Anton Clifford|Janya McCalman|Roxanne Bainbridge|Komla Tsey
Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review
University of Queensland|Cairns Hospital|James Cook University|Cairns Hospital|James Cook University|Cairns Hospital|James Cook University
article describes characteristics reviews methodological quality interventions designed improve cultural competency health care indigenous peoples australia new zealand canada usaa total 17 electronic databases 13 websites period 200213studies included evaluated intervention strategy designed improve cultural competency health care indigenous peoples australia new zealand usa canadainformation characteristics methodological quality included studies extracted using standardized assessment toolssixteen published evaluations interventions improve cultural competency health care indigenous peoples identified 11 indigenous peoples usa 5 indigenous australians main types intervention strategies education training health workforce culturally specific health programs recruitment indigenous health workforce main positive outcomes reported improvements health professionals confidence patients satisfaction access health care methodological quality evaluations reporting key methodological criteria variable particular problems included weak study designs low reporting consent rates confounding nonvalidated measurement instrumentsthere lack evidence rigorous evaluations effectiveness interventions improving cultural competency health care indigenous peoples future evaluations employ rigorous study designs extend measurement outcomes beyond relating health professionals relating health indigenous peoples