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J Oncol Pract. 2016 Jan;12(1):61-2, e14-22. doi: 10.1200/JOP.2015.006932.

Assessing Cultural Competence Among Oncology Surgeons.

Author information

1
University of Washington, Seattle, WA; University of Michigan, Ann Arbor, MI; and University of New Mexico, Albuquerque, NM doorenbo@uw.edu.
2
University of Washington, Seattle, WA; University of Michigan, Ann Arbor, MI; and University of New Mexico, Albuquerque, NM.
3
University of Washington, Seattle, WA; University of Michigan, AnnArbor, MI; and University of New Mexico, Albuquerque, NM doorenbo@uw.edu.
4
University of Washington, Seattle, WA; University of Michigan, AnnArbor, MI; and University of New Mexico, Albuquerque, NM.

Abstract

PURPOSE:

Racial and ethnic minority groups in the United States have the highest mortality rates for the most common cancers. Various factors, including a perceived lack of culturally congruent care and culturally competent providers, might lead minority patients to decline or delay care. As part of a large multimethod study to understand barriers to care among American Indian and Alaskan native patients with cancer, we examined surgical provider attributes associated with culturally congruent care.

PATIENTS AND METHODS:

Surgical providers from six hospitals in the Puget Sound region of Washington State were invited to participate. Participants completed a 50-item survey that assessed demographic data and incorporated the Cultural Competence Assessment (CCA) and the Marlowe-Crowne Social Desirability Scale.

RESULTS:

Survey response rate was 51.1% (N = 253). Participants reported treating diverse patient populations; 71% encountered patients from six or more racial and ethnic groups. More than one half of participants (58%) reported completing cultural diversity training, with employer-sponsored training being the most common type reported (48%; 71 of 147). CCA scores ranged from 5.99 to 13.75 of a possible 14 (mean, 10.3; standard deviation, ±1.3), and receipt of diversity training was associated with higher scores than nonreceipt of diversity training (10.56 v 9.82, respectively; P<.001). After controlling for Marlowe-Crowne Social Desirability Scale score and hospital system,participation in diversity training was the variable most significantly associated with CCA score (P<.001).

CONCLUSION:

Culturally competent care is an essential but often overlooked component of high-quality health care. Future work should compare training offered by various hospital systems.

PMID:
26759469
PMCID:
PMC4960461
DOI:
10.1200/JOP.2015.006932
[Indexed for MEDLINE]
Free PMC Article

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