CULTURALLY COMPETENT SERVICES WITHIN A STATEWIDE BEHAVIORAL HEALTHCARE TRANSFORMATION: A MIXED-METHOD ASSESSMENT.
CULTURALLY COMPETENT SERVICES WITHIN A STATEWIDE BEHAVIORAL HEALTHCARE TRANSFORMATION: A MIXED-METHOD ASSESSMENT.
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全州行为医疗保健转型中的文化胜任服务：混合方法评估。
DOI：
10.1002/jcop.21544
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发表时间：
2013
影响因子：
2.3
通讯作者：
Willging,CathleenE
中科院分区：
文献类型：
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作者：
Semansky,RafaelM;Goodkind,Jessica;Sommerfeld,DavidH;Willging,CathleenE
2005年，新墨西哥州创建了一个单一的健康计划来管理所有公共资助的行为健康服务。我们的混合方法研究结合了调查、文献回顾和人种学，以检验这一改革对文化胜任服务(CCS)的影响。参与者是行为保健机构的高管、提供者和支持人员。关键变量包括语文服务和组织支助，即培训、共同国家服务的自我评估和客户一级数据的维护。调查和文件审查表明，在改革的头三年，对全州CCS能力的影响微乎其微。人种学研究帮助解释了这些发现：(A)州政府、管理行为健康计划和机构未能支持CCS，以及(B)增加的行政要求最大限度地减少了CCS的时间和财政资源。供应商对CCS的评价也不够。尽管各机构在处理语言援助服务方面取得了进展，但可获得性和质量仍然有限。
In 2005, New Mexico created a single health plan to administer all publicly funded behavioral health services. Our mixed‐method study combined surveys, document review, and ethnography to examine this reform's influence on culturally competent services (CCS). Participants were executives, providers, and support staff of behavioral healthcare agencies. Key variables included language access services and organizational supports, i.e., training, self‐assessments of CCS, and maintenance of client‐level data. Survey and document review suggested minimal effects on statewide capacity for CCS during the first three years of the reform. Ethnographic research helped explain these findings: (a) state government, the managed behavioral health plan and agencies failed to champion CCS and (b) increased administrative requirements minimized time and financial resources for CCS. There was also insufficient appreciation among providers for CCS. Although agencies made progress in addressing language assistance services, availability and quality remained limited.