This article describes the literature-based, testable, formative Patient-Centered Culturally Sensitive Health Care Model that explains the associations between patient-centered culturally sensitive health care, health-promoting treatment behaviors, and health outcomes and statuses. An intervention program based on the model and its foundational research are also described. In addition, the article summarizes research concerning the ongoing evaluation of the model and the intervention program as well as the development of pilot inventories to assess patient-centered culturally sensitive health care in community-based primary care clinics.
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References
1.
American College of Physicians. (2004). Racial and ethnic disparities in health care. Annals of Internal Medicine, 141, 226-232.
2.
Auerbach, S.M., Clore, J.N., Kiesler, D.J., Orr, T., Pegg, P.O., Quick, B.G., et al. (2002). Relation of diabetic patients' health-related control appraisals and physician-patient interpersonal impacts to patients' metabolic control and satisfaction with treatment. Journal of BehavioralMedicine, 25, 17-31.
3.
Betancourt, J.R. (2004). Cultural competence—Marginal or mainstream movement?New England Journal of Medicine, 351, 953-955.
4.
Betancourt, J.R. (2005). Racial and ethnic disparities in health care: No one suspect, no one solution. Delaware Medical Journal , 77, 333-334.
5.
Davis, K., Schoenbaum, S.C., & Audet, A.J. (2005). A 2020 vision of patient-centered primary differences in patient perceptions of bias and cultural competence in health care. Journal of General Internal Medicine, 19, 101-110.
6.
DiPalo, M.T. (1997). Rating satisfaction research: Is it poor, fair, good, very good, or excellent? Arthritis Care and Research , 10, 422-430.
7.
Engels, H.J., Gretebeck, R.J., Gretebeck, K.A., & Jimenez, L. (2005). Promoting healthful diets and exercise: Efficacy of a 12-week after-school program in urban African Americans. Journal of the American Dietetic Association,105, 455-459.
8.
Ferguson, J.A., Weinberger, M., Westmoreland, G.R., Mamlin, L.A., Segar, D.S., Greene, J.Y., et al. (1998). Racial disparity in cardiac decision-making: Results from patient focus group. Archives ofInternal Medicine , 158, 1450-1453.
9.
Freimuth, V.S., Quinn, S.C., Thomas, S.B., Cole, G., Zook, E., & Duncan, T. (2001). African Americans' views on research and the Tuskegee Syphilis Study. Social Science and Medicine, 52, 797-808.
10.
Geiger, A.M., Mullen, E.S., Sloman, P.A., Edgerton, B.W., & Petitti, D.B. (2000). Evaluation of a breast cancer patient information and support program. EffectiveClinical Practice, 3, 157-165.
11.
Greenfield, S., Kaplan, S., & Ware, J.E. (1985). Expanding patient involvement in care. Annals of Internal Medicine, 102, 520-528.
12.
Greenfield, T.K., & Attkisson, C.C. (1989). Steps toward a multifactorial satisfaction scale for primary care and mental health services. Evaluation and Program Planning, 12, 271-278.
13.
Hall, J.A., Milburn, M.A., & Epstein, A.M. (1993). A causal model of health status and satisfaction with medical care. Medical Care, 31, 84-94.
14.
Harris, L.E., Luft, F.C., Rudy, D.W., & Tierney, W.M. (1995). Correlates of health care satisfaction in inner-city patients with hypertension and chronic renal insufficiency. Social Science and Medicine, 41, 1639-1645.
15.
Institute of Medicine. (2004). Improving medical education: Enhancing the behavioral and social science content of medical school curricula. Washington, DC: National Academies Press.
16.
Institute of Medicine, Board of Health Sciences Policy, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: National Academy Press.
17.
Ivey, A.E., D'Andrea, M., Ivey, M.B., & Simek-Morgan, L. (2002). Theories of counseling and development: A multicultural perspective (5th ed.). Boston: Allyn & Bacon .
18.
Jahng, K.H., Martin, L.R., Golin, C.E., & DiMatteo, M.R. (2004). Preferences for medical collaboration: Patient-physician congruence and patient outcomes. Patient Education and Counseling, 57, 308-314.
19.
Joffe, S., Manocchia, M., Weeks, J.C., & Cleary, P.D. (2003). What do patients value in their hospital care? An empirical perspective on autonomy centered bioethics. Journal of MedicalEthics, 29, 103-108.
20.
Kaplan, S.H., & Greenfield, S. (2004). The patient's role in reducing disparities. Annals of Internal Medicine, 141, 222-223.
21.
Kaplan, S.H., Greenfield, S., & Ware, J.E. (1989). Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Medical Care, 27, S110-S127.
22.
Kleinman, A. (1988). The illness narratives: Suffering, healing, and the human condition. New York: Basic Books.
23.
Kune-Karrer, B.M., & Taylor, E.H. (1995). Toward multiculturality: Implications for the pediatrician. Pediatric Clinics of NorthAmerica, 42, 21-30.
