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Insurance and Socioeconomic Status Do Not Explain Racial Disparities in Breast Cancer Care External Web Site Policy

Freedman, R. A., Virgo, K. S., He, Y., Pavluck, A. L., Winer, E. P., Ward, E. M., & Keating, N. L. (2010). The association of race/ethnicity, insurance status, and socioeconomic status with breast cancer care. CANCER, 117(1), 180-189. doi: 10.1002/cncr.25542

This study discusses the prevalence of inequities in breast cancer care even when insurance status and socioeconomic status are controlled for. The findings suggest that greater efforts are needed to understand disparities in breast cancer care and to ensure that all receive equal and effective treatments.

Keywords:    Research | Clinical & Mental Health | Population-Based | Disease-Based | Disparities |

Surveillance of Screening-Detected Cancers (Colon and Rectum, Breast, and Cervix)

U.S. Department of Health & Human Services, Centers for Disease Control and Prevention. (2010). Morbidity and Mortality Weekly Report: Surveillance of screening-detected cancers (colon and rectum, breast, and cervix) (CDC Publication No. 59[SS09], 1-25). Retrieved from http://www.cdc.gov/

This study by the U.S. Department of Health and Human Services (HHS) Centers for Disease Control and Prevention (CDC) reveals that almost half of colorectal and cervical cancers and a third of breast cancers are diagnosed at late stages, when treatment is more difficult, despite the availability of effective screenings. The late diagnoses are disproportionately suffered by racial and ethnic minorities. The study identifies education as a key to improving these outcomes, recommending that providers explain the benefits of screenings to patients in a manner that the patient will understand.

Keywords:    Research | Population-Based | Disease-Based | Communication | Disparities | Governance, Leadership, and Workforce |

Healthcare 411 External Web Site Policy

U.S. Health and Human Services, Agency for Healthcare Research and Quality (Producer), & Clancy, C. (Director) (2011). Healthcare 411 [Audio podcast]. Retrieved from http://www.ahrq.gov/

Healthcare 411 is an audio podcast series produced by the HHS Agency for Healthcare Research and Quality (AHRQ) as part of its effort to improve the quality, safety, efficiency, and effectiveness of healthcare for all Americans. AHRQ launched Healthcare 411 in Spanish to offer news and information on current research and on important healthcare topics to a growing population in our country.

Keywords:    Tools | Clinical & Mental Health | Patients & Consumers | Population-Based | Communication and Language Assistance |

Toothache in US Children External Web Site Policy

Lewis, C., & Stout, J. (2010). Toothache in US children. Archives of Pediatrics & Adolescent Medicine, 164, 1056-1063. doi:10.1001/archpediatrics.2010.206

Data from the National Survey of Children's Health offers evidence of racial, ethnic, and socioeconomic disparities in pediatric oral health. Even when socioeconomic status was controlled for, there were inequities by race.

Keywords:    Research | Clinical & Mental Health | Population-Based | Profession-Based | Disease-Based | Disparities |

Muslim patients and cross-gender interactions in medicine: an Islamic bioethical perspective External Web Site Policy

Padela, A. I., & Rodriguez del Pozo, P. (2010). Muslim patients and cross-gender interactions in medicine: an Islamic bioethical perspective. Journal of Medical Ethics, 37(1), 40-44. doi:10.1136/jme.2010.037614

In this article, an emergency room physician provides recommendations for accommodating Muslim sensitivities within the healthcare system. The physician identifies cultural competence as a critical way to reduce healthcare disparities arising from value and cultural differences between patients and providers, noting that adapting one's practice style to meet patient needs and values is an important way to improve quality of care.

Keywords:    Research | Education & Training | Clinical & Mental Health | Population-Based | Profession-Based | Communication | Governance, Leadership, and Workforce |

Racial and Ethnic Disparities in Healthcare in California External Web Site Policy

California Office of Statewide Health Planning and Development. (2010). Racial and ethnic disparities in healthcare in California: California fact book. Retrieved from http://www.oshpd.ca.gov/HID/Products/PatDischargeData/ResearchReports/EthnicRacialDisp/RacialEthnic
FactBook_2010.pdf

The State of California conducted a study on racial and ethnic health disparities in 2010. Although the study found improvement in many areas, it also found that significant inequities persist. The authors note that the report provides strong evidence for policymakers, healthcare providers, public health professionals, researchers, and other interested stakeholders to focus efforts on addressing access to and quality of care.

Keywords:    Research | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Quality Improvement | Disparities |

Examining Effectiveness of Medical Interpreters in Emergency Departments for Spanish-Speaking Patients With Limited English Proficiency External Web Site Policy

Bagchi, A. D., Dale, S., Verbitsky-Savitz, N., Andrecheck, S., Zavotsky, K., & Eisenstein, R. (2010). Examining effectiveness of medical interpreters in emergency departments for Spanish-speaking patients with limited English proficiency: results of a randomized controlled trial. Annals of Emergency Medicine, 57(3), 248-256.e4. doi:10.1016/j.annemergmed.2010.05.032

This study, published in the Annals of Emergency Medicine, examines the impact on patient and provider satisfaction of emergency department use of medical interpreters for limited-English-proficient Spanish speakers. The researchers conclude that the use of in-person, professionally trained medical interpreters significantly increases satisfaction with communication during emergency department visits for both Spanish-speaking, limited-English-proficient patients and their health providers.

Keywords:    Research | Clinical & Mental Health | Patients & Consumers | Population-Based | Profession-Based | Communication | Communication and Language Assistance |

Culturally Competent Care: Some Examples of What Works External Web Site Policy

Commission on the Public's Health System. (2010). Culturally competent care: some examples of what works! Retrieved from http://www.cphsnyc.org/cphs/reports/august_2010-_culturally_competen/

"Culturally Competent Care: Some Examples of What Works!" was published by the Commission on the Public's Health System of New York City. The initiative surveyed 659 parents in 12 languages about their children's health and access to care and reveals many cultural and linguistic barriers in access to care for children. A Cultural Checklist was developed, incorporating these findings to be used to interviews and while touring provider sites.

