Cultural competence

Innovations

Weekly Group Classes Lead to Significant Weight Loss and High Levels of Satisfaction Among Low-Income, Racial and Ethnic Minorities 06/06/08

Health Not Cosmetics is a lifestyle modification program administered by medical students that includes educational classes, group training, and individual sessions; the program targets overweight and obese inner-city residents, many of whom are racial and ethnic minorities living in poverty.

Comprehensive School-Based Program Increases Positive Health Behaviors and Reduces Risk Factors for Type 2 Diabetes Among Mexican-American and Other At-Risk Youth 05/14/08

The Bienestar Health Program is a comprehensive and culturally competent school-based behavior modification program intended to prevent or delay the onset of type 2 diabetes among Mexican-American and other at-risk youth.

Health Plan–Financed, Nurse-Led Care Coordination Improves Quality of Care and Reduces Costs for Latinos With Chronic Illnesses and Disabilities 04/21/08

A community-based primary care clinic uses nurses to provide culturally competent care coordination to Latino patients with chronic illnesses and disabilities, leading to greater provision of recommended care, lower health care costs, and enhanced self-management capabilities.

Bilingual, Bicultural Asthma Intervention Program Significantly Improves Outcomes for Poor, Inner-City Youth 04/07/08

The El Rio Inner-City Asthma Intervention Program is a comprehensive bilingual, bicultural program that primarily serves low-income, inner-city Latino children with moderate or severe persistent asthma.

Enhancements to Interpreter Program Lead to Better Productivity for Interpreters, More Depression Screening, and Potential Reduction in Readmissions for Non–English-Speaking Patients 03/24/08

Cambridge Health Alliance enhanced its round-the-clock interpreter services by tracking key indicators that gauge the quality of these services; analyses of these data led to significant improvements in the program's telephone-based services and staff efficiency and the decision to implement depression screening in patients with limited English proficiency.

Pediatric Center Offers Coordinated, Culturally Appropriate Services, Increasing Access to Comprehensive Care for Low-Income Children With Special Health Care Needs 03/07/08

A pediatric center provides comprehensive, coordinated services within a primary care medical home for low-income and immigrant children with special health care needs.

Computerized, Multilingual Visual Medication Schedule and Teach-Back Protocols Improve Anticoagulation Control for Low-Literacy Patients 02/26/08

A randomized clinical trial at San Francisco General Hospital used visual medication schedules and brief teach-back protocols in English, Spanish, and Cantonese to improve anticoagulant control among low-literacy patients in the public hospital's anticoagulation clinic.

Comprehensive, Shelter-Based Clinic Enhances Access to Oral Health Services for Homeless in Los Angeles 02/26/08

A collaborative partnership between the University of Southern California School of Dentistry, Union Rescue Mission shelter, and other community stakeholders has led to free, comprehensive dental services available to homeless individuals in the Skid Row area of Los Angeles.

Practice-Based Teams of Clinicians and Development Experts Enhance Access to Care and Improve Parenting Skills and Knowledge Among Children and Their Families 02/25/08

Healthy Steps for Young Children (Healthy Steps) is a national initiative that encourages use of clinician-childhood development expert teams in physician offices to promote the use of timely preventive care; parent education and support; and other interventions to address the physical, emotional, and intellectual development of children from birth to age 3.

Lay Health Advisors Help Urban American Indian Women Overcome Barriers to Breast Cancer Screening 02/25/08

Using culturally competent and respectful methods of recruitment and advocacy, the Native Sisters program uses lay health advisers to provide American Indian women living in urban areas with breast cancer education, advocacy, and support, leading to enhanced access to screening services.

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