Guerrero Erick G
School of Social Work, University of Southern California, Los Angeles, CA 90089, USA.
Eval Program Plann. 2012 Feb;35(1):9-15. doi: 10.1016/j.evalprogplan.2011.06.001.
Recent years have seen an increased interest in developing culturally and linguistically responsive systems of care in substance abuse treatment in the United States. This study examines the extent to which external and internal organizational pressures contributed to the degree of adoption of culturally and linguistically responsive practices in the nation's outpatient substance abuse treatment system early in the period of development of this system of care. Findings show that a higher degree of adoption of culturally competent practices was most likely in treatment programs with high dependence on external funding and regulation. Internally, programs with a larger number of professionals were associated with the lowest degree of adoption, while managers' cultural sensitivity contributed significantly to a high degree of adoption of these responsive practices. Considering the passage of recent legislation enforcing the use of cultural and linguistic competence in health care, implications of these baseline findings on early adoption patterns are discussed for future research and health care policy evaluation.
近年来，美国在药物滥用治疗中开发具有文化和语言适应性的护理系统方面的兴趣有所增加。本研究考察了外部和内部组织压力在多大程度上促成了该国门诊药物滥用治疗系统在这一护理系统发展初期对具有文化和语言适应性做法的采用程度。研究结果表明，在高度依赖外部资金和监管的治疗项目中，最有可能更高程度地采用具有文化能力的做法。在内部，专业人员数量较多的项目采用程度最低，而管理人员的文化敏感性对这些适应性做法的高度采用有显著贡献。考虑到最近强制在医疗保健中使用文化和语言能力的立法的通过，讨论了这些基线研究结果对早期采用模式的影响，以供未来研究和医疗保健政策评估参考。