Keywords:    Tools | Public Health | Population-Based | Profession-Based | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Racial And Ethnic Disparities In Dental Care For Publicly Insured Children External Web Site Policy

Pourat, N., & Finocchio, L. (2010). Racial and ethnic disparities in dental care for publicly insured children. Health Affairs, 29(7), 1356-1363. doi: 10.1377/hlthaff.2009.0089

A study published in Health Affairs examines oral health disparities among children in California. It determines that nearly 25 percent of children in California have never been to the dentist and that disparities exist across race, ethnicity, and type of insurance when it comes to the length of time between dental care visits.

Keywords:    Research | Population-Based | Profession-Based | Disparities |

Racial and Ethnic Disparities in Health Care External Web Site Policy

American College of Physicians. (2010).Racial and ethnic disparities in health care, updated 2010. Retrieved from http://www.acponline.org/advocacy/where_we_stand/access/racial_disparities.pdf

The American College of Physicians released a 2010 update to its policy paper, "Racial and Ethnic Disparities in Health Care." It calls for the healthcare system to adapt to meet the needs of an increasingly multicultural patient base. Recommendations include that healthcare professionals need to acknowledge the cultural, informational, and linguistic needs of their patients as our society increasingly becomes more racially and ethnically diverse.

Keywords:    Research | Education & Training | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Health Literacy | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance |

Irvine's Hoag Hospital works to bridge cultural barriers External Web Site Policy

Reicher, M. (2010, September 8). Irvine's Hoag Hospital works to bridge cultural barriers. Los Angeles Times. Retrieved from http://articles.latimes.com/2010/sep/08/local/la-me-hoag-hospital-20100908

This article details a California hospital's efforts to incorporate culturally competent practices into its services and system. Hoag Hospital in Irvine, CA, took many steps to adapt to its patients' cultural beliefs, traditions, and languages. These preparations include creating patient rooms arranged according to the principles of feng shui, serving steamed rice for breakfast, and using gestures such as presenting documents respectfully with two hands and speaking to patients with more formality.

Keywords:    Tools | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Communication | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Cancer study sees cultural factors in racial disparities External Web Site Policy

Avery, S. (2010, June 16). Cancer study sees cultural factors in racial disparities. The News & Observer. Retrieved from http://www.newsobserver.com/

The Journal of the American Medical Association has published a study from the University of North Carolina-Chapel Hill about the cultural factors present in the racial disparities of lung cancer. The scientists concluded that, despite a high likelihood of death, Black patients are much less inclined to have surgery for early stage lung cancer than White patients, often because of a communication gulf between them and their doctors.

Keywords:    Research | Clinical & Mental Health | Public Health | Population-Based | Profession-Based | Communication | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Ending health disparities takes interdisciplinary approach External Web Site Policy

Lewis, C., & Stout, J. (2010). Toothache in US children. Archives of Pediatrics & Adolescent Medicine, 164, 1056-1063. doi:10.1001/archpediatrics.2010.206

In this message from the American Medical Association (AMA) president to all physicians, Dr. Rohack notes that an interdisciplinary approach to patient-centered care may help reduce health disparities by addressing challenges in communication such as low health literacy and medication mismanagement. He commits to helping guide the changes needed to ensure culturally competent patient care. When patients do not understand their medical conditions or what to do to control them, unnecessary healthcare costs only will increase, a situation he notes the AMA is committed to avoiding.

Keywords:    Policy | Clinical & Mental Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Profession-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Future Directions for the National Healthcare Quality and Disparities Reports External Web Site Policy

Institute of Medicine. (2010). Future directions for the national healthcare quality and disparities reports. Retrieved from http://iom.edu/

The Institute of Medicine (IOM) released in Spring 2010 a report that discusses future directions for the AHRQ National Healthcare Quality Report (NHQR) and National Healthcare Disparities Report (NHDR). The IOM concludes that the NHQR and NHDR can be improved in ways that would make them more influential in promoting change in the healthcare system.

Keywords:    Tools | Policy | Clinical & Mental Health | Public Health | Government | Population-Based | Profession-Based | Disease-Based | Quality Improvement | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Health Disparities Calculator External Web Site Policy

Surveillance Epidemiology and End Results, National Cancer Institute. (2010). Health Disparities Calculator (HD*Calc) [Computer software]. Retrieved from http://seer.cancer.gov/

Surveillance Epidemiology and End Results at the National Cancer Institute has developed a Health Disparities Calculator (HD*Calc), which is a statistical software designed to generate multiple summary measures to evaluate and monitor health disparities.

Keywords:    Tools | Research | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Disease-Based | Disparities | Engagement, Continuous Improvement, and Accountability |

Language Use in the United States: 2007

U.S. Census Bureau. (2010). Language use in the United States: 2007. Retrieved from http://www.census.gov/prod/2010pubs/acs-12.pdf

Language Use in the United States: 2007, a Census Bureau report, analyzes the Nation's linguistic diversity through the U.S. Census decennial data and the 2007 American Community Survey. The report finds that the percentage of speakers of non-English languages increased by 140 percent from 1980 to 2007. Of the 281 million people that were 5 years old and older in the United States in 2007, 55.4 million individuals-or 20 percent-report speaking a language other than English at home.

Keywords:    Tools | Governance & Leadership | Government | Population-Based | Communication | Communication and Language Assistance |

Organ Transplant Program 'mistrust' studied External Web Site Policy

Conte, A. (2010, May 2). Organ transplant program 'mistrust' studied. Pittsburgh Tribune-Review. Retrieved from http://www.pittsburghlive.com/x/pittsburghtrib/

Researchers at the University of Pittsburgh School of Medicine have shown that patients who think healthcare providers discriminate against them take more time to get approved for kidney transplant surgery. Blacks are four times more likely than Whites to have kidney failure, but they are less than half as likely to receive transplants from living donors. The lead researcher notes that doctors should identify patients who perceive discrimination in order to help them navigate the process.