24.
Like, R., & Zyzanski, S. (1987). Patient satisfaction with the clinical encounter: Social psychological determinants. Social Science & Medicine , 24, 351-357.
25.
Majumdar, B., Browne, G., Roberts, J., & Carpio, B. (2004). Effects of cultural sensitivity training on health care provider attitudes and patient outcomes. Journal of Nursing Scholarship, 36, 161-166.
26.
Meichenbaum, D.H. (1977). Cognitive behavior modification: An integrative approach. New York: Plenum.
27.
Miranda, J., Duan, N., Sherbourne, C., Schoenbaum, M., Lagomasino, I., Jackson-Triche, M., et al. (2003). Improving care for minorities: Can quality improvement interventions improve care and outcomes for depressed minorities? Results of a randomized, controlled, trial. Health Services Research, 38, 613-630.
28.
O'Loughlin, J., Renaud, L., & Paradis, G. (1996). Screening school personnel for cardiovascular disease risk factors: Short-term impact on behavior and perceived role as promoters of heart health. Preventive Medicine: An International Journal Devoted to Practice and Theory, 25, 660-667.
29.
Paterson, B. (2001). Myth of empowerment in chronic illness. Journal of Advanced Nursing, 34, 574-581.
30.
Pope-Davis, D.B., Toporek, R.L., Ortega-Villalobos, L., Ligiéro, D.P., Brittan-Powell, C.S., Liu, W.M., et al. (2002). Client perspectives of multicultural counseling competence: A qualitative examination. The Counseling Psychologist , 30, 355-393.
31.
Rimmer, J.H., Braunschweig, C., Siverman, K., Riley, B., Creviston, T., & Nicola, T. (2000). Effects of a short-term health promotion intervention for a predominantly African-American group of stroke survivors. American Journal of Preventative Medicine, 18, 332-338.
32.
Rogers, C. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95-103.
33.
Rost, K.M., Flavin, K.S., Cole, K., & McGill, J.B. (1991). Change in metabolic control and functional status after hospitalization: Impact of patient activation intervention in diabetic patients. Diabetes Care, 14, 881-889.
34.
Sharf, B.F. (1990). Physician-patient communication as interpersonal rhetoric: A narrative approach. Health Communication, 2, 217-232.
35.
Shavers, V.L., Lynch, C.F., & Burmeister, L.F. (2001). Factors that influence African-Americans' willingness to participate in medical research studies . Cancer, 91, 233-236.
36.
Showstack, J., Rothman, A.A., & Hassmiller, S. (2003). Primary care at a crossroads . Annals of Internal Medicine, 138, 242-243.
37.
Sorensen, G., Barbeau, E., Stoddard, A.M., Hunt, M.K., Kaphingst, K., & Wallace, L. (2005). Promoting behavior change among working class, multiethnic workers: Results of the healthy directions—Small business study. American Journal of Public Health, 95, 1389-1395.
38.
Street, R.L. (1991). Information-giving in medical consultations: The influence of patients' communicative styles and personal characteristics. Social Science and Medicine, 32, 541-548.
39.
Street, R.L. (1992). Communicative styles and adaptations in physician-parent consultations. Social Science and Medicine, 34, 1155-1163.
40.
Tran, A.N., Haidet, P., Street, R.L., O'Malley, K.J., Martin, F., & Ashton, C.M. (2004). Empowering communication: A community-based intervention for patients. Patient Education and Counseling, 52, 113-121.
41.
Tucker, C.M., Ferdinand, L.A., Mirsu-Paun, A., Herman, K.C., Delgado-Romero, E., van den Berg, J.J., et al. (2007). The roles of counseling psychologists in reducing health disparities. The Counseling Psychologist, 35, 650-678.
42.
Tucker, C.M., Herman, K.C., Pedersen, T.R., Higley, B., Montrichard, M., & Ivery, P. (2003). Cultural sensitivity in physician-patient relationships: Perspectives of an ethnically diverse sample of low-income primary care patients . Medical Care, 41, 859-870.
43.
Watson, S.D. (2005). Equity measures and systems reform as tools for reducing racial and ethnic disparities in health care (Pub. No. 776). New York: The Commonwealth Fund.
44.
Watts, R.J. (2004). Integrating social justice and psychology. The Counseling Psychologist, 32, 855-865.
45.
Weissman, J.S., Betancourt, J.B., Campbell, E.G., Park, E.R., Kim, M., Clarridge, B., et al. (2005). Resident physicians' preparedness to provide cross-cultural care. Journal of theAmerican Medical Association , 294, 1058-1067.
46.
Winkleby, M.A., Howard-Pitney, B., & Albright, C.A. (1997). Predicting achievement of a low-fat diet: A nutrition intervention for adults with low literacy skills . Preventive Medicine: An International Journal Devoted to Practice and Theory, 26, 874-882.
