Culture Matters: Innovative Strategies for Quality Care

文化很重要：优质护理的创新策略

• 批准号: 7489274
• 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 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7489274
• 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）：