Assessing Cultural Competence Among Oncology Surgeons
Assessing Cultural Competence Among Oncology Surgeons
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DOI：
10.1200/jop.2015.006932
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发表时间：
2016-01-01
影响因子：
--
通讯作者：
Flum, David R.
中科院分区：
文献类型：
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作者：
Doorenbos, Ardith Z.;Morris, Arden M.;Flum, David R.
在美国，种族和少数民族群体的最常见癌症死亡率最高。各种因素，包括认为缺乏文化上一致的护理和文化上有能力的提供者，可能导致少数民族患者拒绝或延迟护理。作为一个大型的多方法研究的一部分，以了解障碍，美国印第安人和阿拉斯加土著癌症患者之间的护理，我们研究了外科医生的属性与文化一致的care.Patients和MethodsSurgical供应商从6家医院在普吉湾地区的华盛顿州被邀请参加。参与者完成了50项调查，评估人口统计数据，并纳入文化能力评估（CCA）和马洛皇冠社会DesirabilityScale.ResultsSurvey响应率为51.1%（N = 253）。参与者报告治疗不同的患者人群; 71%的患者来自六个或更多种族和民族。超过一半的参与者（58%）报告完成了文化多样性培训，雇主赞助的培训是最常见的培训类型（48%; 147人中有71人）。CCA评分范围为5.99至13.75（平均值为10.3;标准差为1.3），接受多样性培训的得分高于未接受多样性培训的得分（分别为10.56 v9.82; P
PurposeRacial 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 MethodsSurgical 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.ResultsSurvey 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