Patient centeredness, cultural competence and healthcare quality.
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TLDR
It is demonstrated that early conceptual models of cultural competence and patient centeredness focused on how healthcare providers and patients might interact at the interpersonal level and that later conceptual models were expanded to consider how patients might be treated by the healthcare system as a whole.Abstract:
Cultural competence and patient centeredness are approaches to improving healthcare quality that have been promoted extensively in recent years. In this paper, we explore the historical evolution of both cultural competence and patient centeredness. In doing so, we demonstrate that early conceptual models of cultural competence and patient centeredness focused on how healthcare providers and patients might interact at the interpersonal level and that later conceptual models were expanded to consider how patients might be treated by the healthcare system as a whole. We then compare conceptual models for both cultural competence and patient centeredness at both the interpersonal and healthcare system levels to demonstrate similarities and differences. We conclude that, although the concepts have had different histories and foci, many of the core features of cultural competence and patient centeredness are the same. Each approach holds promise for improving the quality of healthcare for individual patients, communities and populations.read more
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Effectiveness-Based Guidelines for the Prevention of Cardiovascular Disease in Women—2011 Update
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References
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Journal ArticleDOI
Crossing the Quality Chasm: A New Health System for the 21st Century
TL;DR: Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Book
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: In this article, a panel of experts documents this evidence and explores how persons of color experience the health care environment, examining how disparities in treatment may arise in health care systems and looking at aspects of the clinical encounter that may contribute to such disparities.
Journal ArticleDOI
Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research
TL;DR: A limited set of concepts derived from anthropologic and cross-cultural research may provide an alternative framework for identifying issues that require resolution, including a fundamental distinction between disease and illness and the notion of the cultural construction of clinical reality.
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Nicola Mead,Peter Bower +1 more
TL;DR: This paper reviews the conceptual and empirical literature in order to develop a model of the various aspects of the doctor-patient relationship encompassed by the concept of 'patient-centredness' and to assess the advantages and disadvantages of alternative methods of measurement.
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Race, gender, and partnership in the patient-physician relationship.
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TL;DR: The data suggest that African American patients rate their visits with physicians as less participatory than whites, however, patients seeing physicians of their own race rate their physicians' decision-making styles as more participatory.
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