Keywords:    Research | Clinical & Mental Health | Patients & Consumers | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

American Journal of Public Health External Web Site Policy

American Public Health Association. (2010). American Journal of Public Health, 100(5). Retrieved from http://ajph.aphapublications.org/content/vol100/issue5/

The first issue of any major public health journal devoted to Asian American, Native Hawaiian and Pacific Islander populations, the May issue of the American Journal of Public Health (AJPH) explores an array of new research on both alarming disparities and significant successes in care.

Keywords:    Research | Policy | Public Health | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Racial/Ethnic Difference in Early-Life Risk Factors for Childhood Obesity External Web Site Policy

Taveras, E. M., Gillman, M. W., Kleinman, K., Rich-Edwards, J. W., & Rifas-Shiman, S. L. (2010). Racial/ethnic difference in early-life risk factors for childhood obesity. Pediatrics, 125(4), 686-695. doi: 10.1542/peds.2009-2100

A team of researchers in Boston set out to examine racial/ethnic differences in early-life risk factors for childhood obesity. The study finds that racial/ethnic differences in risk factors for obesity exist prenatally and in early childhood. Racial/ethnic disparities in childhood obesity may be determined by factors that operate at the earliest stages of life.

Keywords:    Research | Clinical & Mental Health | Public Health | Patients & Consumers | Government | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Engagement, Continuous Improvement, and Accountability |

Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement External Web Site Policy

Institute of Medicine, Subcommittee on Standardized Collection of Race/Ethnicity Data for Healthcare Quality Improvement. (2009). Race, ethnicity, and language data: standardization for health care quality improvement. Retrieved from http://iom.edu/Reports/2009/RaceEthnicityData.aspx

In its 2009 report titled Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement, the IOM recommends that healthcare providers collect and assess comprehensive patient data on their cultural and linguistic needs. Having more precise quality metrics can assist in eliminating disparities in health and healthcare.

Keywords:    Tools | Research | Policy | Clinical & Mental Health | Public Health | Governance & Leadership | Government | Population-Based | Quality Improvement | Engagement, Continuous Improvement, and Accountability |

Improving Patient-Provider Communication: Joint Commission Standards and Federal Laws External Web Site Policy

The Joint Commission (Producer). (2009). Improving Patient-Provider Communication: Joint Commission Standards and Federal Laws [Video]. Available from http://www.jointcommission.org/

"Improving Patient-Provider Communication" is a video created by the Joint Commission along with HHS and the Office for Civil Rights as part of their efforts to eliminate racial, ethnic, and language disparities in healthcare. The video educates healthcare providers in providing language access in healthcare organizations. Language access is critical in providing safe, quality patient care.

Keywords:    Tools | Research | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Communication | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Protection of Racial/Ethnic Minority Populations During an Influenza Pandemic External Web Site Policy

Hutchins, S. S., Fiscella, K., Levine, R. S., Ompad, D. C., & McDonald, M. (2009). Protection of racial/ethnic minority populations during an influenza pandemic. American Journal of Public Health, 99(S2), S261-S270. doi: 10.2105/AJPH.2009.161505

This study examines the disproportionate impact of an influenza pandemic on racial and ethnic minority populations. The research recommends that pandemic interventions implement culturally competent preparedness and response that address the specific needs of racial/ethnic minority populations as well as relevant, practical, and culturally and linguistically tailored communications.

Keywords:    Research | Clinical & Mental Health | Public Health | Governance & Leadership | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Study: Many Say Disparities Genetic External Web Site Policy

Study: many say disparities genetic. (2009, October 20). United Press International. Retrieved from http://www.upi.com/Health_News/2009/10/20/Study-Many-say-racial-disparities-genetic/UPI-80281256018232/

A study published in the Social Science Quarterly indicates that a majority of Americans support strategies to reduce healthcare disparities that are caused by social and economic status but believe that racial and ethnic health disparities are genetic. The authors note that the general public's belief that racial disparities have a genetic foundation is troubling because people will resist strategies aimed at eliminating health disparities.

Keywords:    Research | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Disease-Based | Communication | Disparities | Governance, Leadership, and Workforce | Engagement, Continuous Improvement, and Accountability |

Improving Access to Language Services in Health Care: A Look at National and State Efforts

U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality. (2009). Improving access to language services in health care: a look at national and state efforts. Retrieved from http://www.ahrq.gov/

The issue brief explores national efforts to address language barriers for patients with limited English proficiency. It identifies challenges to delivering language services and highlights successes and implications for future policy as well as activities related to providing language services.

Keywords:    Tools | Policy | Clinical & Mental Health | Patients & Consumers | Government | Population-Based | Communication | Disparities | Communication and Language Assistance |

When the Patient Gets Lost in Translation External Web Site Policy

Chen, P. W. (2009, April 23). When the patient gets lost in translation. New York Times. Retrieved from http://www.nytimes.com/

This article in the New York Times is a firsthand account from a surgeon interacting with limited-English-proficient patients combined with a summary of the literature on the effects of a language barrier on healthcare. Dr. Chen regrets providing inadequate language access services in the interest of expediency. With this awareness, she explains strategies that doctors should use to overcome these challenges and ensure that each patient is receiving equal care.

Keywords:    Tools | Education & Training | Clinical & Mental Health | Patients & Consumers | Population-Based | Communication | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance |

Speaking the Same Language: Medical Providers Struggle to Communicate With Immigrant Patients External Web Site Policy

Barclay, E. (2009, April 21). Speaking the same language: medical providers struggle to communicate with immigrant patients. The Washington Post. Retrieved from http://www.washingtonpost.com/wp-dyn/content/article/2009/04/20/AR2009042002466_pf.html

This Washington Post article discusses the effect of the Washington area's high immigration rates on its healthcare providers and the quality of care offered to patients. The author describes the medical errors and discrimination that can result from inadequate language services, and she provides doctors' and patients' points of view.

