Clinical Care Access to Care Quality of Care Search Policies & Programs

hints
Display All Policies & Programs

Cultural competence training for health care professionals

Health Factors: Quality of Care
Decision Makers: Educators State Government Healthcare Professionals & Advocates
Evidence Rating: Scientifically Supported
Population Reach: 20-49% of WI's population
Impact on Disparities: Likely to decrease disparities

Is this program or policy in use in your community? Tell us about it.

Description

Cultural competence training for health care professionals focuses on skills and knowledge to value diversity, understand and respond to cultural differences, and increase awareness of providers' and care organization’s cultural norms. Trainings can provide facts about patient cultures or include more complex interventions such as intercultural communication skills training, exploration of potential barriers to care, and institution of policies that are sensitive to the needs of patients from culturally and linguistically diverse (CALD) backgrounds (Cochrane-Horvat 2014). 

Expected Beneficial Outcomes

Increased cultural understanding and skills
Increased patient satisfaction
Improved adherence to treatment
Improved health outcomes

Evidence of Effectiveness

There is strong evidence that cultural competence training for health care professionals improves providers’ knowledge, understanding, and skills for treating patients from culturally, linguistically, and socio-economically diverse backgrounds (Truong 2014, Renzaho 2013, Like 2011, Gallagher 2015). Additional evidence is needed to determine effects on patient care and health outcomes (Cochrane-Horvat 2014, Truong 2014, Like 2011).

Cultural competence training can improve patient satisfaction (Truong 2014, Renzaho 2013, Like 2011Clifford 2015). In some circumstances, patients whose providers completed training report better opinions of their clinicians or participate longer in mental health counseling than patients whose providers did not (Cochrane-Horvat 2014). In a Massachusetts-based study, cultural competence training increased provider awareness of racial disparities in diabetes care (Like 2011).

When preparing cultural competence trainings, experts recommend that designers consider an organization’s strengths and weaknesses and the particular needs of its patients (Truong 2014). Experts also suggest connecting cultural competency to professional values rather than legal or organizational requirements, fostering a safe and respectful learning environment, cultivating cultural humility, and avoiding stereotypes throughout the training (Like 2011).

Experts suggest that making plans and systems changes to accommodate patient culture, in conjunction with cultural competence training, may improve patient outcomes (Truong 2014).

Implementation

United States

Washington, California, Connecticut, New Jersey, and New Mexico require cultural competence training for health professionals (US DHHS-Think cultural health). New Jersey also requires such training for medical school graduation and continuing medical education for physicians and podiatrists (Like 2011).

The federal Office of Minority Health offers cultural competence training resources and publishes the National Culturally and Linguistically Appropriate Services (CLAS) standards. American medical schools also have cultural competence accreditation requirements (Like 2011).

Wisconsin

The La Crosse Medical Health Science Consortium offers cultural competence training resources pertaining to Amish, Hispanic, Hmong, and Native American cultures (LCMHSC-CCT).

Implementation Resources

AAMC-TACCT - Association of American Medical Colleges (AAMC). Tool for assessing cultural competence training (TACCT). Accessed on January 27, 2016
AHRQ-CCT CA - Agency for Healthcare Research and Quality (AHRQ). State legislation requires inclusion of cultural and linguistic competence in continuing medical education, increasing acceptance of their importance by educational programs and clinicians. Rockville: AHRQ Agency Healthcare Innovations Exchange. Accessed on January 27, 2016
US DHHS-Cultural competence - US Department of Health and Human Services (US DHHS). Health Resources and Services Administration (HRSA). Culture, language and health literacy. Accessed on March 6, 2017
US DHHS-Think cultural health - U.S. Department of Health & Human Services (US DHHS). Think cultural health. Accessed on March 3, 2017

Citations - Description

Cochrane-Horvat 2014* - Horvat L, Horey D, Romios P, Kis-Rigo J. Cultural competence education for health professionals: Review. Cochrane Database of Systematic Reviews. 2014;(5):CD009405. Accessed on January 27, 2016

Citations - Evidence

Clifford 2015* - Clifford A, McCalman J, Bainbridge R, Tsey K. Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review. International Journal for Quality in Health Care. 2015;27(2):89-98. Accessed on November 19, 2015
Cochrane-Horvat 2014* - Horvat L, Horey D, Romios P, Kis-Rigo J. Cultural competence education for health professionals: Review. Cochrane Database of Systematic Reviews. 2014;(5):CD009405. Accessed on January 27, 2016
Gallagher 2015* - Gallagher RW, Polanin JR. A meta-analysis of educational interventions designed to enhance cultural competence in professional nurses and nursing students. Nurse Education Today. 2015;35(2):333-40. Accessed on November 19, 2015
Like 2011 - Like RC. Educating clinicians about cultural competence and disparities in health and health care. Journal of Continuing Education in the Health Professions. 2011;31(3):196-206. Accessed on January 27, 2016
Renzaho 2013 - Renzaho AMN, Romios P, Crock C, Sønderlund AL. The effectiveness of cultural competence programs in ethnic minority patient-centered health care — a systematic review of the literature. International Journal for Quality in Health Care. 2013;25(3):261–269. Accessed on January 27, 2016
Truong 2014 - Truong M, Paradies Y, Priest N. Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research. 2014;14(1):99. Accessed on January 27, 2016

Citations - Implementation

LCMHSC-CCT - La Crosse Medical Health Science Consortium. Cultural competency: Online training resources. Accessed on January 27, 2016
Like 2011 - Like RC. Educating clinicians about cultural competence and disparities in health and health care. Journal of Continuing Education in the Health Professions. 2011;31(3):196-206. Accessed on January 27, 2016
US DHHS-Think cultural health - U.S. Department of Health & Human Services (US DHHS). Think cultural health. Accessed on March 3, 2017

Page Last Updated

November 19, 2015

* Journal subscription may be required for access.