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Abstract

In this reaction article to the Major Contribution, the merits and challenges of implementing patient-centered culturally sensitive health care, or cultural competence plus, are explicated. Three themes are addressed: separate but equal?, factoring in mental health, and sharing the load. The need to refine the conceptualization of the two distinct, yet converging, components of patient-centered culturally sensitive health care is stressed to assure appropriate implementation, evaluation, and acceptance of this innovative system of care. More focus on mental, rather than physical, health is advocated. Multidisciplinary collaboration is accented, as counseling psychologists contemplate engaging in the implementation of patient-centered culturally sensitive health care. The value of patient-centered culturally sensitive health care for the reduction of health disparities is underscored.

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References

Atdjian, S. , & Vega, W.A. (2005). Disparities in mental health treatment in U.S. racial and ethnic minority groups: Implications for psychiatrists. Psychiatric Services, 56, 1600-1602.

Audet, M.J. , Davis, K. , & Schoenbaum, S.C. (2006). Adoption of patient-centered care practices by physicians: Results from a national survey. Archives of Internal Medicine, 166, 754-759.

Bergeson, S.C. , & Dean, J. (2006). A systems approach to patient-centered care. Journal of the American Medical Association, 296, 2848-2851.

Betancourt, J.R. (2004). Cultural competence—Marginal or mainstream movement? New England Journal of Medicine, 351, 953-956.

Bhui, K. , & Sashidharan, S. (2003). Should there be separate psychiatric services for ethnic minority groups? British Journal of Psychiatry, 182, 10-12.

Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13, 181-184.

Giger, J.N. , & Davidhizar, R.E. (2002). The Giger and Davidhizar Transcultural Assessment Model. Journal of Transcultural Nursing, 13, 185-192.

Herman, K.C. , Tucker, C.M. , Ferdinand, L.A. , Mirsu-Paun, A. , Hasan, N.T. , & Beato, C. (2007). Culturally sensitive health care and counseling psychology: An overview. The Counseling Psychologist, 35, 633-649.

Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

10.

Kinsman, D. (2007). Comprehensive reforms to move toward patient-centered care released by ACP. Retrieved January 27, 2007, from http://www.medicalnewstoday.com

11.

Kleinman, A. , & Benson, P. (2006). Anthropology in the clinic: The problem of cultural competency and how to fix it Retrieved February 3, 2007, from http://medicine.plusjournals.org

12.

Silow-Carroll, S. , Alteras, T. , & Stepnick, L. (2006). Patient-centered care for underserved populations: Definition and best practices. Washington, DC: Economic and Social Research Institute.

13.

Smedley, B. D. , Stitch, A. Y. , & Nelson, A. R. (Eds.). (2003). Unequal treatment: Confronting racial and ethnic disparities in healthcare. Washington, DC: Natural Academy Press.

14.

Survey of doctorate recipients. (2003). Washington, DC: National Science Foundation.

15.

Sutton, M. (2000). Improving patient care: Cultural competence. Family Practice Management, 7, 58-62.

16.

Thompson-Miller, R. , & Feagin, J.R. (2007). Continuing injuries of racism: Counseling in a racist context. The Counseling Psychologist, 35, 106-115.

17.

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.

18.

Tucker, C.M. , Herman, K.C. , Ferdinand, L.A. , Bailey, T.R. , Lopez, M.T. , Beato, C. , et al. (2007). Providing patient-centered culturally sensitive health care: A formative model. The Counseling Psychologist , 35, 679-705.

19.

U.S. Department of Health and Human Services. ( 2001). Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

Patient-Centered Culturally Sensitive Health Care

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