This paper examines the role of cultural competency in health care delivery, highlighting its importance for reducing health disparities across diverse patient populations. It defines health literacy as a shared understanding between providers and patients, discusses unavoidable and preventable contributors to health disparities, and outlines how cultural beliefs and behaviors influence how patients seek and respond to care. The paper argues that health care organizations must develop policies, train skilled employees, and implement practices that enable providers to deliver culturally sensitive, equitable care to all individuals regardless of race, ethnicity, age, gender, or sexual orientation.
Cultural competency is a significant issue facing health care providers today. It is important for organizations to have and utilize policies, trained and skilled employees, and resources to anticipate, identify, and respond to a variety of expectations related to language, culture, and religion among both patients and health care providers. Health literacy occurs when there is a shared understanding between health care providers — or anyone communicating health information — and patients. This shared understanding is not merely good medicine; it is also a right and a responsibility (Health Literacy and Cultural Competency Provider Tool Kit, 2008).
Addressing disparities in health care and health outcomes is increasingly becoming a primary concern at both national and state levels. The Department of Health is dedicated to promoting health equity and committed to endorsing cultural competency among health care providers, in order to enhance positive outcomes for all people regardless of race, ethnicity, age, gender, or sexual orientation. Attaining cultural competence in the delivery of health care services can influence health outcomes among diverse populations, making it essential that health care providers understand health disparities and take steps to become culturally competent practitioners (Cultural Competency in Health Services and Care, 2010).
A health disparity is a difference in the rate of illness, disease, or health conditions among different populations. Disparity means not only difference but also variation — that is, some groups experience health outcomes that diverge from those of the general population. It is important to understand that some factors contributing to these differences are unavoidable and cannot be changed, while others are preventable and can be altered through personal actions, societal shifts, or systemic changes. Age and race are personal characteristics that cannot be changed, but behaviors and actions can be modified. System-level changes can also be implemented to allow greater access to preventive and primary care. Understanding how all risk factors contribute to health differences — particularly for the patients being seen — can help providers become more culturally competent (Cultural Competency in Health Services and Care, 2010).
"How culture shapes patient health-seeking behavior"
"Organizational steps toward culturally competent practice"
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