Brach Cindy, Fraser Irene
Center for Organization and Delivery Studies, Agency for Healthcare Research and Quality, Rockville, Maryland, USA.
Qual Manag Health Care. 2002 Summer;10(4):15-28. doi: 10.1097/00019514-200210040-00005.
Finding ways to deliver high-quality health care to an increasingly diverse population is a major challenge for the American health care system. The persistence of racial and ethnic disparities in health care access, quality, and outcomes has prompted considerable interest in increasing the cultural competence of health care, both as an end in its own right and as a potential means to reduce disparities. This article reviews the potential role of cultural competence in reducing racial and ethnic health disparities, the strength of health care organizations' current incentives to adopt cultural competence techniques, and the limitations inherent in these incentives that will need to be overcome if cultural competence techniques are to become widely adopted.
找到为日益多样化的人群提供高质量医疗保健的方法，是美国医疗保健系统面临的一项重大挑战。在医疗保健的可及性、质量和结果方面，种族和族裔差异持续存在，这引发了人们对提高医疗保健文化能力的浓厚兴趣，这既是其本身的目标，也是减少差异的一种潜在手段。本文回顾了文化能力在减少种族和族裔健康差异方面的潜在作用、医疗保健组织目前采用文化能力技术的激励力度，以及如果文化能力技术要得到广泛应用就需要克服的这些激励措施所固有的局限性。
