Kessler Remi A, Coates Wendy C, Chanmugam Arjun
Johns Hopkins School of Medicine, Department of Emergency Medicine, Baltimore, Maryland.
University of California, Los Angeles, David Geffen School of Medicine at UCLA, Harbor-UCLA Department of Emergency Medicine, Los Angeles, California.
West J Emerg Med. 2017 Feb;18(2):223-228. doi: 10.5811/westjem.2016.10.31780. Epub 2016 Dec 6.
The objective of this study was to analyze the content and volume of literature that has been written on cultural competency in emergency medicine (EM) since its educational imperative was first described by the Institute of Medicine in 2002.
We conducted a comprehensive literature search through the PubMed portal in January 2015 to identify all articles and reviews that addressed cultural competency in EM. Articles were included in the review if cultural competency was described or if its impact on healthcare disparities or curriculum development was described. Two reviewers independently investigated all relevant articles. These articles were then summarized.
Of the 73 abstracts identified in the initial search, only 10 met criteria for inclusion. A common theme found among these 10 articles is that cultural competency in EM is essential to reducing healthcare disparities and improving patient care. These articles were consistent in their support for cross-cultural educational advancements in the EM curriculum.
Despite the documented importance of cultural competency education in medicine, there appears to be only 10 articles over the past 12 years regarding its development and implementation in EM. This comprehensive literature review underscores the relative dearth of publications related to cultural competency in EM. The limited number of articles found is striking when compared to the growth of EM research over the same time period and can serve as a stimulus for further research in this significant area of EM education.
本研究的目的是分析自2002年医学研究所首次描述急诊医学（EM）文化能力教育的必要性以来，关于该领域文化能力的文献内容和数量。
2015年1月，我们通过PubMed数据库进行了全面的文献检索，以识别所有涉及急诊医学文化能力的文章和综述。如果文章描述了文化能力，或者描述了其对医疗保健差异或课程开发的影响，则将其纳入综述。两名评审员独立研究所有相关文章，然后对这些文章进行总结。
在初步检索中识别出的73篇摘要中，只有10篇符合纳入标准。这10篇文章中发现的一个共同主题是，急诊医学中的文化能力对于减少医疗保健差异和改善患者护理至关重要。这些文章一致支持在急诊医学课程中推进跨文化教育。
尽管医学文献证明了文化能力教育的重要性，但在过去12年中，关于其在急诊医学中的发展和实施的文章似乎只有10篇。这篇全面的文献综述强调了急诊医学中与文化能力相关的出版物相对较少。与同一时期急诊医学研究的增长相比，发现的文章数量有限，这一现象令人惊讶，并且可以刺激在急诊医学教育这一重要领域进行进一步研究。
