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INTRODUCTION

Family physicians are devoted to a holistic delivery of comprehensive health care across the lifespan from infancy to the end of life, all within increasingly diverse communities. The breadth of knowledge is focused on the individual within the context of the family and the greater community. The World Organization of Family Doctors specifies that the specialty provide personal, expansive and continuing care with consideration for the individual within the local as well as globally linked community. Many of these communities face existing and persistent health and healthcare disparities. Growing diversity and persistent disparities are among several arguments for the provision of care and services, which are patient centered as well as culturally and linguistically appropriate. This may include decisions and actions that are congruent with the patient’s value systems and orientation to health and illness.

Every patient interaction is a unique cultural experience; each encounter is an opportunity to overcome the potential impediments in the exchange of information between physicians, patients, and their families. The American Academy of Family Physicians (AAFP) recognized the importance of culturally proficient and linguistically competent care in a 2014 position paper titled “Cultural Proficiency: The Importance of Cultural Proficiency in Providing Effective Care for Diverse Populations.” The AAFP is not alone in its recognition of the crucial role of cross-cultural health in the effective delivery of health care. The list includes other influential groups such as the American Association of Medical Colleges, Liaison Committee on Medical Education, and the Centers for Medicare and Medicaid Services, and other national and international bodies, such as The Joint Commission, The Commonwealth Fund, and the World Health Organization (WHO).

The Institute of Medicine (IOM) produced a landmark report entitled Crossing the Quality Chasm, which crystallized the failures of the American medical system and asserted that the system must be changed to one that is equitable, patient-centered, safe, and effective. The following year, the IOM released Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, which identified cross-cultural education as a possible intervention in the reduction of healthcare disparities. The documentary Unnatural Causes continued this narrative by examining how social determinants of health, including racism and class distinctions, created health inequalities within communities of color across the nation.

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Agency for Healthcare Research and Quality. 2016 National Healthcare Quality and Disparities Report (NHDR). Rockville, MD: Agency for Healthcare Research and Quality; 2012. https://www.ahrq.gov/research/findings/nhqrdr/nhqdr16/index.html. Accessed December 10, 2019.
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American Academy of Family Physicians. Cultural proficiency: the importance of cultural proficiency in providing effective care for diverse populations. https://www.aafp.org/about/policies/all/cultural-diverse-populations.html. Accessed December 10, 2019.
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Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: Committee on Quality of Health Care in America, National Academies Press; 2001.
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Liaison Committee on Medical Education. Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading ...

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