Culture Matters: Innovative Strategies for Quality Care

文化很重要：优质护理的创新策略

• 批准号: 7281985
• 负责人: Ana Elizabeth Nunez
• 金额: $ 12.01万
• 依托单位: DREXEL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7281985
• 关键词: Accident and Emergency department; Address; American; Angioplasty; Asthma; Attention; Attitude; Breast; Bypass; Cardiovascular Diseases; Caring; Child Care; Clinical; Competence; Condition; Coronary artery; Dental; Diagnosis; Diagnostic; Disease; Domestic Violence; Education; Educational Curriculum; Educational Status; Evaluation; Exercise; Eye; Faculty; Feedback; Funding; Grant; Health; Health Insurance; Health Personnel; Health Promotion; Health Services Accessibility; Healthcare; Homelessness; Housing; Incidence; Income; Instruction; Insurance Coverage; Intervention; Invasive; Knowledge; Language; Lead; Link; Mammography; Maps; Measures; Medical; Medical Education; Minority; Minority Groups; Modality; Operative Surgical Procedures; Pap smear; Patient Discharge; Patients; Pattern; Pharmaceutical Preparations; Physical Examination; Physicians; Plague; Plant Roots; Population; Poverty; Pre-Post Tests; Prevalence; Prevention; Procedures; Process; Program Effectiveness; Provider; Quality of Care; Reporting; Research; Resources; Severity of illness; Sex Bias; Sick Leave; Sickle Cell Anemia; Sleep Disorders; Stroke; Students; Substance abuse problem; Training; Treatment outcome; United States Health Resources and Services Administration; Woman; Work; concept; continuing medical education; follow-up; health belief; health care delivery; health disparity; improved; innovation; intercalation; medical schools; performance tests; pre-clinical; racial difference; racism; satisfaction; skills

DESCRIPTION (provided by applicant): Background: Health disparities result from a variety of factors, both societal and institutional. One root is the dearth of attention paid to illnesses with health disparities in formal medical curricula as well as the lack of training of physicians with skills and knowledge that would improve cultural competence. Hypothesis: Curricular reform that includes assessment and revision of current curricular content and training for improved skills and knowledge in cultural competence will result in improved knowledge and attitudes for health care providers regarding cardiovascular disease, stroke, sickle cell disease, asthma, and sleep disorders in populations with health disparities. Intervention/Process: Funding for this grant will provide resources to: 1. identify curricular opportunities and gaps to integrate cultural competency and health disparities education 2. develop curricular objectives linked to training level (from preclinical student to physician level) highlighting cross-cultural competency knowledge, attitudes, skills, unique population specific issues and different clinical manifestations or health disparities associated with the disease topics under study. 3. modify curriculum and develop new instructional strategies to address gaps 4. implement new and modified instructional strategies 5. evaluate new and modified curriculum 6. develop a dissemination plan 7. disseminate curriculum to medical education groups (medical schools, graduate medical education and continuing education groups) 8. evaluate dissemination plan and analyze program effectiveness. Evaluation: Results will be measured by evaluating pre and post test performance knowledge about the health disparities associated with target illnesses, learners' ability to develop concept maps outlining a comprehensive strategy to delineate the intercalations between illnesses and cultural context; skills in health care delivery using standardized patient exercises; faculty and student attitudes regarding the cultural competence curriculum and qualitative feedback from learners and educators.

描述（由申请人提供）： 背景：健康差异是由多种社会和体制因素造成的。 根源之一是正规医学课程缺乏对健康差异疾病的关注，以及缺乏对医生进行提高文化能力的技能和知识培训。 假设：课程改革，包括评估和修订当前课程内容以及提高文化能力技能和知识的培训，将提高医疗保健提供者对健康差异人群中的心血管疾病、中风、镰状细胞病、哮喘和睡眠障碍的知识和态度。干预/过程：这笔赠款的资金将提供资源用于： 1. 确定整合文化能力和健康差异教育的课程机会和差距 2. 制定与培训级别（从临床前学生到医师级别）相关的课程目标，强调跨文化能力知识、态度、技能、独特的人群特定问题以及与所研究的疾病主题相关的不同临床表现或健康差异。 3. 修改课程并制定新的教学策略以弥补差距 4. 实施新的和修改后的教学策略 5. 评估新的和修改后的课程 6. 制定传播计划 7. 向医学教育团体（医学院、研究生医学教育和继续教育团体）传播课程 8. 评估传播计划并分析计划有效性。 评估：结果将通过评估测试前和测试后关于与目标疾病相关的健康差异的知识、学习者绘制概念图的能力来衡量，该概念图概述了描绘疾病和文化背景之间的插入的综合策略；使用标准化患者练习提供医疗保健的技能；教师和学生对文化能力课程的态度以及学习者和教育者的定性反馈。