Navigation Links
Better care from doctors who are culturally aware
Date:1/14/2013

HIV patients from ethnic minorities receive better quality of care from doctors and other primary healthcare professionals who are the most competent at caring for patients from diverse backgrounds those who are "culturally competent." These patients also tend to manage both their treatment and condition better, according to a new study by Somnath Saha from Portland VA Medical Center, and the Oregon Health & Science University in the US, and colleagues. Their findings appear in the Journal of General Internal Medicine, published by Springer.

The authors explored whether cultural competence a combination of awareness, attitudes, skills and behaviors related to doctors' ability to care for diverse patient groups can result in more equitable care, with a focus on HIV patients specifically. HIV infection is a leading contributor to racial inequalities in both health and life expectancy in the US. This is due in part to the fact that minority individuals with HIV/AIDS are less likely than whites to receive antiretroviral (ARV) therapy, and to stick to their ARV regimens once prescribed. These differences in treatment inevitably lead to disparities in health outcomes for these patients, including viral suppression, progression to AIDS and death.

There has been a push by healthcare professional organizations to increase the cultural competence of their members, i.e. the effectiveness with which they deal with patients from diverse backgrounds. Saha and team's study assesses whether cultural competence does indeed lead to better treatment and outcomes for minority HIV patients.

The researchers surveyed 45 providers and 437 patients at four urban HIV clinics (Baltimore, Detroit, New York, and Portland) who took part in the Enhancing Communication and HIV Outcomes (ECHO) study. The medical professionals rated their own cultural competence on a 20-item questionnaire. The researchers measured patients' outcomes, including whether or not they were on ARV therapy, how well they adhered to their regimen and whether or not their viral load was suppressed.

Overall, minority patients treated by providers with medium or high cultural competence were more likely to be on ARVs, to better self-manage their condition and to adhere to their prescription, than were those treated by doctors scoring low on cultural competence. There were also racial disparities in viral suppression among those patients treated by less culturally competent providers. In this group, non-white patients were less likely to be on ARV therapy, to manage their medication well, and to have a suppressed viral load, compared to whites. Among those treated by more culturally competent providers, treatment and outcomes were similar for white and non-white patients.

The authors conclude: "Our findings suggest that, through either training interventions or through efforts to diversify the healthcare workforce, increasing healthcare provider cultural competence holds the potential to reduce racial disparities in both the quality of health care, and the health of diverse patient populations."


'/>"/>
Contact: Alexander Brown
alexander.brown@springer.com
212-620-8043
Springer Science+Business Media
Source:Eurekalert

Related medicine news :

1. More Focused Radiation Treatment May Work Better Against Brain Tumors
2. Marriage linked to better survival in middle age
3. PHFE’s New Year’s Resolution=Fewer Guns, Better Mental Health
4. Costly breast cancer screenings dont add up to better outcomes
5. Centralization to fewer surgeons results in better survival after esophageal cancer surgery
6. Outsourced radiologists perform better reading for fewer hospitals
7. Better Work Environment May Cut Hospital Readmission Rates
8. Time for New Year’s Resolutions, Add Better Tax Records to the List
9. Mesothelioma Victims Center Now Fears Most Victims Get Shortchanged with Compensation so they Now Offer the Names of the Best Mesothelioma Law Firms-For Better Results
10. Originals By Weber's New Invention: "EZoo" Denture Liner Is Eazy To Put On/Eazy To Take Off Makes Loose Dentures Fit Better
11. Better stroke care, everywhere: NIH-funded study boosts local hospitals clotbuster use
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... , ... PawPaws brand pet supplements owned by Whole Health Supply ... health of felines. The formula is all-natural and is made from Chinese herbs that ... Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root ...
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery services, can ... Surgery and to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey ... cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... As a ... Magna Cum Laude and his M.D from the David Geffen School of Medicine at ... returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... A ... procedures that most people are unfamiliar with. The article goes on to state that ... but also many of these less common operations such as calf and cheek reduction. ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... Conference and Scientific Sessions in Dallas that it will receive two significant new ... the grants came as PHA marked its 25th anniversary by recognizing patients, medical ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016 According to a new ... Pen Needles, Safety Pen Needles), Needle Length (4mm, 5mm, ... Mode of Purchase (Retail, Non-Retail) - Trends & Global ... the market for the forecast period of 2016 to ... Billion by 2021 from USD 1.65 Billion in 2016, ...
(Date:6/24/2016)... , Belgium , June ... MKT: VNRX), today announced the appointment of Dr. ... of Directors as a Non-Executive Director, effective June ... Company,s Audit, Compensation and Nominations and Governance Committees.  ... Dr. Futcher will provide independent expertise and strategic ...
(Date:6/23/2016)...  MedSource announced today that it has selected ... of choice.  This latest decision demonstrates MedSource,s commitment ... clients by offering a state-of-the-art electronic data capture ... as the EDC platform of choice in exchange ... has long been a preferred EDC platform by ...
Breaking Medicine Technology: