A cross-sectional survey of general practice health workers' perceptions of their provision of culturally competent services to ethnic minority people with diabetes.
TypeCross Sectional Study; Survey/Questionnaire; Peer-Reviewed Publication
KeywordCultural 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 TitlePrimary Care Diabetes
MetadataShow full item record
AbstractAims: 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.
CitationZeh 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.
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