An individual’s culture and language play a large part in their health. Healthcare professionals see the impact that culturally sensitive approaches can have on building greater awareness, closing care gaps, and spurring health-driven patient action.
These interventions are particularly impactful when embedded in a Chronic Care Management (CCM) program.
The US is becoming more diverse. More than 10% of adults living in the US speak a language other than English. Nearly half of those individuals report speaking English less than “very well.” Racial and ethnic minorities are also disproportionately affected by chronic illness.
Language and communication barriers have been shown to affect healthcare access and quality. One study uncovered five critical predictors of culture-related communication problems, including:
The study found that physicians were unaware of how their communication patterns may vary when treating individuals from different cultural backgrounds. This is considered to be implicit bias, and includes attitudes or stereotypes that unconsciously impact understanding and treatment decisions.
Research highlights the downsides that bias and lack of cultural sensitivity can have on helping patients access and receive high-quality care. But what is cultural sensitivity, and how can it improve healthcare adherence and outcomes, particularly for patients with chronic conditions?
Culturally sensitive healthcare is born out of cultural competence and humility.
The Agency for Healthcare Research and Quality provides a definition:
"Culturally competent care is defined as care that respects diversity in the patient population and cultural factors that can affect health and healthcare, such as language, communication styles, beliefs, attitudes, and behaviors."
Cultural competency equates to how well professionals and systems provide high-quality care to patients with diverse values, beliefs, and behaviors. This also includes their ability to tailor care delivery to meet patients' social, cultural, and linguistic needs.
Through cultural competence, a healthcare organization is aware of and responsive to patients’ cultural perspectives and backgrounds. They respect and consider patient and family preferences, values, cultural traditions, language, and socioeconomic conditions.
Ultimately, cultural competency is an essential strategy to reduce racial and ethnic disparities in healthcare.
Cultural humility entails an ongoing process of self-exploration and self-critique, led by a willingness to learn from others to better serve them. While cultural competence is a skill that can be taught, cultural humility emphasizes interpersonal sensitivity, openness and valuing intracultural variation and individuality to avoid stereotyping.
A study published by Health Psychology discovered significant links between patient-perceived provider cultural sensitivity and adherence to provider treatment regimen recommendations.
Other studies have demonstrated the efficacy of embarking on a journey of cultural sensitivity.
Five interventions were used most often, including:
One study demonstrated that cultural sensitivity increases awareness of disease risks, promotes preventive action, and closes care gaps, achieving the following improvements:
Again, there was a correlation between patients receiving care from culturally-informed professionals and their adherence to care plans, as well as higher satisfaction survey results.
Delivering patient-centered care now entails a new level of respect and consideration of a patient’s culture, heritage, and lifestyle. Attaining a greater capacity for providing culturally sensitive healthcare offers opportunities to connect with and engage patients living with chronic illness.
Plus, Chronic Care Management (CCM) programs are uniquely suited to provide support and attention that engages patients around unique aspects of culture and lifestyle.
For example, suppose a Latina woman receives nutrition guidance. In that case, it can be more valuable that someone understands or asks about the social role of food and the specific types of dishes created. This way, a conversation with a dietitian, care manager, or diabetes educator can explore how recipes may be adjusted to achieve health goals.
Through consistent, goal-oriented communication and care planning, care team members have opportunities to make culture and lifestyle vital topics.
Consider adding or adjusting existing training, processes, and approaches to make a CCM program more culturally sensitive. This can include:
Building cultural competence takes time. It’s an ongoing learning process where greater cultural humility develops one conversation at a time.
The US Office of Minority Health offers a principal standard to guide any effort to create competence and capacity to deliver more culturally sensitive care.
The goal is to “provide effective, equitable, understandable and respectful quality care and services responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs.”
Building greater cultural sensitivity for CCM programs can help teams achieve care objectives like greater awareness and commitment to preventive screenings, care plan action, and health maintenance.
Healthcare organizations use ThoroughCare to deliver integrated care management services to foster patient engagement and enhance revenue. Our platform provides the digital infrastructure to leverage fee-for-service programs for value-based success.
With seamless EHR integration and data interoperability across health information exchanges and remote devices, our platform supports solutions for:
Providers use ThoroughCare to seamlessly manage populations, capture and act on patient data with interactive care planning and assessments, and visualize business performance to inform decision-makers.