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What is the role of cultural competence in ethnic minority consumer engagement? An analysis in community healthcare.
International Journal for Equity in Health ( IF 4.666 ) Pub Date : 2019-12-04 , DOI: 10.1186/s12939-019-1104-1
Reema Harrison 1 , Merrilyn Walton 2 , Ashfaq Chauhan 1 , Elizabeth Manias 3, 4 , Upma Chitkara 1 , Monika Latanik 5 , Desiree Leone 5
Affiliation  

BACKGROUND Effective patient engagement has been associated with high quality health care. There is a dearth of evidence around effective engagement with consumers from ethnic minority backgrounds; specifically in relation to the role of cultural competence amongst healthcare professionals in effective engagement with consumers from ethnic minority backgrounds. To address this knowledge gap, we analysed the role of cultural competence in the consumer engagement approaches taken by community healthcare professionals working with consumers from ethnic minority backgrounds. METHODS Semi-structured individual interviews were conducted with 21 healthcare professionals employed across four community healthcare and affiliated services in four local government areas in Australia. RESULTS Adopting patient-centric approaches (that seek to understand and be responsive to the patient as an individual) featured as an underpinning theme that transcended other emerging themes. Recognition of diversity within communities and individuals in those communities, all with their own story, was described as pivotal to effective engagement. This was encapsulated in the theme of Cultural standpoints and personal context that contained four further themes of: (1) Build foundations of trust and respect; (2) Diversify communication channels; (3) Generate system, service and community partnerships; (4) Take the time. CONCLUSION Our findings indicate that cultural competence and effective consumer engagement are closely linked in ethnic minority populations. Embedding cultural competence as a health system, service and professional capability is therefore critical to ensure equitable healthcare quality for consumers from all ethnic backgrounds.

中文翻译:

文化能力在少数民族消费者参与中的作用是什么?社区医疗保健分析。

背景技术有效的患者参与已经与高质量的医疗保健相关联。缺乏与少数民族背景的消费者有效接触的证据。特别是在医疗保健专业人员之间的文化能力在与少数民族背景的消费者进行有效互动方面所起的作用。为了解决这一知识鸿沟,我们分析了文化能力在社区保健专业人员与少数民族背景的消费者合作采取的消费者参与方法中的作用。方法对澳大利亚四个地方政府区域的四个社区医疗保健和附属服务部门的21名医疗保健专业人员进行了半结构化的个人访谈。结果采用以患者为中心的方法(试图理解和响应患者个人)是超越其他新兴主题的基础主题。认识到社区内部以及社区中个人的多样性,以及他们各自的故事,对于有效参与至关重要。这被封装在文化立场和个人背景这一主题中,其中包含四个进一步的主题:(1)建立信任和尊重的基础;(二)多元化的沟通渠道;(3)建立系统,服务和社区伙伴关系;(4)花时间。结论我们的研究结果表明,文化能力和有效的消费者参与在少数民族人口中紧密相关。将文化能力嵌入到卫生系统中,
更新日期:2019-12-04
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