A cross-sectional survey of general practice health workers' perceptions of their provision of culturally competent services to ethnic minority people with diabetes.

No Thumbnail Available
Authors
Cannaby, Ann-Marie
Issue Date
2018-12-01
Journal
Type
Survey/Questionnaire
Peer-Reviewed Publication
Keywords
Cultural awareness
Cultural competences
Diabetes
Diabetes knowledge
Ethnic minorities
Primary care
General practice
Linguistic competences
Patient education
Ethnicity
Coventry
Communication
Diabetes mellitus
Health care surveys
Communication
Culturally competent care
Feeding behaviour
Health knowledge
Minority health
Multilingualism
Patient care teams
Professional-patient relations
Attitudes
Health personnel
Journal Title
Primary Care Diabetes
Volume
12
Issue
6
Begin page
501
End page
509
Abstract
Aims: To explore General Practice teams cultural-competence, in particular, ethnicity, linguistic skillset and cultural awareness. The practice teams' access to diabetes-training, and overall perception of cultural-competence were also assessed. Methods: A cross-sectional single-city-survey with one in three people with diabetes from an ethnic minority group, using 35 semi-structured questions was completed. Self-reported data analysed using descriptive statistics, interpreted with reference to the Culturally-Competent-Assessment-Tool. Results: Thirty-four (52%) of all 66 practices in Coventry responded between November 2011 and January 2012. Key findings: (1) One in five practice staff was from a minority group in contrast with one in ten of Coventry's population, (2) 164 practice staff (32%) spoke a second language relevant to the practice's minority population, (3) 56% of practices were highly culturally-competent at providing diabetes services for minority populations, (4) 94% of practices reported the ethnicity of their populations, and (5) the most frequently stated barriers to culturally-competent service delivery were language and knowledge of nutritional habits. Conclusions: Culturally-competent diabetes care is widespread across the city. Language barriers are being addressed, cultural knowledge of diabetes-related-nutrition requires further improvement. Further studies should investigate if structured cultural-competence training for diabetes service providers produces positive effects in diabetes-related outcome-measures in minority populations.
Citation
Zeh P, Cannaby AM, Sandhu HK, Warwick J, Sturt JA. A cross-sectional survey of general practice health workers' perceptions of their provision of culturally competent services to ethnic minority people with diabetes. Prim Care Diabetes. 2018 Dec;12(6):501-509. doi: 10.1016/j.pcd.2018.07.016. Epub 2018 Aug 23. PMID: 30145188.
Rights