Provider Perceptions of the Organization's Cultural Competence Climate and Their Skills and Behaviors Targeting Patient-Centered Care for Socially At-Risk Populations
| Autor: | Jessie Kimbrough Marshall, Rosalyn W. Stewart, Alexander R. Green, Amanda Bertram, Brian K Gibbs, Israel O. Olorundare, Stephen D. Sisson, Leonard Feldman, Lisa A. Cooper, Tanjala S. Purnell |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Attitude of Health Personnel Health Personnel media_common.quotation_subject MEDLINE Logistic regression Vulnerable Populations 03 medical and health sciences 0302 clinical medicine Provider perceptions Patient-Centered Care Perception Health care medicine Humans 030212 general & internal medicine Cultural Competency Socioeconomic status media_common 030505 public health business.industry Public Health Environmental and Occupational Health Middle Aged Socioeconomic Factors Health Care Surveys Family medicine Needs assessment Female Clinical Competence 0305 other medical science business Psychology Cultural competence |
| Zdroj: | Journal of Health Care for the Poor and Underserved. 29:481-496 |
| ISSN: | 1548-6869 |
| Popis: | 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, plt;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. |
| Databáze: | OpenAIRE |
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