Keywords:    Research | Policy | Clinical & Mental Health | Public Health | Governance & Leadership | Government | Population-Based | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

California's Emergency Preparedness Efforts for Culturally Diverse Communities: Status, Challenges and Directions for the Future External Web Site Policy

Andrulis, D., Siddiqui, N., & Purtle, J. (2009). California's emergency preparedness efforts for culturally diverse communities: status, challenges and directions for the future. Retrieved from Drexel University Center for Health Equality and HHS Office of Minority Health website: http://www.diversitypreparedness.org/

This report conducts a systematic assessment of emergency preparedness programs and initiatives for racially and ethnically diverse communities in California, examining barriers to care as well as opportunities for improvement. While this report focuses on the State of California, it provides a methodological framework that allows for similar assessments to be conducted at national, State, and local levels.

Keywords:    Tools | Research | Public Health | Patients & Consumers | Government | Population-Based | Profession-Based | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Journal of Health Care for the Poor and Underserved External Web Site Policy

Brennan, V. M. (Ed.). (2009). Journal of Health Care for the Poor and Underserved. doi: 10.1353/hpu.0.0146

The May 2009 issue of the Journal of Health Care for the Poor and Underserved offers a variety of articles that address issues of health disparities and access to care. It highlights medical education issues regarding obstacles and supports for different minority groups during the application process for medical school. It includes a section on immigrant health, which contains articles on a variety of racial and ethnic groups, including Chinese and Latinos.

Keywords:    Research | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Population-Based | Profession-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

National Pharmacy Benefit Manager to Strengthen How it Provides Language Assistance Services External Web Site Policy

National pharmacy benefit manager to strengthen how it provides language assistance services. (2009, June 15). U.S. Department of Health and Human Services. Retrieved from http://www.hhs.gov/

The HHS announced that Medco, a national pharmacy benefit management company, will significantly improve its language access services for limited-English-proficient individuals. The acting director of the HHS Office for Civil Rights noted that this development will combat health disparities, promote healthcare reform, and improve access to care.

Keywords:    Research | Education & Training | Clinical & Mental Health | Patients & Consumers | Government | Population-Based | Profession-Based | Quality Improvement | Disparities | Communication and Language Assistance |

Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health External Web Site Policy

Commission on the Social Determinants of Health (2008). Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health. Retrieved from the World Health Organization website: http://whqlibdoc.who.int/publications/2008/9789241563703_eng.pdf

This is the final report by the World Health Organization's Commission on Social Determinants of Health, which set out to examine ways to achieve health equity around the world. The report determines that the problem of health disparities can be tackled by developing strategies to influence policies and organizations that affect entire societies. The Commission has succeeded in its goal to create a global movement to promote health equity by establishing partnerships with governments and global organizations. The Commission concludes that achieving health equity within a generation is achievable.

Keywords:    Research | Policy | Public Health | Governance & Leadership | Government | Population-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Physician Implicit Attitudes and Stereotypes About Race and Quality of Medical Care External Web Site Policy

Sabin, J. A., Rivara, F. P., & Greenwald, A. G. (2008). Physician implicit attitudes and stereotypes about race and quality of medical care. Medical Care, 46(7), 678-685. doi: 10.1097/MLR.0b013e3181653d58

This study used a social psychological perspective to examine what effects healthcare providers' implicit attitudes about race have on healthcare and racial and ethnic healthcare disparities. The data indicate that most doctors in all racial and ethnic groups show an implicit preference of Whites over Blacks except for Black doctors, who show no preference for either race.

Keywords:    Research | Clinical & Mental Health | Patients & Consumers | Population-Based | Profession-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Integrating Immigrant Families in Emergency Response, Relief and Rebuilding Efforts External Web Site Policy

Wang, T., & Yasui, L. (2008). Integrating immigrant families in emergency response, relief and rebuilding efforts. The Annie E. Casey Foundation and Grantmakers Concerned with Immigrants and Refugees. Retrieved from the Grantmakers Concerned with Immigrants and Refugees website: http://www.gcir.org/system/files/Integrating%20Immigrant%20Families%20in%20Emergency%20Response%2C%20Relief%20and%20Rebuilding%20Efforts.pdf

This report examines the disparities faced by immigrants and limited-English-proficiency communities during times of disaster. It focuses on emergency management at the local level since, oftentimes, the local government is the first on the scene during a disaster event.

Keywords:    Research | Policy | Education & Training | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

The influence of physicians' demographic characteristics and their patients' demographic characteristics on physician practice: Implications for education and research External Web Site Policy

Berger, J. T. "The influence of physicians' demographic characteristics and their patients' demographic characteristics on physician practice: Implications for education and research." Academic Medicine, 83.1 (2008): 100-105.

Demographic differences, specifically race, gender, and religion, have been shown to affect the diagnosis, type of treatment, and prevention methods provided to patients. This study from Academic Medicine highlights the necessity of cultural self-awareness and individualized patient care.

Keywords:    Research | Policy | Clinical & Mental Health | Patients & Consumers | Population-Based | Profession-Based | Communication | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Demographics and Health Care Access and Utilization of Limited-English-Proficient and English-Proficient Hispanics

U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality. (2008). Research findings #28: demographics and health care access and utilization of limited-English-proficient and English-proficient Hispanics. Retrieved from http://www.meps.ahrq.gov/mepsweb/data_files/publications/rf28/rf28.pdf

Using data from the 2004 Household Component of the Medical Expenditure Panel Survey, researchers examined the use and access of healthcare among Hispanic adults with limited English proficiency as well as English-proficient Hispanic adults. In comparison to English-proficient Hispanic adults, it was found that limited-English-proficiency Hispanic adults are more likely to be less educated, have a lower income, be unemployed, be without private insurance or uninsured, use health services less often, and have a lower satisfaction rate with the healthcare they receive.

Keywords:    Research | Policy | Clinical & Mental Health | Public Health | Population-Based | Profession-Based | Disparities | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Race, medical researcher distrust, perceived harm, and willingness to participate in cardiovascular prevention trials External Web Site Policy

Braunstein, J. B., Sherber, N. S., Schulman, S. P., Ding, E. L., & Powe, N. R. (2008). Race, medical researcher distrust, perceived harm, and willingness to participate in cardiovascular prevention trials. Medicine 87(1), 1-9. doi: 10.1097/MD.0b013e3181625d78

Using a tool called the Medical Researcher Distrust Index, researchers examined individuals' perceived risk of engaging in medical research, specifically in cardiovascular clinical trials. This study presents medical professionals and researchers with a number of intervention approaches that may help alleviate racial and ethnic disparities in research methodology.

