Development and evaluation of a cultural competency training curriculum
| Autor: | Melen R. McBride, Miguel D. Tirado, David H. Thom, Tommy L Woon |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Program evaluation
Male Glycated Hemoglobin A Psychological intervention lcsh:Medicine California law.invention Randomized controlled trial law Cultural diversity Health care Medicine Medicine(all) lcsh:LC8-6691 Hemoglobin A General Medicine Cultural Diversity Middle Aged Health Services Health equity Patient Satisfaction Hypertension Public Health and Health Services Education Medical Continuing Female Curriculum Clinical Competence Family Practice Cultural competence Research Article Adult medicine.medical_specialty Glycosylated Trust Education Feedback Patient satisfaction Clinical Research Medical Behavioral and Social Science Diabetes Mellitus Humans Aged Glycated Hemoglobin Analysis of Variance Physician-Patient Relations lcsh:Special aspects of education business.industry lcsh:R Body Weight Blood Pressure Determination Continuing Family medicine business Curriculum and Pedagogy Medical Informatics Program Evaluation |
| Zdroj: | BMC medical education, vol 6, iss 1 BMC Medical Education, Vol 6, Iss 1, p 38 (2006) BMC Medical Education |
| Popis: | Background Increasing the cultural competence of physicians and other health care providers has been suggested as one mechanism for reducing health disparities by improving the quality of care across racial/ethnic groups. While cultural competency training for physicians is increasingly promoted, relatively few studies evaluating the impact of training have been published. Methods We recruited 53 primary care physicians at 4 diverse practice sites and enrolled 429 of their patients with diabetes and/or hypertension. Patients completed a baseline survey which included a measure of physician culturally competent behaviors. Cultural competency training was then provided to physicians at 2 of the sites. At all 4 sites, physicians received feedback in the form of their aggregated cultural competency scores compared to the aggregated scores from other physicians in the practice. The primary outcome at 6 months was change in the Patient-Reported Physician Cultural Competence (PRPCC) score; secondary outcomes were changes in patient trust, satisfaction, weight, systolic blood pressure, and glycosylated hemoglobin. Multiple analysis of variance was used to control for differences patient characteristics and baseline levels of the outcome measure between groups. Results Patients had a mean of 2.8 + 2.2 visits to the study physician during the study period. Changes in all outcomes were similar in the "Training + Feedback" group compared to the "Feedback Only" group (PRPCC: 3.7 vs.1.8; trust: -0.7 vs. -0.2 ; satisfaction: 1.9 vs. 2.5; weight: -2.5 lbs vs. -0.7 lbs; systolic blood pressure: 1.7 mm Hg vs. 0.1 mm Hg; glycosylated hemoglobin 0.02% vs. 0.07%; p = NS for all). Conclusion The lack of measurable impact of physician training on patient-reported and disease-specific outcomes in the current has several possible explanations, including the relatively limited nature of the intervention. We hope that the current study will help provide a basis for future studies, using more intensive interventions with different provider groups. |
| Databáze: | OpenAIRE |
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