrowing the choices available to health care consumers. Although both cost-saving strategies are effective, they also present a potential threat to quality of care. As HEDIS and other measures of quality are revised, physicians must establish guidelines for quality of care that support the burgeoning managed health care environment. In developing these guidelines and ...References1. Fisher RS. Medicaid managed care: the next generation? Acad Med. 1994; 69:317-22. Google Scholar2. United States. Bureau of the Census. Statistical Abstract of the United States. Washington, DC: U.S. Government Printing Office; 1995:19. Google Scholar3. Time. 9 April 1990:28. Google Scholar4. Health Status of Minorities and Low-Income Groups. 3d ed. Washington, DC: U.S. Department of Health and Human Services, Public Health Service, Health Resources and Services Administration, Bureau of Health Professions, Division of Disadvantaged Assistance; 1991. DHHS no. 271-848/40085. Google Scholar5. LaVeist TA. Segregation, poverty, and empowerment. Milbank Q. 1993; 71:41-64. Google Scholar6. Emanuel LL. A professional response to demands for accountability: practical recommendations regarding ethical aspects of patient care. Ann Intern Med. 1996; 124:240-9. Google Scholar7. Kleinman A, Eisenberg L, Good B. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978; 88:251-8. Google Scholar8. Blackhall LJ, Murphy ST, Frank G, Michel V, Azen S. Ethnicity and attitudes toward patient autonomy. JAMA. 1995; 274:820-5. Google Scholar9. Carrese JA, Rhodes LA. Western bioethics on the Navajo reservation. Benefit or harm? JAMA. 1995; 274:826-9. Google Scholar10. Friedman E. Money isn't everything. Nonfinancial barriers to access. JAMA. 1994; 271:1535-8. Google Scholar11. Friedman EA. Diabetic nephropathy in blacks. Transplant Proc. 1993; 25:2431-2. Google Scholar12. Fisher EB Jr, Sussman LK, Arfken C, Harrison D, Munro J, Sykes RK, et al. Targeting high risk groups. Neighborhood organization for pediatric asthma management in the Neighborhood Asthma Coalition. Chest. 1994; 106(Suppl 4):248S-259S. Google Scholar13. Hufford DJ. Gender, culture, and experience: a case of fatal, painful miscommunication [Presentation]. Human Diversity in Health Care. Philadelphia: University of Pennsylvania; 18 March 1996. Google Scholar14. Wood AJ, Zhou HH. Ethnic differences in drug disposition and responsiveness. Clin Pharmacokinet. 1991; 20:350-73. Google Scholar15. McDaniel DO, Alarcon GS, Pratt PW, Reveille JD. Most African-American patients with rheumatoid arthritis do not have the rheumatoid antigenic determinant (epitope). Ann Intern Med. 1995; 123:181-7. Google Scholar16. Lang CC, Stein CM, Brown RM, Deegan R, Nelson R, He HB, et al. Attenuation of isoproterenol-mediated vasodilatation in blacks. N Engl J Med. 1995; 333:155-60. Google Scholar17. Saunders E. Hypertension in African-Americans. Circulation. 1991; 83:1465-7. Google Scholar18. Koenig JQ, Costa LG, Kaylor G. Lymphocyte β-adrenoceptors, asthma, and ethnicity [Letter]. Lancet. 1992; 340:738. Google Scholar19. Kitler ME. Clinical trials and transethnic pharmacology. Drug Saf. 1994; 11:378-91. Google Scholar20. Chrisman NJ, Maretzki TW, eds. Clinically Applied Anthropology: Anthropologists in Health Science Settings. Boston: D. Reidel; 1982. Google Scholar Author, Article, and Disclosure InformationAffiliations: Institute on Aging, University of Pennsylvania School of Medicine, Philadelphia, PA 19104Corresponding Author: Risa Lavizzo-Mourey, MD, MBA, Institute on Aging, 3615 Chestnut Street, Philadelphia, PA 19104.Current Author Addresses: Drs. Lavizzo-Mourey and Mackenzie: Institute on Aging, 3615 Chestnut Street, Philadelphia, PA 19104. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByThe Elusive Construct of Cultural CompetenceCulturally Appropriate CareLearning Through Reflection—Enhancing Culturally Proficient Learning Communities in Midwifery Practice and Education: An Experience-Based Learning Journey in London, UKModel minority stereotype and the diagnosis of alcohol use disorders: Implications for practitioners working with Asian AmericansUnderstanding the Effect of Service-Learning Experiences on Students' Cultural Competence in Higher EducationTaiwanese medical students’ narratives of intercultural professionalism dilemmas: exploring tensions between Western medicine and Taiwanese cultureCulturally competent patient–provider communication in the management of cancer: An integrative literature reviewWholistic Health Care: Evolutionary Conceptual AnalysisA Cross Sectional and Longitudinal Study of Pharmacy Student Perceptions of Readiness to Serve Diverse PopulationsEducating Medical Professionals