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    Interventions to improve cultural competency in healthcare: a systematic review of reviews

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    191
    Author
    Truong, M; Paradies, Y; Priest, N
    Date
    2014-03-03
    Source Title
    BMC Health Services Research
    Publisher
    BMC
    University of Melbourne Author/s
    Priest, Naomi; Paradies, Yin; Truong, Mandy
    Affiliation
    Melbourne School of Population and Global Health
    Optometry and Vision Sciences
    Metadata
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    Document Type
    Journal Article
    Citations
    Truong, M., Paradies, Y. & Priest, N. (2014). Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC HEALTH SERVICES RESEARCH, 14 (1), https://doi.org/10.1186/1472-6963-14-99.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/263281
    DOI
    10.1186/1472-6963-14-99
    NHMRC Grant code
    NHMRC/628897
    Abstract
    BACKGROUND: Cultural competency is a recognized and popular approach to improving the provision of health care to racial/ethnic minority groups in the community with the aim of reducing racial/ethnic health disparities. The aim of this systematic review of reviews is to gather and synthesize existing reviews of studies in the field to form a comprehensive understanding of the current evidence base that can guide future interventions and research in the area. METHODS: A systematic review of review articles published between January 2000 and June 2012 was conducted. Electronic databases (including Medline, Cinahl and PsycINFO), reference lists of articles, and key websites were searched. Reviews of cultural competency in health settings only were included. Each review was critically appraised by two authors using a study appraisal tool and were given a quality assessment rating of weak, moderate or strong. RESULTS: Nineteen published reviews were identified. Reviews consisted of between 5 and 38 studies, included a variety of health care settings/contexts and a range of study types. There were three main categories of study outcomes: patient-related outcomes, provider-related outcomes, and health service access and utilization outcomes. The majority of reviews found moderate evidence of improvement in provider outcomes and health care access and utilization outcomes but weaker evidence for improvements in patient/client outcomes. CONCLUSION: This review of reviews indicates that there is some evidence that interventions to improve cultural competency can improve patient/client health outcomes. However, a lack of methodological rigor is common amongst the studies included in reviews and many of the studies rely on self-report, which is subject to a range of biases, while objective evidence of intervention effectiveness was rare. Future research should measure both healthcare provider and patient/client health outcomes, consider organizational factors, and utilize more rigorous study designs.

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