Implementation of culturally and linguistically competent policies by state Title V Children with Special Health Care Needs (CSHCN) programs
| Autor: | Sharonlyn Harrison, Joseph Telfair, Suzanne M. Bronheim |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Service (systems architecture) Epidemiology media_common.quotation_subject Maternal-Child Health Centers Children with special health care needs Health Services Accessibility White People State (polity) Professional-Family Relations medicine Humans Cultural Competency Healthcare Disparities Child media_common Medical education Internet business.industry Maternal and child health Public health Health Policy Public Health Environmental and Occupational Health Obstetrics and Gynecology Hispanic or Latino Disabled Children Organizational Innovation Linguistic competence Black or African American State agency Health Care Surveys Pediatrics Perinatology and Child Health Descriptive research business |
| Zdroj: | Maternal and child health journal. 13(5) |
| ISSN: | 1573-6628 |
| Popis: | Objective This descriptive study was intended to identify actual actions, steps and processes of Children with Special Health Care Needs (CSHCN) programs to develop, implement, sustain and assess culturally and linguistically competent policies, structures and practices. Methods An online 52-item mixed format survey of Maternal and Child Health (MCH) CSHCN directors was conducted. In April 2003 and May 2004, 59 directors were solicited to participate in the survey and 42 (86%) responded. Standard quantitative and qualitative analyses of the data were conducted to address key questions linked to the study’s overall objective. Results Findings indicated that almost all respondents are implementing some actions to provide culturally and linguistically competent services including adapting service practices, addressing workforce diversity, providing language access, engaging communities and including requirements in contracts. These individual actions were less often supported by processes such as self-assessment and creating an ongoing structure to systematically address cultural and linguistic competence. Programs are challenged to implement cultural and linguistic competence by state agency organization and budget restrictions. Conclusions The results of the study indicate a continued need for support within state MCH CSHCN programs in order to maintain or enhance the systematic incorporation of culturally and linguistically competent efforts. |
| Databáze: | OpenAIRE |
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