Truong Mandy, Gibbs Lisa, Paradies Yin, Priest Naomi, Tadic Maryanne
Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Level 5/207 Bouverie Street, Carlton, Vic. 3053, Australia.
Alfred Deakin Institute for Citizenship and Globalisation, Faculty of Arts and Education, Deakin University, Burwood Highway, Burwood, Vic. 3125, Australia.
Aust J Prim Health. 2017 Sep;23(4):342-347. doi: 10.1071/PY16073.
Health and social service agencies need to be responsive to the healthcare requirements of culturally and linguistically diverse (CALD) groups in the community. This is a challenging proposition, particularly due to shifting demographics in developed Western countries such as Australia. Organisations that strive for cultural competence can potentially reduce the barriers associated with inequitable access to services by CALD groups. Community health services play a vital role in the provision of culturally competent health services to people from CALD groups. Additional research related to cultural competence in the community health context is needed. Thus, the aim of this paper is to explore the positioning of cultural competence within community health from multiple perspectives using a qualitative case study of a community health service located in Victoria, Australia. The findings suggest that if the essential needs of clients are met, regardless of cultural background (e.g. able to communicate with staff, trust and a respectful and caring environment), then issues related to cultural background may be of less significance for some clients.
健康与社会服务机构需要响应社区中文化和语言背景多元(CALD)群体的医疗保健需求。这是一项具有挑战性的任务,尤其是由于澳大利亚等西方发达国家人口结构的变化。努力实现文化能力的组织有可能减少CALD群体在获得服务方面存在的不平等相关障碍。社区卫生服务在为CALD群体提供具有文化能力的卫生服务方面发挥着至关重要的作用。需要开展更多与社区卫生背景下的文化能力相关的研究。因此,本文旨在通过对澳大利亚维多利亚州一家社区卫生服务机构进行定性案例研究,从多个角度探讨文化能力在社区卫生中的定位。研究结果表明,如果满足了客户的基本需求,无论其文化背景如何(例如能够与工作人员沟通、信任以及有一个尊重和关怀的环境),那么文化背景相关问题对一些客户来说可能就不那么重要了。