Keywords:    Research | Education & Training | Clinical & Mental Health | Patients & Consumers | Population-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Health Disparities Report 2008: A County-Level Look at Health Outcomes for Minorities in Georgia

Georgia Department of Community Health Office of Health Improvement and Minority Health Advisory Council. (2008). Health disparities report 2008: a county-level look at health outcomes for minorities in Georgia. Retrieved from http://dch.georgia.gov/vgn/images/portal/cit_1210/5/49/111684019Georgia_Health_Equity_Initiative_
Health_Disparities_Report_2008.pdf

The Georgia Health Disparities Report examines minority health outcomes in each of the counties throughout the State of Georgia. The findings illustrate the need for additional collaborative efforts to truly reduce disparities in health in Georgia. One of the goals of the report is to illustrate what practices are working in certain counties so that others may adapt them to fit in their own counties.

Keywords:    Research | Clinical & Mental Health | Public Health | Government | Population-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Racial disparities in cancer therapy External Web Site Policy

Gross, C. P., Smith, B. D., Wolf, E., & Andersen, M. (2008). Racial disparities in cancer therapy. Cancer, 112(4), 900-908. doi: 10.1002/cncr.23228

This study, published by the American Cancer Society, analyzes whether racial disparities in cancer therapy received by Medicare beneficiaries had been reduced between the early 1990s and 2002 as a result of the increase of disparities reduction initiatives. The study shows no noticeable decrease in racial disparities between 1992 and 2002.

Keywords:    Research | Policy | Clinical & Mental Health | Patients & Consumers | Government | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Community variation: Disparities in health care quality between Asian and white Medicare beneficiaries External Web Site Policy

Moy, E., Greenberg, L. G., & Borsky, A. E. "Community variation: Disparities in health care quality between Asian and white Medicare beneficiaries." Health Affairs 27.2 (2008): 538-549.

This study focused on disparities in quality of health care received between Asian and white Medicare recipients. The researchers found that, overall, Asian Medicare beneficiaries were less likely than whites to receive any of the services examined.

Keywords:    Research | Policy | Clinical & Mental Health | Government | Population-Based | Profession-Based | Disease-Based | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

In the absence of words: A compilation of personal stories addressing the language barrier in health care External Web Site Policy

PALS for Health, & the California Endowment. (2008). In the absence of words: A compilation of personal stories addressing the language barrier in health care. Retrieved from http://tcenews.calendow.org/pr/tce/document/In_the_Absence_of_Words.pdf

By presenting individual stories and narratives, this document seeks to educate and raise awareness about language barriers that exist in the U.S. healthcare system. The stories presented here come from interpreters and language ambassadors from the PALS for Health Program. Each story provides a real experience of a limited-English-proficiency individual and their struggles in the healthcare system.

Keywords:    Research | Education & Training | Clinical & Mental Health | Patients & Consumers | Population-Based | Disparities | Communication and Language Assistance |

Health care in the aftermath of Hurricane Katrina: Health care in New Orleans before and after Hurricane Katrina External Web Site Policy

Shartzer, A. (Author), & kaiserEDU.org (Producer). (2008). Health care in the aftermath of Hurricane Katrina: Health care in New Orleans before and after Hurricane Katrina [Video tutorial]. Retrieved from http://www.kaiseredu.org/tutorials/katrina/player.html

This is a narrated tutorial from the Kaiser Family Foundation that discusses the state of healthcare in New Orleans both before Hurricane Katrina and following it. Much of the information presented discusses the effect that Katrina had on low income individuals, many of whom are minorities.

Keywords:    Research | Policy | Clinical & Mental Health | Public Health | Government | Population-Based | Communication | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Identifying and Evaluating Equity Provisions in State Health Care Reform External Web Site Policy

Smedley, B., Alvarez, B., Panares, R., Fish-Parcham, C., & Adland, S. (2008). Identifying and evaluating equity provisions in state health care reform (Volume 90). Retrieved from The Commonwealth Fund website: http://www.commonwealthfund.org/

This report examines barriers to healthcare primarily among racial and ethnic minorities, immigrants, and those who are limited English proficient through the lens of insurance and State-level policies and reforms. The report evaluates existing or proposed policies in five States-Massachusetts, Washington, California, Illinois, and Pennsylvania. It also identifies existing State-level policies for equal access to care.

Keywords:    Research | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Population-Based | Communication | Disparities | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

An American Health Dilemma: Race, Medicine, and Health Care in the United States 1900-2000, vol 2 External Web Site Policy

Byrd, W. M., & Clayton, L. A. (2001). An American health dilemma: race, medicine, and health care in the United States 1900-2000, vol 2. New York, NY: Routledge.

This landmark study of African-American healthcare explores the effects of racism on the medical profession. It discusses 20th-century advances in healthcare, the development of the insurance industry, declining support for public health, and the myriad social and economic factors that have had disparate impacts on the health of Black Americans.

Keywords:    Research | Population-Based | Disparities |

2010 National Healthcare Disparities Report

U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality. (2011). 2010 National healthcare disparity report (AHRQ Publication No. 11-0005). Retrieved from http://www.ahrq.gov/qual/nhdr10/nhdr10.pdf

The HHS AHRQ released 2011's NHDR, which summarizes healthcare quality and access among various racial, ethnic, and income groups and other priority populations, such as residents of rural areas and people with disabilities.

Keywords:    Research | Government | Population-Based | Disparities |

Black babies at twice risk of whites, study indicates External Web Site Policy

Washburn, L. (2011, March 3). Black babies at twice the risk of whites, study indicates. The Seattle Times. Retrieved from http://seattletimes.nwsource.com/html/home/index.html

This article explores health disparities in pregnancy and births for Black women as compared to White women. Even when factors such as socioeconomic status are accounted for, Black women are more likely to go into labor before their pregnancy has reached full term and are more likely to give birth to babies whose smaller size puts them at greater risk.

