TY - JOUR
T1 - Patient centeredness, cultural competence and healthcare quality
AU - Saha, Somnath
AU - Beach, Mary Catherine
AU - Cooper, Lisa A.
N1 - Funding Information:
financial support: This study was supported by The Commonwealth Fund, a New York City-based private, independent foundation. Dr. Saha was supported by an Advanced Research Career Development Award from the Health Services Research and Development Service of the Department of Veterans Affairs. Drs. Saha and Beach were supported by Generalist Physician Faculty Scholar Awards from the Robert Wood Johnson Foundation. Dr. Cooper was supported by the National Heart Lung and Blood Institute (grant #K24HL083113). The views expressed in this paper are those of the authors and not necessarily those of The Commonwealth Fund, the Department of Veterans Affairs, the National Institutes of Health or the Robert Wood Johnson Foundation.
PY - 2008/11
Y1 - 2008/11
N2 - Cultural competence and patient centeredness are approaches to improving healthcare quality that have been promoted extensively in recent years. In this paper, we explore the historical evolution of both cultural competence and patient centeredness. In doing so, we demonstrate that early conceptual models of cultural competence and patient centeredness focused on how healthcare providers and patients might interact at the interpersonal level and that later conceptual models were expanded to consider how patients might be treated by the healthcare system as a whole. We then compare conceptual, models for both cultural competence and patient centeredness at both the interpersonal and healthcare system levels to demonstrate similarities and differences. We conclude that, although the concepts have had different histories and foci, many of the core features of cultural competence and patient centeredness are the same. Each approach holds promise for improving the quality of healthcare for individual patients, communities and populations.
AB - Cultural competence and patient centeredness are approaches to improving healthcare quality that have been promoted extensively in recent years. In this paper, we explore the historical evolution of both cultural competence and patient centeredness. In doing so, we demonstrate that early conceptual models of cultural competence and patient centeredness focused on how healthcare providers and patients might interact at the interpersonal level and that later conceptual models were expanded to consider how patients might be treated by the healthcare system as a whole. We then compare conceptual, models for both cultural competence and patient centeredness at both the interpersonal and healthcare system levels to demonstrate similarities and differences. We conclude that, although the concepts have had different histories and foci, many of the core features of cultural competence and patient centeredness are the same. Each approach holds promise for improving the quality of healthcare for individual patients, communities and populations.
KW - Cultural competence
KW - Patient-physician relationship
KW - Quality of care
UR - http://www.scopus.com/inward/record.url?scp=57149102701&partnerID=8YFLogxK
U2 - 10.1016/S0027-9684(15)31505-4
DO - 10.1016/S0027-9684(15)31505-4
M3 - Article
C2 - 19024223
AN - SCOPUS:57149102701
SN - 1943-4693
VL - 100
SP - 1275
EP - 1285
JO - Journal of the National Medical Association
JF - Journal of the National Medical Association
IS - 11
ER -