Mandy Truong|Yin Paradies|Naomi Priest
Interventions to improve cultural competency in healthcare: a systematic review of reviews
Victorian Health Promotion Foundation|University of Melbourne|Deakin University|Victorian Health Promotion Foundation|University of Melbourne
cultural competency recognized popular approach improving provision health care racialethnic minority groups community aim reducing racialethnic health disparities aim systematic review reviews gather synthesize existing reviews studies field form comprehensive understanding current evidence base guide future interventions research area systematic review review articles published january 2000 june 2012 conducted electronic databases including medline cinahl psycinfo reference lists articles key websites searched reviews cultural competency health settings included review critically appraised two authors using study appraisal tool given quality assessment rating weak moderate strong nineteen published reviews identified reviews consisted 5 38 studies included variety health care settingscontexts range study types three main categories study outcomes patientrelated outcomes providerrelated outcomes health service access utilization outcomes majority reviews found moderate evidence improvement provider outcomes health care access utilization outcomes weaker evidence improvements patientclient outcomes review reviews indicates evidence interventions improve cultural competency improve patientclient health outcomes however lack methodological rigor common amongst studies included reviews many studies rely selfreport subject range biases objective evidence intervention effectiveness rare future research measure healthcare provider patientclient health outcomes consider organizational factors utilize rigorous study designs