Cultural Competency Training and Performance Measures to Reduce Racial Disparities in Health Care Quality
Authors: Erik A. Wallace, F. Daniel Duffy
Journal: Annals of Internal Medicine (2010)

Letters18 May 2010Cultural Competency Training and Performance Measures to Reduce Racial Disparities in Health Care QualityErik A. Wallace, MD and F. Daniel Duffy, MDErik A. Wallace, MDFrom University of Oklahoma College of Medicine, Tulsa, Oklahoma 74135.Search for more papers by this author and F. Daniel Duffy, MDFrom University of Oklahoma College of Medicine, Tulsa, Oklahoma 74135.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-152-10-201005180-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Sequist and colleagues (1) showed that although cultural competency training and race-stratified performance reports increased clinician awareness of racial disparities in diabetes care, they did not improve clinical outcomes in black patients.Although the primary care providers in the intervention group became more knowledgeable about health care disparities and may have felt “frustrated” that they could not improve the clinical outcomes of their black patients, the authors did not acknowledge the racial incongruity between the patients and the providers and how this may have been a barrier to improved clinical outcomes. A total of 36% of the ...References1. Sequist TD, Fitzmaurice GM, Marshall R, Shaykevich S, Marston A, Safran DG, et al. Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trial. Ann Intern Med. 2010;152:40-6. [PMID: 20048271] LinkGoogle Scholar2. Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare. Washington, DC: National Academies Pr; 2003. Google Scholar3. Saha S, Guiton G, Wimmers PF, Wilkerson L. Student body racial and ethnic composition and diversity-related outcomes in US medical schools. JAMA. 2008;300:1135-45. [PMID: 18780842] CrossrefMedlineGoogle Scholar4. Carrasquillo O, Lee-Rey ET. Diversifying the medical classroom: is more evidence needed? [Editorial]. JAMA. 2008;300:1203-5. [PMID: 18780850] CrossrefMedlineGoogle Scholar5. U.S. Census Bureau. U.S. Population Projections: 2008 National Population Projections. Accessed at www.census.gov/population/www/projections/2008projections.html on 1 April 2010. Google Scholar6. Betancourt JR. Cultural competence—marginal or mainstream movement? N Engl J Med. 2004;351:953-5. [PMID: 15342800] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Oklahoma College of Medicine, Tulsa, Oklahoma 74135.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCultural Competency Training and Performance Reports to Improve Diabetes Care for Black Patients Thomas D. Sequist , Garrett M. Fitzmaurice , Richard Marshall , Shimon Shaykevich , Amy Marston , Dana Gelb Safran , and John Z. Ayanian Cultural Competency Training and Performance Measures to Reduce Racial Disparities in Health Care Quality Leonard Pogach Cultural Competency Training and Performance Measures to Reduce Racial Disparities in Health Care Quality Thomas D. Sequist , Dana Gelb Safran , and John Z. Ayanian Metrics 18 May 2010Volume 152, Issue 10Page: 685KeywordsConflicts of interestHealth careHealth care providersHealth care qualityHealth disparitiesPatientsPerformance measuresPopulation statisticsPrimary careResidency ePublished: 18 May 2010 Issue Published: 18 May 2010 Copyright & PermissionsCopyright © 2010 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...