Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review

Clifford, Anton, McCalman Janya, Bainbridge, Rox and Tsey Komla (2015) Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review. International Journal for Quality in Health Care, 27 2: 89-98. doi:10.1093/intqhc/mzv010

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads

Author Clifford, Anton
McCalman Janya
Bainbridge, Rox
Tsey Komla
Title Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review
Journal name International Journal for Quality in Health Care   Check publisher's open access policy
ISSN 1353-4505
1464-3677
Publication date 2015-03-10
Year available 2015
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1093/intqhc/mzv010
Open Access Status Not Open Access
Volume 27
Issue 2
Start page 89
End page 98
Total pages 10
Place of publication Cary, NC United States
Publisher Oxford University Press
Language eng
Formatted abstract
This article describes the characteristics and reviews the methodological quality of interventions designed to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA.

A total of 17 electronic databases and 13 websites for the period of 2002-13.

Studies were included if they evaluated an intervention strategy designed to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, the USA or Canada.

Information on the characteristics and methodological quality of included studies was extracted using standardized assessment tools.

Sixteen published evaluations of interventions to improve cultural competency in health care for Indigenous peoples were identified: 11 for Indigenous peoples of the USA and 5 for Indigenous Australians. The main types of intervention strategies were education and training of the health workforce, culturally specific health programs and recruitment of an Indigenous health workforce. Main positive outcomes reported were improvements in health professionals' confidence, and patients' satisfaction with and access to health care. The methodological quality of evaluations and the reporting of key methodological criteria were variable. Particular problems included weak study designs, low or no reporting of consent rates, confounding and non-validated measurement instruments.

There is a lack of evidence from rigorous evaluations on the effectiveness of interventions for improving cultural competency in health care for Indigenous peoples. Future evaluations should employ more rigorous study designs and extend their measurement of outcomes beyond those relating to health professionals, to those relating to the health of Indigenous peoples.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2016 Collection
School of Public Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 13 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 9 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sat, 11 Apr 2015, 00:38:10 EST by Anton Clifford on behalf of School of Public Health