Cultural Competence and Diversity in Health Care


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Cultural Competence and Diversity in Health Care

Dr. Dereck J. Rovaris, Sr.
Associate Vice Chancellor for Academic & Multicultural Affairs LSU Health Sciences Center

Dr. Rovaris LSUHSC

Grand Rounds School of Medicine LSUHSC

7/15/11

Cultural Competence and Diversity in Health Care
It Aint About You! It’s About the PATIENT! Cultural Competence has to do with perspective:
Patient Centered Perspective
Dr. Rovaris LSUHSC

Cultural Competence and Diversity in Health Care
•The case for diversity is stronger than ever: demographic shifts and health reform are among the many issues pushing academic medicine toward inevitable and dramatic transformation. •Better health for all is, and should be, at the crux of our efforts. •Broadening the concepts of diversity and inclusion and attaching these to excellence in medical education, research and patient care will require that we build on and enhance our prior work in this arena. •Moving diversity from a peripheral problem to a core solution means making a choice between preservation and innovation.
Dr. Marc A. Nivet Association of American Medical Colleges 11/9/10
Dr. Rovaris LSUHSC

Cultural Competence and Diversity in Health Care

Dr. Rovaris LSUHSC

“CULTURAL COMPETENCE STARTS WITH RECOGNIZING YOUR OWN CULTURE AND BIASES,
BECOMING SENSITIVE TO THE CULTURES OF OTHERS (their values and beliefs),
AND APPRECIATING THE DIFFERENCES”
- GALANTI -

Cultural Competence and Diversity

in Health Care Obvious / Not So Obvious

Dr. Rovaris LSUHSC

Manifestations of Culture/Diversity:
•Religion •Ethnicity (Race) •National Origin •Language •Gender •Age •Sexual Orientation •Socioeconomic Status •Educational Status •Mobility (including handicaps) •Regionalism

Cultural Competence and Diversity in Health Care
The Six ACGME Competencies
Patient care—overall assessment (safe, timely, effective, efficient, equitable, patient centered) Medical Knowledge—what we must know Interpersonal and communication skills--what we must say Professionalism—how we must behave Systems based practice—what is the process? On whom do we depend? Who depends on us? Practice based learning and improvement—What have we learned? What will we improve?
Dr. Rovaris LSUHSC

Cultural Competence and Diversity in Health Care

“Western”
•Make it Better •Control Over Nature •Do Something •Intervene Now •Strong Measures •Standardize – Treat Everyone the Same •Plan Ahead – Recent is Best

“Others”
•Accept With Grace •Balance/Harmony with Nature •Wait and See •Cautious Deliberation •Gentle Approach •Individualize – Recognize Differences •Time Honored -Take Life As It Comes –

Dr. Rovaris LSUHSC

The Cultural Competence Continuum
Sockalingum adapted from Hayes, Cultural Competence Continuum and Terry Cross Cultural Competency Continuum
Dr. Rovaris LSUHSC

Cultural Competence and Diversity in Health Care
Cultural Competence Definitions
 Cultural Destructiveness: forced assimilation, subjugation, rights and privileges for dominant groups only
 Cultural Incapacity: racism, maintain stereotypes, unfair hiring practices
 Cultural Blindness: differences ignored, “treat everyone the same”, only meet needs of dominant groups
Dr. Rovaris LSUHSC

Cultural Competence and Diversity in Health Care
Cultural Competence Definitions
 Cultural Pre-competence: explore cultural issues, are committed, assess needs of organization and individuals
 Cultural Competence: recognize individual and cultural differences, seek advice from diverse groups, hire culturally unbiased staff
 Cultural proficiency: implement changes to improve services based upon cultural needs, do research and teach
Dr. Rovaris LSUHSC

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Cultural Competence and Diversity in Health Care