Keywords:    Research | Disparities | Disease-Based | Population-Based | Clinical & Mental Health |

Culturally Appropriate Storytelling to Improve Blood Pressure External Web Site Policy

Houston, T. K., Allison, J. J., Sussman, M., Horn, W., Holt, C. L., Trobaugh, J., . . . Hullett, S. (2011). Culturally appropriate storytelling to improve blood pressure: a randomized trial. Annals of Internal Medicine, 154(2), 77-84. Retrieved from http://www.annals.org/content/154/2/77.full.pdf+html

This study tested a culturally appropriate intervention to control blood pressure in African Americans using DVDs of real patients' stories of how they deal with the chronic disease. Patients with uncontrolled blood pressure experience blood pressure reductions after viewing the DVD.

Keywords:    Research | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication | Clinical & Mental Health |

Impact of Patient-Doctor Race Concordance on Rates of Weight-Related Counseling in Visits by Black and White Obese Individuals External Web Site Policy

Bleich, S. N., Simon, A. E., Cooper, L. A. (2011). Impact of patient-doctor race concordance on rates of weight-related counseling in visits by Black and White obese individuals [Abstract]. Obesity. doi:10.1038/oby.2010.330

This study from the journal Obesity found that the race of a patient may be a factor in a doctor's treatment and counseling for obesity. The study showed that Blacks may get less counseling on exercise and weight reduction than Whites regardless if the physician they see is Black or White.

Keywords:    Research | Disease-Based | Population-Based | Disparities | Clinical & Mental Health | Communication |

State Works to Improve Indian Health External Web Site Policy

Uken, C. (2011, January 8). State works to improve Indian health. The Billings Gazette. Retrieved from http://billingsgazette.com/news/state-and-regional/montana/article_efcf15bc-85d1-5af5-b396-eac182a2d146.html

This article details Montana's comprehensive efforts to address health disparities suffered by the State's American Indian population. Montana is implementing culturally competent services and partnering with tribal governments to improve the health of this population.

Keywords:    Population-Based | Policy | Profession-Based | Clinical & Mental Health | Public Health | Quality Improvement | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

White Patients Most Likely to Get Kidney Transplants: Study External Web Site Policy

Holohan, E. (2011, March 3). White patients most likely to get kidney transplants: study. Health Day: News for Healthier Living. Retrieved from http://consumer.healthday.com/

This study from the University of Washington at Seattle finds that minorities have a significantly lower chance of getting a kidney transplant than Whites do. The researchers note that language and cultural barriers as well as socioeconomic status contribute to this disparity.

Keywords:    Research | Population-Based | Disease-Based | Disparities | Clinical & Mental Health |

With Poem, Broaching the Topic of Death External Web Site Policy

Daitz, B. (2011, January 24). With poem, broaching the topic of death. The New York Times. Retrieved from http://www.nytimes.com/

This article presents an Arizona hospital's efforts to provide culturally and linguistically appropriate geriatric and end-of-life services to its American Indian population.

Keywords:    Clinical & Mental Health | Public Health | Population-Based | Disease-Based | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Pocket Guide to Culturally Sensitive Health Care External Web Site Policy

Hands-on ideas for building effective and therapeutic relationships with diverse populations from 25 different cultures in 11 areas of care.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Education & Training | Patients & Consumers | Population-Based | Tools |

Multicultural HIV/AIDS and Hepatitis Service External Web Site Policy

A public site where people can access multilingual information on HIV and Hepatitis C.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Disease-Based | Disparities | Education & Training | Government | Health Literacy | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Policy | Population-Based | Profession-Based | Public Health | Quality Improvement | Research | Tools |

Holistic Honu Wellness Center - Bridging the Gap between Traditional Healing and Western Medicine External Web Site Policy

The Holistic Honu Wellness Center is a very small health and wellness center in Berkeley, California where they address the issue of Native Hawaiian health disparities by acting as a conduit between traditional healing practices and the western medical communities everyday. Their current program has been the development and execution of a culturally competent education curriculum designed to address health disparity issues within Native Hawaiian communities that consists of four distinct levels.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance & Leadership | Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Disparities | Education & Training | Health Literacy | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Population-Based | Public Health | Quality Improvement | Research | Tools |

Advancing Effective Communication, Cultural Competency, and Patient/Family-Centered Care for LGBT Community External Web Site Policy

This new field guide from The Joint Commission urges U.S. hospitals to create a more welcoming, safe and inclusive environment that contributes to improved health care quality for lesbian, gay, bisexual, and transgender (LGBT) patients and their families. The guide, Advancing Effective Communication, Cultural Competence, and Patient-and Family-Centered Care for the Lesbian, Gay, Bisexual and Transgender (LGBT) Community: A Field Guide, was developed with support from The California Endowment.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance & Leadership | Communication | Governance, Leadership, and Workforce | Disparities | Education & Training | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Policy | Population-Based | Public Health | Quality Improvement | Research | Tools |

Reexamining LGBT Healthcare External Web Site Policy

Out of the box LGBT cultural competence training, including 10-minute original video, slides and a manual

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance & Leadership | Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Disease-Based | Disparities | Education & Training | Government | Patients & Consumers | Population-Based | Profession-Based | Public Health |

DeafMD.org External Web Site Policy

DeafMD.org. (2012). Retrieved from http://www.deafmd.org

This website provides health information in American Sign Language for the deaf and hard-of-hearing population. The site contains four sections: diseases and illnesses, understanding tests, news, and finding a deaf-friendly doctor.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based |

Healthcare for deaf and hard of hearing patients: Clinics and special services External Web Site Policy

Gallaudet University, Laurent Clerc National Deaf Education Center. (2008). Healthcare for deaf and hard of hearing patients: Clinics and special services. Retrieved from http://www.gallaudet.edu/Clerc_Center/Information_and_Resources/Info_to_Go/Educate_Children_%283_to_21%29/Social-Emotional_Development/Mental_Health_and_wellness/Healthcare_Delivery_for_DHoH_Patients_ClinicsSpec_Svcs.html

Here is a resource list directing users to various state, national, and international health care programs and initiatives specifically designed for deaf and hard-of-hearing persons. Contact information (e.g., email, TTY) and a short description are given for each.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based |

Healthy people 2010 companion document for lesbian, gay, bisexual and transgender (LGBT) health External Web Site Policy

Gay and Lesbian Medical Association. (2001). Healthy people 2010 companion document for lesbian, gay, bisexual and transgender (LGBT) health. Retrieved from http://www.nalgap.org/PDF/Resources/HP2010CDLGBTHealth.pdf

One stated purpose of this document is "to examine health care disparities and a lack of access to needed services related to sexual orientation or gender identity." Lifestyle issues, such as diet and sexual activity, are also considered. Other topics include educational and community-based programs, health communication, immunization, mental health, substance use and abuse, violence prevention, cancer, AIDS, and sexually transmitted diseases.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Disparities | Population-Based |

Gay and Lesbian Medical Association External Web Site Policy

Gay and Lesbian Medical Association. (n.d.). Retrieved from http://www.glma.org/

The site includes resources for patients (e.g., find a provider) and providers (e.g., continuing medical education courses) and information about advocacy efforts, conferences, the Healthcare Equality Index, and the Lesbian Health Fund. Members receive a weekly LGBT Health Digest, action alerts, and access to the membership directory.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based | Patients & Consumers |

Health care delivery and deaf people: Practice, problems, and recommendations for change External Web Site Policy

Harmer, L. (1999). Health care delivery and deaf people: Practice, problems, and recommendations for change. Journal of Deaf Studies and Deaf Education, 4(2), 73-110. doi:10.1093/deafed/4.2.73

The author reviews socio-economic and legal issues, patients' "knowledge base, personal experiences, and understanding of health care relationships, ... the Deaf community's perspectives, providers' views about disability, communication between providers and deaf patients, ... barriers encountered in health care delivery," and the ethical implications of these factors. She concludes that deaf and hard-of-hearing individuals often receive "inadequate, inappropriate, and unethical health care."

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based | Policy | Patients & Consumers | Research |

A dictionary of patients' spiritual & cultural values for health care professionals External Web Site Policy

HealthCare Chaplaincy. (2011). A dictionary of patients' spiritual & cultural values for health care professionals. Retrieved from http://www.healthcarechaplaincy.org/userimages/doc/A-Dictionary-of-Patients'-Spiritual-Cultural-Values-for-Health-Care-Professionals.pdf

The first part of the book offers a concise overview of a number of major world religions. For each, defining beliefs, rituals, and daily practices are itemized. Beliefs and restrictions concerning food and medical practices are given. The second part treats culture in a similar manner. African-American, Hispanic-American, Native American, Caribbean, Middle Eastern, and South and East Asian cultures are detailed according to numerous characteristics, including many relating to health and health care.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based | Patients & Consumers | Tools | Education & Training |

Hearing Loss Association of America External Web Site Policy

Hearing Loss Association of America. (2012). Retrieved from http://www.hearingloss.org/

Information is available here on a wide variety of subjects related to hearing loss, such as hearing-assistive technology, financial assistance for hearing aids, webinars, advocacy efforts, and courses. An employment toolkit is available for job seekers with hearing loss. One may search for audiologists; ears, nose, and throat physicians; or instrument specialists. There are resources for parents, a young adults social network, and chat rooms.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based |

National Coalition for LGBT Health External Web Site Policy

National Coalition for LGBT Health. (n.d.). Retrieved from http://lgbthealth.webolutionary.com/

The coalition actively seeks the elimination of health disparities based on sexual orientation, gender, and gender identity and supports efforts to eliminate disparities based on race, ethnicity, education, income, disability, nationality, geographic location, and age.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Disparities | Population-Based |

The medical manual for religio-cultural competence: Caring for religiously diverse populations External Web Site Policy

Tanenbaum Center for Interreligious Understanding. (2009). The medical manual for religio-cultural competence: Caring for religiously diverse populations. New York, NY: Tanenbaum Center for Interreligious Understanding.

This book examines health-related beliefs and practices from 10 religious traditions - Judaism, Christianity, Islam, Buddhism, Hinduism, Sikhism, Shinto, and traditional Chinese, American Indian/Alaska Native, and Afro-Caribbean religions - and notes how these may affect medical decisions. Communication guides, checklists, and other tools are included.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based | Research | Education & Training |

Advancing effective communication, cultural competence, and patient- and family-centered care for the lesbian, gay, bisexual, and transgender (LGBT) community: A field guide External Web Site Policy

The Joint Commission. (2011). Advancing effective communication, cultural competence, and patient- and family-centered care for the lesbian, gay, bisexual, and transgender (LGBT) community: A field guide. Retrieved from http://www.jointcommission.org/assets/1/18/LGBTFieldGuide.pdf

In order to form a better understanding of the needs of LGBT patients, the Joint Commission invited representatives of professional organizations, advocacy groups, and other stakeholders to a day-long meeting to discuss communication, cultural competence, and patient-centered care as they relate to the LGBT community. The Joint Commission's Roadmap for Hospitals provided a framework for the discussion. Covered are issues of leadership; provision of care, treatment, and services; the workforce; data collection and use; and patient, family, and community engagement.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based | Governance & Leadership | Public Health | Tools |

Lesbian, gay, bisexual and transgender health

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. (2011). Lesbian, gay, bisexual and transgender health. Retrieved from http://www.cdc.gov/lgbthealth

This CDC Web page provides links to information on and resources for some of the health issues and inequities affecting LGBT communities. Information is also available for health care providers, public health professionals, and students.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Disparities | Population-Based | Government | Public Health |

LGBT resource center External Web Site Policy

University of California, San Francisco. (2008). LGBT resource center. Retrieved from http://lgbt.ucsf.edu/services_health.html

The site is directed to the needs of the lesbian, gay, bisexual, and transgender community of the University of California, San Francisco, a leading center of health sciences research, patient care, and education. Links are provided to relevant courses and other training; mentoring; research; community events; social support; a voluntary "out list" of faculty, students, staff, postdoctoral researchers, residents, and fellows; a Listserv; campus organizations; and frequently asked questions.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Education & Training | Population-Based |

National Center for Deaf Health Research External Web Site Policy

University of Rochester Medical Center. (2012). National Center for Deaf Health Research. Retrieved from http://www.urmc.rochester.edu/ncdhr/

The center is guided by a cultural model of deafness (i.e., that deaf people are a minority group who share a common language and culture), not a clinical model. Links are provided to relevant literature, training, and research projects pertinent to the health needs of culturally deaf people.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Communication and Language Assistance | Population-Based |

Achieving cultural competency: A case-based approach to training health professionals External Web Site Policy

Hark, A. L., & DeLisser, H. M. (Eds.). (2009). Achieving cultural competency: A case-based approach to training health professionals. Oxford, UK: Wiley-Blackwell.

