Maryland's Approach to Cultural Competency in Healthcare

马里兰州医疗保健文化能力的方法

• 批准号: 6863803
• 负责人: Olivia Denise Carter-Pokras
• 金额: $ 10.28万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 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 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6863803
• 关键词: Hispanic Americans; Internet; asthma; behavioral /social science research tag; cardiovascular disorder; clinical research; computer assisted instruction; culture; curriculum; education evaluation /planning; educational resource design /development; health care personnel education; health care quality; health disparity; health services research tag; human subject; interactive multimedia; multilingualism; oncology; patient care personnel relations; sleep disorders; training

DESCRIPTION (provided by applicant): Educational institutions for health professionals are increasingly required to include cultural competency in curriculum and training programs so that future health professionals are prepared to provide health care services that are respectful and responsive to cultural and linguistic needs. The University of Maryland School of Medicine (SOM) is uniquely positioned to develop inter-disciplinary cultural and linguistic competency curricula for health professionals since it shares a campus with Schools of Nursing, Social Work and Dentistry. Under Dr. Carter-Pokras' leadership, a multifaceted approach will be used to develop, implement and evaluate cultural competency curricula at the University of Maryland. New SOM faculty orientation materials and training will include information on how to address linguistic barriers. Case studies of best practices in culturally competent care in the areas of cardiovascular disease, pulmonary disease, hematological disorders (oncology) and sleep disorders will be developed for inclusion in SOM curriculum. Through a new required 4-year Practice of Medicine course, medical students will receive expanded training in cultural and linguistic competence. Optional medical Spanish classes, community practice experiences, medical interpreter training and qualifying examinations for native Spanish and advanced medical Spanish students, and elective courses at our sister health professional schools will be offered. Changes in student attitudes and beliefs regarding persons of other cultures (questionnaires) and student behavior (standardized patients) will be assessed. Seminars based on the Office of Minority Health/American Institute of Research's family medicine cultural competency curriculum will be provided to selected University of Maryland Residents and Fellows. Patient perspectives and instructor evaluations of how students utilized the training in practice will be assessed. A web-based course on Health of Diverse Populations will be developed for practicing health professionals in collaboration with the Schools of Nursing, Dentistry and Social Work. Quality of on-line instruction (learning effectiveness, cost effectiveness, access, faculty satisfaction, student satisfaction) will be assessed using the Sloan-C Model of Five Pillars of Instruction. An asthma intervention in the adult emergency department incorporating health professional training in cultural competency and national asthma guidelines will be conducted, and changes in asthma patient outcomes assessed.

描述（由申请人提供）： 卫生专业人员的教育机构越来越需要将文化能力纳入课程和培训计划中，以便未来的卫生专业人员准备好提供尊重并响应文化和语言需求的卫生保健服务。 马里兰大学医学院 (SOM) 与护理学院、社会工作学院和牙科学院共用一个校园，因此在为卫生专业人员开发跨学科文化和语言能力课程方面具有独特的优势。 在卡特-波克拉斯博士的领导下，马里兰大学将采用多方面的方法来开发、实施和评估文化能力课程。 新的 SOM 教师定向材料和培训将包括有关如何解决语言障碍的信息。 将开发心血管疾病、肺部疾病、血液疾病（肿瘤学）和睡眠障碍领域文化上合格护理最佳实践的案例研究，以纳入 SOM 课程。 通过新的四年制医学实践必修课程，医学生将接受文化和语言能力方面的扩展培训。 将为西班牙语母语和高级医学西班牙语学生提供可选的医学西班牙语课程、社区实践经验、医疗口译员培训和资格考试，以及我们姊妹健康专业学校的选修课程。 将评估学生对其他文化背景的人的态度和信念的变化（问卷）和学生行为（标准化患者）。 将为选定的马里兰大学住院医师和研究员提供基于少数族裔健康办公室/美国研究所家庭医学文化能力课程的研讨会。 将评估患者的观点和教师对学生如何在实践中利用培训的评估。 将与护理学院、牙科学院和社会工作学院合作，为执业健康专业人员开发一门关于多元化人群健康的网络课程。 在线教学的质量（学习有效性、成本效益、访问、教师满意度、学生满意度）将使用 Sloan-C 教学五支柱模型进行评估。 将在成人急诊科进行哮喘干预，纳入文化能力方面的卫生专业培训和国家哮喘指南，并评估哮喘患者预后的变化。