Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Anton C CliffordKomla Tsey

Abstract

This article describes the characteristics and reviews the methodological quality of interventions designed to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA. A total of 17 electronic databases and 13 websites for the period of 2002-13. Studies were included if they evaluated an intervention strategy designed to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, the USA or Canada. Information on the characteristics and methodological quality of included studies was extracted using standardized assessment tools. Sixteen published evaluations of interventions to improve cultural competency in health care for Indigenous peoples were identified: 11 for Indigenous peoples of the USA and 5 for Indigenous Australians. The main types of intervention strategies were education and training of the health workforce, culturally specific health programs and recruitment of an Indigenous health workforce. Main positive outcomes reported were improvements in health professionals' confidence, and patients' satisfaction with and access to health care. The methodological quality of evaluations and the reporting of key methodological criteria ...Continue Reading

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Citations

Sep 10, 2016·Frontiers in Public Health·Komla TseyAllison Rossetto
Nov 22, 2016·Australian and New Zealand Journal of Public Health·Philippa MiddletonStephanie Brown
Jan 31, 2017·Social Science & Medicine·Sarah E Nelson, Kathi Wilson
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