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Cultural Responsiveness

Cultural responsiveness in health refers to being aware of cultural differences among diverse racial, ethnic, and other minority groups, respecting those differences, and taking steps to apply knowledge of cultural differences to professional practice. The United States is an increasingly culturally and linguistically diverse nation, and disparities in health care access, health outcomes, and health status are major issues. more ...

Ethnomedicine

Publications

American Flag Icon The Value of Plants Used in Traditional Medicine for Drug Discovery

The American Journal of Chinese Medicine (AJCM)

Introduction to Ethnomedicine

Medicines that Change the World

Web Sites

Ethnobotany

Organizations

American Anthropology Association

CultureMed

American Botanical Council

EthnoMed

University of Hawai'i at Manoa Department of Anthropology

International Centre for Ethnomedicine and Drug Development

Medical Anthropology: Cross Cultural Studies in Health and Illness

Society for Ethnomedicine

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Transcultural Health and Nursing Resources

Publications

American Flag Icon Cardiovascular Risk in the Filipino Community: Formative Research from Dale City and San Francisco, California

American Flag Icon Cardiovascular Risk in the Vietnamese Community: Formative Research from Houston, Texas

Basic Concepts of Transcultural Nursing

Medical Index: Multicultural Health And Nursing

Nursing Resources

Transcultural Nursing-A Selected Bibliography

What is Transcultural Nursing?

Organizations

Transcultural and Multicultural Health Links

Transcultural Nursing and Healthcare Association Homepage

Transcultural Nursing Resources

Transcultural Nursing: Basic Concepts and Case Studies

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Healthy People 2010
, the United States' agenda for disease prevention and health promotion, has two overarching national goals: to increase quality and years of healthy life and to eliminate health disparities. Health disparities addressed in Healthy People 2010 include those that occur by gender, race or ethnicity, education or income, disability, geographic location, or sexual orientation. Cultural responsiveness by health professionals is essential to the achievement of these goals. Being culturally responsive in the practice of medicine or other health professions means first becoming culturally competent-understanding and appreciating cultural differences and their effects on patient health and behavior. Achieving cultural responsiveness in health care means applying cultural competency knowledge and skills to provide health care services that meet the needs of people from other cultures.

According to the National Center for Cultural Competence, there are many reasons for cultural competence in health care at the patient-provider level. For example:

  • The perception of illness and disease and their causes varies by culture.

  • Diverse belief systems exist related to health, healing and wellness.

  • Culture influences help-seeking behaviors and attitudes toward health care providers.

  • Individual preferences affect traditional and non-traditional approaches to health care.

  • Patients must overcome personal experiences of biases within health care systems.

  • Health care providers from culturally and linguistically diverse groups are under-represented in the current service delivery system.

Culturally responsive actions may involve, for example, finding ways to overcome language or other barriers to communication, or assessing the impact of certain religious or cultural beliefs and values on an individual's health behavior and needs. The result of cultural responsiveness is better communication with patients, families, and groups from diverse cultures, improved health outcomes, and greater patient satisfaction with care.

  • Ethnomedicine refers to the traditional healing practices of different cultures.

  • Medical anthropology is the study of different cultures' approaches to health and illness, including health beliefs and the use of traditional healing practices.

  • Cross-cultural or transcultural health is another way of referring to providing culturally competent and responsive health care and other health-related services to people of different cultures.

  • Cultural responsiveness in women's health means addressing differences in health status, risks, and needs of women of different racial, ethnic, educational, and economic backgrounds. It means assuring that women who are members of minority groups have access to culturally appropriate health information and services.

A number of United States Federal Government offices and agencies are playing major roles in focusing attention on health disparities affecting women. These agencies promote cultural competence and responsiveness in women's health in the United States.

  • The Department of Health and Human Services' Office on Women's Health (OWH) has created a Minority Women's Health Panel of Experts representing the African-American, American Indian/Alaska Native, Asian American and Pacific Islanders, and Latino communities. This panel serves as a resource for the OWH for the development of strategies that address diversity in health needs and inconsistencies in health care delivery for women across our country, as well as ensuring that the minority concerns are addressed in OWH programs and initiatives.

  • The National Institutes of Health's Office of Research on Women's Health (ORWH) serves as a focal point for women's health research at the NIH, promoting, stimulating, and supporting efforts to improve the health of women through biomedical and behavioral research. ORWH works in partnership with the NIH institutes and centers to ensure that women's health research is part of the scientific framework at NIH and throughout the scientific community.

  • The Maternal and Child Health Bureau, part of the Health Resources and Services Administration (HRSA), Department of Health and Human Services, includes an emphasis on cultural competency as an integral component of health service delivery.

  • The Office of Minority and Women's Health of the Bureau of Primary Health Care, is also part of HRSA. The mission of the Minority and Women's Health program is to promote activities that reduce disparities in the health status of women, racial and ethnic populations and stimulate collaborative partnerships to ensure coordinated health care that responds to unique cultural and linguistic needs.

  • The HRSA Office of Women's Health coordinates women's activities across more than 80 HRSA programs. This cross-cutting and unifying role strengthens our programmatic focus to eliminate gender-based disparities, and ensure that all women, regardless of age, sexual orientation, race/ethnicity, rural or urban geographic location, functional status, or socioeconomic, housing, and immigration status receive comprehensive, culturally competent, quality health care.

Many other Federal and non-governmental agencies are working to promote cultural responsiveness in health services for all people.

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  American Flag Icon = Federal government resource

Last Updated: October 2002


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