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Dagens #fsvoversigt:
Culturally competent interventions in Type 2 diabetes mellitus management: an
equity-oriented literature review.
Ethn Health. 2014;19(6):579-600
Authors: Dauvrin M, Lorant V
Abstract
OBJECTIVES: Although, culturally competent (CC) interventions aim to reduce
health inequalities for ethnic minorities, they have been criticized on the
grounds that they increase prejudice and stereotyping. It remains unclear
whether CC interventions really can reduce health inequalities among ethnic
minorities. The purpose of this review is to assess whether CC interventions in
the management of Type 2 diabetes mellitus (T2DM) match the recommendations to
reduce health inequalities.
DESIGN: We identified CC interventions relating to T2DM among ethnic minority
patients in the literature published between 2005 and 2011. Data were analyzed
according to an equity-oriented framework. Each study was given a score based
on its congruence with the reduction of health inequalities amongst ethnic
minorities.
RESULTS: We reviewed 137 papers and found 61 studies that met the inclusion
criteria. Most interventions focused on the individual level and the
modification of patients' health behavior. Very few addressed the
sociopolitical level. A minority of the studies acknowledged the role of
socioeconomic deprivation in ethnic health inequalities. Half of the studies
contained no information about the socioeconomic status of the patients. The
patients receiving the interventions were socioeconomically deprived. Only 10
studies compared ethnic minority groups to majority groups. Thirty-three
studies had a very low average congruence score. The highest score of
congruence was achieved by one study.
CONCLUSION: Overall, CC interventions addressing T2DM are not congruent with
the reduction of ethnic health inequalities. The future of CC interventions may
involve going one step further and going back to basic tenets of cultural
competence: the integration of difference, whatever its source, into the
delivery of fair health care for patients.
PMID: 24266662 [PubMed - indexed for MEDLINE]
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Se abstractet i PubMed: http://evidens.link/1KDUcl9
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