Product or Process: Cultural Competence or Cultural Humility?

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Authors

  • Cecile N. Yancu Associate Professor of Sociology, Department of Behavioral Sciences, Winston-Salem State University, Winston-Salem, NC 27110, USA
  • Deborah F. Farmer Associate Professor of Gerontology, Department of Behavioral Sciences, Winston-Salem State University, Winston-Salem, NC 27110, USA The Institute of Healthcare’s Triple Aim Initiative (TAI) identifies the improvement of patients’ experience as one of three key components necessary for optimizing the American health care and cost-delivery systems.

DOI:

https://doi.org/10.17140/PMHCOJ-3-e005

Abstract

The Institute of Healthcare’s Triple Aim Initiative (TAI) identifies the improvement of patients’ experience as one of three key components necessary for optimizing the American health care and cost-delivery systems. Widely adopted today, the TAI’s focus on patient-centered care also implicitly embeds the idea of care that is culturally-sensitive.

References

Berwick DM, Nolan TW, Whittington J. The triple aim: Care, health, and cost. Health Aff. 2008; 27(3): 759-769. doi: 10.1377/ hlthaff.27.3.759

Whittington JW, Nolan K, Lewis N, Torres T. Pursuing the triple aim: The first 7 years. Milbank Q. 2015; 93(2): 263-300. doi: 10.1111/1468-0009.12122

Fang ML, Sixsmith J, Sinclair S, Horst G. A knowledge syn-thesis of culturally-and spiritually-sensitive end-of-life care: Findings from a scoping review. BMC Geriatrics. 2016; 16(1): 107. doi: 10.1186/s12877-016-0282-6

Verhagen I, Ros WJ, Steunenberg B, de Wit NJ. Culturally sensitive care for elderly immigrants through ethnic commu-nity health workers: Design and development of a community based intervention programme in the Netherlands. BMC Public Health. 2013; 13(1): 227. doi: 10.1186/1471-2458-13-227

Boucher NA. Made-to-measure palliative care: An ethical imperative for growing cultural plurality in the United States. Ethics Biol Eng Med. 2014;5(2):131-138. doi: 10.1615/Ethics-BiologyEngMed.2015013247

Casillas A, Paroz S, Green AR, et al. Is the front line prepared for the changing faces of patients? Predictors of cross-cultural preparedness among clinical nurses and resident physicians in Lausanne, Switzerland. Teach Learn Med. 2015; 27(4): 379- 386. doi: 10.1080/10401334.2015.1077127

Mace R, Jordan FM. Macro-evolutionary studies of cultural diversity: A review of empirical studies of cultural transmission and cultural adaptation. Philos Trans R Soc Lond B Biol Sci. 2011; 366(1563): 402-411. doi: 10.1098/rstb.2010.0238

Brown GR, Dickins TE, Sear R, Laland KN. Evolution-ary accounts of human behavioural diversity. Philos Trans R Soc Lond B Biol Sci. 2011; 366(1563): 313-324. doi: 10.1098/ rstb.2010.0267

Kleinman A, Eisenberg L, Good B. Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978; 88(2): 251-258. doi: 10.7326/0003-4819- 88-2-251

Rounsaville BJ, Alarcón RD, Andrews G, Jackson JS, Ken-dell RE, Kendler K. Basic nomenclature issues for DSM-V. In: Kupfer DJ, First MB, Regier DA, eds. A Research Agenda for DSM-V. Arlington, VA, USA: American Psychiatric Associa-tion; 2002: 1-29.

Parsons T. Illness and the role of the physician: A sociologi-cal perspective. Am J Orthopsychiatry. 1951; 21(3): 452-460. doi: 10.1111/j.1939-0025.1951.tb00003.x

UNESCO. UNESCO Universal declaration on cul-tural diversity. 2001. Web site. http://unesdoc.unesco.org/ images/0012/001271/127160m.pdf. Accessed March 16, 2017.

