Cultural leverage - Interventions using culture to narrow racial disparities in health care

被引:148
作者
Fisher, Thomas L. [1 ]
Burnet, Deborah L. [1 ]
Huang, Elbert S. [1 ]
Chin, Marshall H. [1 ]
Cagney, Kathleen A. [1 ]
机构
[1] Univ Chicago, Sect Emergency Med, Chicago, IL 60637 USA
关键词
racial disparities; patient navigator; language; culture; ethnicity; cultural; competence;
D O I
10.1177/1077558707305414
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The authors reviewed interventions using cultural leverage to narrow racial disparities in health care. Thirty-eight interventions of three types were identified: interventions that modified the health behaviors of individual patients of color, that increased the access of communities of color to the existing health care system, and that modified the health care system to better serve patients of color and their communities. Individual-level interventions typically tapped community members' expertise to shape programs. Access interventions largely involved screening programs, incorporating patient navigators and lay educators. Health care interventions focused on the roles of nurses, counselors, and community health workers to deliver culturally tailored health information. These interventions increased patients' knowledge for self-care, decreased barriers to access, and improved providers' cultural competence. The delivery of processes of care or intermediate health outcomes was significantly improved in 23 interventions. Interventions using cultural leverage show tremendous promise in reducing health disparities, but more research is needed to understand their health effects in combination with other interventions.
引用
收藏
页码:243S / 282S
页数:40
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