Article

Patient Centeredness, Cultural Competence and Healthcare Quality

Portland VA Medical Center, Portland, OR 97239, USA.
Journal of the National Medical Association (Impact Factor: 0.96). 12/2008; 100(11):1275-85. DOI: 10.1016/S0027-9684(15)31505-4
Source: PubMed

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.

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Available from: Lisa A Cooper, Nov 21, 2014
    • "Significant differences were found in proficiency between paediatricians and nurses as to the use of behavioural management strategies, guidance in parenting techniques, and addressing family conflicts. Similar findings were shown in other studies where practitioners commonly expressed low proficiency and confidence in their ability to help patients change behaviours[16,32,33]. However, better and more consistent assessment of obesity could increase awareness of the extent of the obesity problem, provide a basis for monitoring individuals and populations, and provide early prevention and treatment efforts. "

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    • "Centered Care, which was initiated in 1987[8]. Picker-Commonwealth derived its categories from patient focus groups and emphasized their importance within an ethical context, noting that " respecting patients' individuality is the foundation of humane medical care "[2]. "

    Full-text · Article · Jan 2016
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    • "On closer examination, this seems to be mainly a question of how factors are labeled: in CLAS, for example, differences in socioeconomic or legal status are regarded as 'cultural' ones. In the European approaches the focus is on individual characteristics, which brings EQS close to the approach known as 'patient centered care'[29](Saha, Beach, and Cooper have discussed the relation between 'patient centered' and 'culturally competent' care[30]). A possible shortcoming of this individualistic perspective is that the social position that characterizes members of certain groups (e.g. "
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