Abstract
As part of a cultural competence needs assessment study at a large academic health care system, we conducted a survey among 1,220 practicing physicians to assess their perceptions of the organization’s cultural competence climate and their skills and behaviors targeting patient-centered care for culturally and socially diverse patients. Less than half of providers reported engaging in behaviors to address cultural and social barriers more than 75% of the time. In multivariable logistic regression models, providers who reported moderate or major structural problems were more likely to report low skillfulness in identifying patient mistrust (aOR: 2.01; 95% CI: 1.23–3.28, p<0.01), how well patients read and write English (aOR: 1.63; 95% CI: 1.03–2.57, p=0.03), and socioeconomic barriers (aOR: 2.14; 95% CI: 1.14–4.01, p=0.01), than providers who reported only small or no structural problems. Improved structural support for socially and culturally complex medical encounters is needed to enhance care for socially at-risk patients.
Original language | English (US) |
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Pages (from-to) | 481-496 |
Number of pages | 16 |
Journal | Journal of health care for the poor and underserved |
Volume | 29 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2018 |
Keywords
- Cultural competence
- Health care equity
- Organization
- Providers
- Social risk factors
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health