Lau Ling San, Rodgers Graeme
Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, New York, USA.
International Rescue Committee, New York, New York, USA.
Health Equity. 2021 Mar 16;5(1):124-134. doi: 10.1089/heq.2020.0094. eCollection 2021.
Refugees and asylum seekers have unique and complex needs related to their experiences of forced displacement and resettlement. Cultural competence is widely recognized as important for the provision of effective and equitable services for refugee populations. However, the delivery of culturally appropriate services-including health care and social services-is often complicated by unclear definitions and operationalization of cultural competence. Further, the unique needs and priorities of people from refugee backgrounds are under-addressed in the cultural competence literature. This scoping review seeks to synthesize the peer-reviewed literature examining cultural competence in refugee service settings. A systematic search of four databases (EBSCO, Proquest, Scopus and Google Scholar) identified 26 relevant peer-reviewed studies for analysis. A range of approaches to cultural competence were identified at the level of individual providers and organizations. We identified a need for greater refugee participation and perspectives in the practice of cultural competence, increased conceptual clarity and greater recognition of structural barriers. We call for further rigorous research that critically examines the concept of cultural competence and its meaning and relevance to refugee populations.
难民和寻求庇护者因其被迫流离失所和重新安置的经历而有着独特且复杂的需求。文化能力被广泛认为对于为难民群体提供有效且公平的服务至关重要。然而，提供文化上合适的服务，包括医疗保健和社会服务，往往因文化能力的定义不明确和操作化而变得复杂。此外，难民背景人群的独特需求和优先事项在文化能力文献中未得到充分探讨。本范围综述旨在综合审视难民服务环境中文化能力的同行评议文献。对四个数据库（EBSCO、Proquest、Scopus和谷歌学术）进行系统检索，确定了26项相关的同行评议研究以供分析。在个体服务提供者和组织层面确定了一系列文化能力方法。我们发现有必要让难民更多地参与文化能力实践并发表观点，提高概念清晰度，以及更多地认识到结构性障碍。我们呼吁开展进一步的严谨研究，批判性地审视文化能力的概念及其对难民群体的意义和相关性。
