Georgetown University School of Medicine, Washington, DC.
Department of Dermatology at the University of California San Francisco, San Francisco, California.
J Am Acad Dermatol. 2017 Dec;77(6):1159-1169. doi: 10.1016/j.jaad.2017.07.057. Epub 2017 Sep 28.
Significant health disparities exist among under-represented minorities in the Unites States, which can partially be accounted for by the quality of patient-physician interaction. A distinguishing factor of this interaction is the ability of the provider to demonstrate cultural competence, or address the social, cultural, and community influences on healthcare behaviors and incorporate these elements into patient care. However, this practice has yet to be universally implemented in our healthcare system. These factors become even more important as the racial, ethnic and cultural distribution of the United States population changes. Multiple studies have suggested that cultural competence of the health care provider and staff leads to improved patient adherence, satisfaction, and ultimately, health outcome. Cultural competence in the workplace also leads to efficient and cost-effective healthcare and better community integration into healthcare systems. The purpose of this review is to help dermatologists understand the benefits of culturally competent care for their patients and themselves and identify methods and resources to achieve this goal.
在美国,代表性不足的少数群体之间存在显著的健康差距,这在一定程度上可以归因于医患互动的质量。这种互动的一个区别因素是提供者能够展示文化能力,或解决医疗行为的社会、文化和社区影响,并将这些因素纳入患者护理中。然而,这种做法尚未在我们的医疗保健系统中普遍实施。随着美国人口的种族、民族和文化分布发生变化,这些因素变得更加重要。多项研究表明,医疗保健提供者和工作人员的文化能力可提高患者的依从性、满意度,并最终改善健康结果。工作场所的文化能力还可带来高效且具有成本效益的医疗保健服务,并促进社区更好地融入医疗保健系统。本文回顾的目的是帮助皮肤科医生了解为患者和自身提供文化能力护理的好处,并确定实现这一目标的方法和资源。