Providing Culturally Competent Care: Residents in HRSA Title VII Funded Residency Programs Feel Better Prepared.  

Oleh:

Green, Alexander R. ; Betancourt, Joseph R. ; Park, Elyse R. ; Greer, Joseph A. ; Donahue, Elizabeth J

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Academic Medicine (Journal of the Association of American Medical Colleges) vol. 83 no. 11 (Nov. 2008), page 1071.

Ketersediaan

Perpustakaan FK Nomor Panggil: A33.K.2008.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Background: The Health Resources and Services Administration (HRSA) funds primary care residency programs through its Title VII training grants, with a goal of ensuring a well-prepared, culturally competent physician workforce. The authors sought to determine whether primary care residents in Title VII-funded training programs feel better prepared than those in nonfunded programs to provide care to culturally diverse patients. Method: The authors analyzed data from a national mailed survey of senior resident physicians conducted in 2003-2004. Of 1,467 randomly selected family medicine, internal medicine, and pediatrics residents, 866 responded-403 in Title VII-funded programs and 463 in nonfunded programs (response rate = 59%). The survey included 28 Likert-response questions about residents' preparedness and perceived skills to provide cross-cultural care, sociodemographics, and residency characteristics. Results: Residents in Title VII-funded programs were more likely than others to report being prepared to provide cross-cultural care across all 8 measures (odds ratio [OR] = 1.54-2.61, P < .01) and feeling more skilled in cross-cultural care for 6 of 10 measures (OR = 1.30-1.95, P < .05). Regression analyses showed that characteristics of the Title VII-funded residency training experience related to cross-cultural care (e.g., role models, cross-cultural training, and attitudes of attending physicians) accounted for many of the differences in self-reported preparedness and skills. Conclusions: Senior residents in HRSA Title VII-funded primary care residency training programs feel better prepared than others to provide culturally competent care. This may be partially explained by better cross-cultural training experiences in HRSA Title VII-funded programs. This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali