This broader concept may be termed diversity competence. Cultural competence is often seen as encompassing only racial and ethnic differences, omitting other marginalized population groups who are ethnically and racially similar to a provider but who are at risk for stigmatization or discrimination, are different in other identities, or have differences in healthcare needs that result in health disparities. 3 The populations to which the term cultural competence applies are also ill-defined. This confusion leads to disagreement regarding the topic areas and practices in which a provider should train to attain cultural competence. There is confusion about what cultural competence means, and different ways in which it is conceptualized and operationalized. 2 The standards cover areas such as governance, leadership, workforce communication and language assistance organizational engagement, continuous improvement, and accountability.Ī lack of conceptual clarity around cultural competence persists in the field and the research community. 1 The Office of Minority Health, Department of Health and Human Services, established national standards for culturally and linguistically appropriate services in health and health care (National CLAS Standards) to provide a blueprint to implement such appropriate services to improve health care in the U.S. Culturally competent care is defined as care that respects diversity in the patient population and cultural factors that can affect health and health care, such as language, communication styles, beliefs, attitudes, and behaviors. Cultural competence is widely seen as a foundational pillar for reducing disparities through culturally sensitive and unbiased quality care. Reducing health disparities and achieving equitable health care remains an important goal for the U.S. Background and Objectives for the Systematic Review
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