Department of Anesthesia and Perioperative Care, University of California, 1001 Potrero Avenue, San Francisco, CA 94110, USA.
Br Med Bull. 2024 Jun 10;150(1):42-59. doi: 10.1093/bmb/ldae005.
Disparities in health care delivered to marginalized groups are unjust and result in poor health outcomes that increase the cost of care for everyone. These disparities are largely avoidable and health care providers, have been targeted with education and specialised training to address these disparities.
In this manuscript we have sought out both peer-reviewed material on Pubmed, as well as policy statements on the potential role of cultural competency training (CCT) for providers in the surgical care setting. The goal of undertaking this work was to determine whether there is evidence that these endeavours are effective at reducing disparities.
The unjustness of health care disparities is universally accepted.
Whether the outcome of CCT justifies the cost has not been effectively answered.
These include the structure/content of the CCT and whether the training should be delivered to teams in the surgical setting.
Because health outcomes are affected by many different inputs, should the effectiveness of CCT be improvement in health outcomes or should we use a proxy or a surrogate of health outcomes.
向边缘化群体提供的医疗服务存在差异是不公正的，导致医疗结果不佳，从而增加了每个人的医疗成本。这些差异在很大程度上是可以避免的，医疗保健提供者已经成为教育和专门培训的目标，以解决这些差异。
在本文中，我们搜索了 Pubmed 上的同行评议材料以及关于文化能力培训（CCT）在外科护理环境中对提供者的潜在作用的政策声明。开展这项工作的目的是确定这些努力是否有证据表明可以有效减少差异。
医疗保健差异的不公正性是普遍接受的。
CCT 的结果是否证明成本合理，尚未得到有效回答。
包括 CCT 的结构/内容以及培训是否应在外科环境中提供给团队。
因为健康结果受到许多不同因素的影响，CCT 的有效性应该是健康结果的改善，还是我们应该使用健康结果的替代指标或代理指标。