to Deliver Quality Health Care to Diverse Patient PopulationsCultural consultation as a model for training multidisciplinary mental healthcare professionals in cultural competence skills: preliminary resultsCaring for ethnic minority patients: A mixed method study of nurses' self-assessment of cultural competencyEthnic Minorities and Their Health Needs: Crisis of Perception and BehavioursAnti‐discriminatory PracticeAdvances in Measuring Culturally Competent CareThe Need to Examine Culture in Health TechnologyAre Immigrants from Asia Healthier than Immigrants from Other Regions?: Self-reported Health Status and Functional Difficulties of Immigrants in the USAReferencesCultural Competency, Human Genomics, and the Elimination of Health DisparitiesPerceptions of Diabetes Symptoms and Self-Management StrategiesEnhancing the Cultural Competency of Health Care OrganizationsThe effects of nurse practitioner cultural competence on Latina patient satisfactionA Primer for Developing a Public Agency Service Ethos of Cultural Competency in Public Services Programming and Public Services DeliveryCultural competence for the voice and airway surgeonFolk and traditional medicine use by a subset of Hispanic adolescentsChapter 1. Cultural CompetenceViewpoint: Cultural Competence and the African American Experience with Health Care: The Case for Specific Content in Cross-Cultural EducationHealth Care Barriers and Same-Sex Intimate Partner Violence: A Review of the LiteratureToward understanding ethnic and cultural factors in the interviewing process.Contextualizing cultural competence training of residents: results of a formative research study in Geneva, SwitzerlandReport of the ASHP Ad Hoc Committee on Ethnic Diversity and Cultural CompetenceAn ecological model for understanding culture as a determinant of women's healthAddressing Barriers to Cultural CompetenceCultural competence among physicians treating Mexican Americans who have diabetes: a structural modelInner City African-American Elderly Patients' Perceptions and Preferences for the Care of Chronic Knee and Hip Pain: Findings From Focus GroupsUrban Health: A Look Out Our WindowsHIV Health Care Services For Mexican MigrantsHealth plan effects on patient assessments of medicaid managed care among racial/ethnic minoritiesLessons for culturally competent evaluation from the study of a multicultural initiativeTraining of Medical Professionals and the Delivery of Health Care as Related to Cultural Identity GroupsHealth Care Disparities in Emergency MedicineRacial and Ethnic Disparities in the Clinical Practice of Emergency MedicineRacial and Ethnic Disparities in Health: An Emergency Medicine PerspectiveBuilding the Case for Cultural CompetenceA Strategy to Reduce Cross-cultural Miscommunication and Increase the Likelihood of Improving Health OutcomesRecommendations to promote healthy social environmentsCultural politics and clinical competence in Australian health servicesThe Ethnogeriatric ImperativeCultural Competence in Psychiatric Nursing: Have you “Asked” the Right Questions?Using Focus Groups to Evaluate and Strengthen Public Health Nursing Population-Focused InterventionsThe Process of Cultural Competence in the Delivery of Healthcare Services: A Model of CareDesigning and evaluating interventions to eliminate racial and ethnic disparities in health careTHE FAMILIES WHO CARE PROJECT: MEETING THE EDUCATIONAL NEEDS OF AFRICAN AMERICAN AND RURAL FAMILY CARE GIVERS DEALING WITH DEMENTIAA Study on Recruitment of Black Americans Into Clinical Trials Through A Cultural Competence LensCan Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual ModelBattered Immigrant Mexican Women's Perspectives Regarding Abuse and Help-SeekingJapanese Couples' Childbirth Experiences in Michigan: Implications for CareBook reviewsUse of Cancer Screening Practices by Hispanic Women: Analyses by SubgroupCulturally Competent Managed Health Care: A Family Physician’s PerspectiveA Framework for Providing Culturally Competent Health Care Services in Managed Care OrganizationsManaged Care: Pitfalls for Cultural BiasAre latinos less satisfied with communication by health care providers?An exploratory study of social support: a cross-cultural comparison of Chinese-, Japanese-, and Anglo-American breast cancer patientsThe social ecology of syphilisThe cultural context of dying from cancer 15 May 1996Volume 124, Issue 10Page: 919-921KeywordsAsthmaEpidemiologyHealth careHealth care qualityHealth screeningMedicareMotivationPopulation statisticsSocioeconomic statusType 2 diabetes Issue Published: 15 May 1996 CopyrightCopyright © 1996 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...
Referência(s)