Cultural Competence: Essential Measurements of Quality for Managed Care Organizations
Authors: Risa Lavizzo-Mourey
Journal: Annals of Internal Medicine (1996)

Editorials15 May 1996Cultural Competence: Essential Measurements of Quality for Managed Care OrganizationsRisa Lavizzo-Mourey, MD, MBA and Elizabeth R. Mackenzie, PhDRisa Lavizzo-Mourey, MD, MBAInstitute on Aging, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 and Elizabeth R. Mackenzie, PhDInstitute on Aging, University of Pennsylvania School of Medicine, Philadelphia, PA 19104Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-124-10-199605150-00010 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail We are currently witnessing a radical change in the health care system in the United States as a result of the managed care juggernaut. Driven by the imperative to stem increasing health care costs, managed care seeks to save money by “managing” health care utilization and narrowing the choices available to health care consumers. Although both cost-saving strategies are effective, they also present a potential threat to quality of care. As HEDIS and other measures of quality are revised, physicians must establish guidelines for quality of care that support the burgeoning managed health care environment. In developing these guidelines and ...References1. Fisher RS. Medicaid managed care: the next generation? Acad Med. 1994; 69:317-22. Google Scholar2. United States. Bureau of the Census. Statistical Abstract of the United States. Washington, DC: U.S. Government Printing Office; 1995:19. Google Scholar3. Time. 9 April 1990:28. Google Scholar4. Health Status of Minorities and Low-Income Groups. 3d ed. Washington, DC: U.S. Department of Health and Human Services, Public Health Service, Health Resources and Services Administration, Bureau of Health Professions, Division of Disadvantaged Assistance; 1991. DHHS no. 271-848/40085. Google Scholar5. LaVeist TA. Segregation, poverty, and empowerment. 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Neighborhood organization for pediatric asthma management in the Neighborhood Asthma Coalition. Chest. 1994; 106(Suppl 4):248S-259S. Google Scholar13. Hufford DJ. Gender, culture, and experience: a case of fatal, painful miscommunication [Presentation]. Human Diversity in Health Care. Philadelphia: University of Pennsylvania; 18 March 1996. Google Scholar14. Wood AJ, Zhou HH. Ethnic differences in drug disposition and responsiveness. Clin Pharmacokinet. 1991; 20:350-73. Google Scholar15. McDaniel DO, Alarcon GS, Pratt PW, Reveille JD. Most African-American patients with rheumatoid arthritis do not have the rheumatoid antigenic determinant (epitope). Ann Intern Med. 1995; 123:181-7. Google Scholar16. Lang CC, Stein CM, Brown RM, Deegan R, Nelson R, He HB, et al. Attenuation of isoproterenol-mediated vasodilatation in blacks. N Engl J Med. 1995; 333:155-60. Google Scholar17. Saunders E. Hypertension in African-Americans. Circulation. 1991; 83:1465-7. Google Scholar18. Koenig JQ, Costa LG, Kaylor G. Lymphocyte β-adrenoceptors, asthma, and ethnicity [Letter]. Lancet. 1992; 340:738. Google Scholar19. Kitler ME. Clinical trials and transethnic pharmacology. Drug Saf. 1994; 11:378-91. Google Scholar20. Chrisman NJ, Maretzki TW, eds. Clinically Applied Anthropology: Anthropologists in Health Science Settings. Boston: D. Reidel; 1982. Google Scholar Author, Article, and Disclosure InformationAffiliations: Institute on Aging, University of Pennsylvania School of Medicine, Philadelphia, PA 19104Corresponding Author: Risa Lavizzo-Mourey, MD, MBA, Institute on Aging, 3615 Chestnut Street, Philadelphia, PA 19104.Current Author Addresses: Drs. Lavizzo-Mourey and Mackenzie: Institute on Aging, 3615 Chestnut Street, Philadelphia, PA 19104. 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A Review and Conceptual ModelBattered Immigrant Mexican Women's Perspectives Regarding Abuse and Help-SeekingJapanese Couples' Childbirth Experiences in Michigan: Implications for CareBook reviewsUse of Cancer Screening Practices by Hispanic Women: Analyses by SubgroupCulturally Competent Managed Health Care: A Family Physician’s PerspectiveA Framework for Providing Culturally Competent Health Care Services in Managed Care OrganizationsManaged Care: Pitfalls for Cultural BiasAre latinos less satisfied with communication by health care providers?An exploratory study of social support: a cross-cultural comparison of Chinese-, Japanese-, and Anglo-American breast cancer patientsThe social ecology of syphilisThe cultural context of dying from cancer 15 May 1996Volume 124, Issue 10Page: 919-921KeywordsAsthmaEpidemiologyHealth careHealth care qualityHealth screeningMedicareMotivationPopulation statisticsSocioeconomic statusType 2 diabetes Issue Published: 15 May 1996 CopyrightCopyright © 1996 by American College of Physicians. 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