Twenty-five self-study cases are presented, covering a variety of medical disciplines. Each case illustrates some aspect of cultural diversity, such as language, gender, folk beliefs, socio-economic status, religion, or sexual orientation.

Keywords:    Governance, Leadership, and Workforce | Clinical & Mental Health | Population-Based |

Cultural competency training and performance reports to improve diabetes care for black patients: A cluster randomized, controlled trial External Web Site Policy

Sequist, T. D., Fitzmaurice, G. M., Marshall, R., Shaykevich, S., Marston, A., Safran, D. G., & Ayanian, J. Z. (2010). Cultural competency training and performance reports to improve diabetes care for black patients: A cluster randomized, controlled trial. Annals of Internal Medicine, 152(1), 40-46.

The authors evaluated the effect of cultural competency training and performance feedback for 124 primary care physicians treating a population of approximately 7,500 diabetic patients. They find that physician awareness of racial disparities in diabetes care increased but that, overall, clinical outcomes did not improve.

Keywords:    Governance, Leadership, and Workforce | Quality Improvement | Disease-Based | Population-Based | Profession-Based | Public Health |

Hablamos Juntos: Language policy and practice in health care External Web Site Policy

Hablamos Juntos: Language policy and practice in health care. (n.d.). Retrieved from http://www.hablamosjuntos.org

Hablamos Juntos ("We Speak Together") is developing affordable models of language services in health care organizations through the funding of 10 demonstration sites in regions, both rural and urban, with fast-growing Latino populations. Information is available on interpreter services and signage. The website also offers an extensive resource library.

Keywords:    Communication and Language Assistance | Policy | Population-Based |

National Association of the Deaf External Web Site Policy

National Association of the Deaf. (2012). Retrieved from http://www.nad.org/

The National Association of the Deaf is an advocacy group for deaf and hard-of-hearing individuals. Individual or organizational memberships are available. The association recognizes that access to language is a human right and that American Sign Language is "the backbone of American deaf culture." The website provides information on sign language, advocacy activities, legal representation, emergency preparedness, community resources and events, as well as access to member blogs.

Keywords:    Communication and Language Assistance | Population-Based | Tools |

Registry of Interpreters for the Deaf External Web Site Policy

Registry of Interpreters for the Deaf. (2012). Retrieved from http://www.rid.org

The Registry of Interpreters for the Deaf represents "professionals who facilitate communication between people who are deaf or hard of hearing and people who hear." It offers its members continuing education courses, certification, professional standards, networking opportunities, conferences, publications, and advocacy.

Keywords:    Communication and Language Assistance | Population-Based |

Standard practice papers External Web Site Policy

Registry of Interpreters for the Deaf. (2012). Standard practice papers. Retrieved from http://www.rid.org/interpreting/Standard%20Practice%20Papers/index.cfm

This Web page offers links to standard practices and positions reflecting the consensus of the organization's members. The many topics covered include professional sign language interpreting, business practices and billing considerations, mentoring, team interpreting, coordination of interpreters for conferences, interpreting in health care settings, use of a certified deaf interpreter, interpreting in legal settings and mental health care settings, interpreting for individuals who are deaf-blind, and video remote interpreting.

Keywords:    Communication and Language Assistance | Population-Based |

Shared decision making when an interpreter is needed: A case study with Latino men at risk for prostate cancer External Web Site Policy

Robert Wood Johnson Foundation. (n.d.). Shared decision making when an interpreter is needed: A case study with Latino men at risk for prostate cancer (Grant details). Retrieved from http://www.rwjf.org/grants/grant.jsp?id=63830

This project was designed to develop measures specific to interpreter-mediated shared decision-making and to produce easy-to-use tools for use by health care providers, interpreters, or patients.

Keywords:    Communication and Language Assistance | Disease-Based | Population-Based | Patients & Consumers | Public Health |

Creating a culturally and politically appropriate dispute resolution model: Working in Indian country External Web Site Policy

Townsend, J. R. (2011, March). Creating a culturally and politically appropriate dispute resolution model: Working in Indian country. RCAC's Rural Review, 28(3), 1-7. Retrieved from http://www.rcac.org/assets/white-papers/CreatingACulturally.pdf

Many of the principles and practices employed in dispute resolution abroad may be adapted to work in Indian country, but other factors influencing the resolution of disputes are unique. The author, a member of the Muscogee Indian Nation, offers "several core concepts helpful to anyone working in Indian Country who wishes to create meaningful and culturally appropriate processes that result in culturally relevant and politically durable outcomes."

Keywords:    Engagement, Continuous Improvement, and Accountability | Population-Based | Communication and Language Assistance |

Improving data for the LGBT community

U.S. Department of Health and Human Services, Office of Minority Health. (2011). Improving data for the LGBT community. Retrieved from http://minorityhealth.hhs.gov/templates/content.aspx?lvl=2&lvlid=209&id=9004

The Department of Health and Human Services will begin integrating sexual orientation and gender identity data into its national surveys. The HHS Data Council and the National Center for Health Statistics are working now on ways to reduce bias in the estimates. HHS surveys have not before collected any data on transgender status. If field tests are successful, data on sexual orientation will be incorporated into National Health Interview Survey data collection in 2013.

Keywords:    Engagement, Continuous Improvement, and Accountability | Population-Based | Government |