Rice Alana N, Harris Suzanne C
J Am Pharm Assoc (2003). 2021 Jan-Feb;61(1):e65-e68. doi: 10.1016/j.japh.2020.10.015. Epub 2020 Nov 5.
As the United States' population continues to grow in its diversity, health care providers, including pharmacists, need to be able to provide culturally competent care to their patients. Cultural competence allows patients to feel comfortable with their provider and leads to their continuing to seek out care. Mental health is one of the most underused services in health care, particularly in underrepresented minority communities. This review looks at different published literature that assessed the reasons why individuals from minority communities may avoid seeking mental health care, cultural competence in psychiatric care for underrepresented minority communities, strategies for implementation for training providers in cultural competency, and barriers to implementation in mental health services. Current ideas include providing cultural competency training to students in their respective professional school or residency, incorporating the cultural formulation interview into psychiatric sessions, or increasing minority representation in the psychiatric services. On the basis of the literature examined, research is still needed to identify the best approach to improve culturally competent care in psychiatric services in the United States.
随着美国人口的多样性持续增加，包括药剂师在内的医疗服务提供者需要能够为患者提供具有文化胜任力的护理。文化胜任力能让患者对其医疗服务提供者感到安心，并促使他们持续寻求护理。心理健康是医疗保健中最未得到充分利用的服务之一，在少数族裔社区尤其如此。这篇综述审视了不同的已发表文献，这些文献评估了少数族裔社区的个体可能避免寻求心理健康护理的原因、针对少数族裔社区的精神科护理中的文化胜任力、为医疗服务提供者提供文化胜任力培训的实施策略，以及心理健康服务实施过程中的障碍。当前的想法包括在各自的专业院校或住院医师培训中为学生提供文化胜任力培训、将文化定式访谈纳入精神科诊疗过程，或增加精神科服务中的少数族裔代表比例。基于所审查的文献，仍需要开展研究以确定在美国精神科服务中改善具有文化胜任力护理的最佳方法。