Spencer C, Archer F. Paramedic education and training on cultural diversity: Conventions underpinning practice. Australas J Paramedicine. 2015; 4(3). Web site. https://ajp.paramedics. org/index.php/ajp/article/view/382. Accessed April 2, 2017.

Valantine HA, Collins FS. National Institutes of Health ad-dresses the science of diversity. Proc Natl Acad Sci U S A. 2015; 112(40): 12240-12242. doi: 10.1073/pnas.1515612112

Duster T. Social diversity in humans: Implications and hid-den consequences for biological research. Cold Spring Harb-Perspect Bio. 2014; 6(5): a008482. doi: 10.1101/cshperspect. a008482

Zucker KJ, Cohen-Kettenis PT, Drescher J, Meyer-Bahlburg HF, Pfäfflin F, Womack WM. Memo outlining evidence for change for gender identity disorder in the DSM-5. Arch Sexual Behav. 2013; 42(5): 901-914. doi: 10.1007/s10508-013-0139-4

Scheim AI, Bauer GR. Sex and gender diversity among transgender persons in Ontario, Canada: Results from a respon-dent-driven sampling survey. J Sex Res. 2015; 52(1): 1-14. doi: 10.1080/00224499.2014.893553

Chang E, Simon M, Dong, XQ. Integrating cultural humility into health care professional education and training. Adv Health Sci Edu. 2012; 17(2): 269-278. doi: 10.1007/s10459-010-9264-1

Tervalon M, Murray-Garcia J. Cultural humility versus cul-tural competence: A critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998; 9(2): 117-125. doi: 10.1353/hpu.2010.0233

California Health Advocates. Are you practicing cultural hu-mility? The key to success in cultural competence. 2007. Web site. https://www.cahealthadvocates.org/news/disparities/2007/ are-you.html. Accessed April 2, 2017.

Hixon AL. Beyond cultural competence. Acad Med. 2003; 78: 634. doi: 10.1097/ACM.0b013e3181a42398

Riquelme LF. Evolving expressions of culture. ASHA Lead-er. 2013; 18(11): 52-55. Web site. http://connection.ebscohost. com/c/articles/91979497/evolving-expressions-culture. Ac-cessed April 2, 2017.

Powell DL. Social determinants of health: Cultural com-petence is not enough. Creative Nurs. 2016; 22(1): 5-10. doi: 10.1891/1078-4535.22.1.5

Wong WF, LaVeist TA, Sharfstein JM. Achieving health eq-uity by design. JAMA. 2015; 313(14): 1417-1418. doi: 10.1001/ jama.2015.2434

Chiu CY, Lonner WJ, Matsumoto D, Ward C. Cross-cultur-al competence theory, research, and application. J Cross Cult Psych. 2013; 44(6): 843-848. doi: 10.1177/0022022113493716

Hook JN, Davis DE, Owen J, Worthington Jr. EL, Utsey SO. Cultural humility: Measuring openness to culturally diverse clients. J Counsel Psych. 2013; 60(3): 353-366. doi: 10.1037/ a0032595

Cruess SR, Cruess RL, Steinert Y. Linking the teach-ing of professionalism to the social contract: A call for cul-tural humility. Med Teach. 2010; 32(5): 357-359. doi: 10.3109/01421591003692722

Law BM. Not all bias is obvious – even our own. ASHA Lead. 2013; 18(11): 46-50. Web site. http://leader.pubs.asha.org/ article.aspx?articleid=1788358. Accessed April 2, 2017.

Ortega R, Faller K. Training child welfare workers from an intersectional cultural humility perspective: A paradigm shift. Child Welfare. 2011; 90(5): 27-49.

Published

2017-04-06

How to Cite

Cecile N. Yancu, & Deborah F. Farmer. (2017). Product or Process: Cultural Competence or Cultural Humility?. Palliative Medicine and Hospice Care, 3(1), e1-e4. https://doi.org/10.17140/PMHCOJ-3-e005