A cross-sectional survey of general practice health workers' perceptions of their provision of culturally competent services to ethnic minority people with diabetes.

Autor: Zeh P; Faculty of Health and Life Sciences, Coventry University, Coventry, CV1 5RW, UK; Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK; University Hospitals Coventry & Warwickshire NHS Trust, Coventry, CV2 2DX, UK. Electronic address: ac5432@coventry.ac.uk., Cannaby AM; School of Nursing and Midwifery, Birmingham City University, Birmingham B15 3TN, UK; The Royal Wolverhampton Trust, Wolverhampton WV10 0QP, UK. Electronic address: Ann-Marie.Cannaby@bcu.ac.uk., Sandhu HK; Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK. Electronic address: Harbinder.K.Sandhu@warwick.ac.uk., Warwick J; Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK. Electronic address: J.Warwick@warwick.ac.uk., Sturt JA; Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College, London, SE1 8WA, UK. Electronic address: jackie.sturt@kcl.ac.uk.
Jazyk: angličtina
Zdroj: Primary care diabetes [Prim Care Diabetes] 2018 Dec; Vol. 12 (6), pp. 501-509. Date of Electronic Publication: 2018 Aug 23.
DOI: 10.1016/j.pcd.2018.07.016
Abstrakt: Aims: To explore General Practice teams cultural-competence, in particular, ethnicity, linguistic skillset and cultural awareness. The practice teams' access to diabetes-training, and overall perception of cultural-competence were also assessed.
Methods: A cross-sectional single-city-survey with one in three people with diabetes from an ethnic minority group, using 35 semi-structured questions was completed. Self-reported data analysed using descriptive statistics, interpreted with reference to the Culturally-Competent-Assessment-Tool.
Results: Thirty-four (52%) of all 66 practices in Coventry responded between November 2011 and January 2012.
Key Findings: (1) One in five practice staff was from a minority group in contrast with one in ten of Coventry's population, (2) 164 practice staff (32%) spoke a second language relevant to the practice's minority population, (3) 56% of practices were highly culturally-competent at providing diabetes services for minority populations, (4) 94% of practices reported the ethnicity of their populations, and (5) the most frequently stated barriers to culturally-competent service delivery were language and knowledge of nutritional habits.
Conclusions: Culturally-competent diabetes care is widespread across the city. Language barriers are being addressed, cultural knowledge of diabetes-related-nutrition requires further improvement. Further studies should investigate if structured cultural-competence training for diabetes service providers produces positive effects in diabetes-related outcome-measures in minority populations.
(Copyright © 2018 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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