Taking Charge of Your Healthcare : Your Path to Being an Empowered Patient

  • Partnership for Clear Health Communication
  • Performance I
  • Leonhardt K
 et al. 
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Abstract

Arial;f1fnilfcharset0 Times New plainf1fs22cf0b Department of Health and Human Services, Office of Minority Healthpar qlli0fi0ri0sb0slsa0 plainf1fs22cf0b 2001tab National Standards for Culturally and Linguistically Appropriate Services in Health Care. Washington, D.C. Available online, http://www.omhrc.gov/assets/pdf/checked/finalreport.pdfplainf1fs24cf0v http://www.omhrc.gov/assets/pdf/checked/finalreport.pdfplainf1fs22cf0b , accessed 9/15/2007.par qlli0fi0ri0sb0slsa0 plainf1fs22cf0 par qlli0fi0ri0sb0slsa0 plainf1fs22cf0 U.S. pop inc'ingly diverse '96 need hc orgs and staff to understand and respond sensitively to needs and prefs of diverse pts/consumers. par qlli0fi0ri0sb0slsa0 plainf1fs22cf0 par qlli0fi0ri0sb0slsa0 plainf1fs22cf0 Standards 1-3: Culturally competent care, Standards 4-7 are Language access services, Standards 8-14 are Organizational supports for cultural competence. Within this are three types of standards of varying stringency: mandates (Fed reqs for recipients of fed funds; 4-7), guidelines (recommended as mandates for accrediting agencies; 1-3, 8-13), recommendations (suggested for voluntary adoption by hc orgs; 14). par qlli0fi0ri0sb0slsa0 plainf1fs22cf0 par qlli0fi0ri0sb0slsa0 plainf1fs22cf0cb4 Definition of plainf1fs22cf0cb4ul as it relates to health they received from Michael Katz: '93'plainf1fs22cf16cb4 '93The thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. Culture defines how health care information is received, how rights and protections are exercised, what is considered to be a health problem, how symptoms and concerns about the problem are expressed, who should provide treatment for the problem, and what type of treatment should be given. In sum, because health care is a cultural construct, arising from beliefs about the nature of disease and the human body, cultural issues are actually central in the delivery of health services treatment and preventive interventions''94 (4).plainf1fs22cf16 Took definition of plainf1fs22cf16cb4ul cultural and linguistic from Cross et al. (1989): '93' Cultural and linguistic competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations. '85'Competence' implies having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities''94 (4-5).plainf1fs22cf16 par qlli0fi0ri0sb0slsa0 plainf1fs22cf0 par qlli0fi0ri0sb0slsa0 plainf1fs22cf0 They describe each of the standards in depth (later in the paper in even more depth). This is followed by a background on CC. Notes that plainf1fs22cf0cb4 OMH created in 1986 to address health needs and disparities of minority pops in the U.S.plainf1fs22cf0 In the late '90s, the OMH began to concentrate on policy and research to support cultural competency. (Describes history of CLAS) plainf1fs22cf0cb4 Voices of opposition or concern included '93plainf1fs22cf16cb4 the potential costs/burden of implementation; the perception that the standards were too broad, too narrow, or too prescriptive; and the lack of research evidence to support many CLAS activities'94 (29).plainf1fs22cf16 They note on page 33 that '93it is important to view the CLAS standards as a framework that describes the types of cultural competence activities that an organization should undertake in the context of its size, location, organizational type, and available resources'94 (33). I think this is an important point as small and rural hc orgs, for example, might have a VERY difficult time meeting all these par qlli0fi0ri0sb0slsa0 plainf1fs22cf0

Author-supplied keywords

  • "Patient Safety
  • "health disparities
  • AHCPR
  • AHRQ
  • Advisory Committees
  • Advisory Committees: organization & administration
  • Agency for Health Care Policy and Research
  • Agency for Healthcare Research and Quality
  • Ambulatory Care Facilities
  • Attitude of Health Personnel
  • Cell Phones
  • Cell Phones: utilization
  • Communication
  • Cooperative Behavior
  • Data Collection
  • Data Collection: methods
  • Decision Making
  • Diffusion of Innovation
  • Economic Competition
  • England
  • Family-centered care
  • Focus Groups
  • Great Britain
  • HAI
  • HHS
  • Health Care
  • Health outcomes
  • Hispanic
  • Humans
  • Interviews as Topic
  • Leadership
  • Medical
  • Medical Errors
  • Medical Errors: prevention & control
  • Models
  • NPA"
  • National Partnership for Action
  • Nursing Homes"
  • Organizational Culture
  • Patient Care Team
  • Patient Care Team: standards
  • Patient Participation
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  • Patient-Centered Care: methods
  • Patient-Centered Care: organization & administrati
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  • Peer Review
  • Peer Review: methods
  • Peer Review: standards
  • Practice Management
  • Primary Health Care
  • Primary Health Care: organization & administration
  • Primary Health Care: standards
  • Program Development
  • Program Evaluation
  • Program Evaluation: methods
  • Provider effectiveness
  • Qualitative Research
  • Quality Assurance
  • Reproducibility of Results
  • Role
  • Safety Management
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  • Staff Development
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Authors

  • Partnership for Clear Health Communication

  • Improving Performance

  • Kathryn Kraft Leonhardt

  • Patti Pagel

  • Deborah Bonin

  • D Paul Moberg

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