Cultural Competence: Essential Measurements of Quality for Managed Care Organizations
Publication: Annals of Internal Medicine
Volume 124, Number 10
Submit a Comment
Contributors must reveal any conflict of interest. Comments are moderated. Please see our information for authorsregarding comments on an Annals publication.
We are currently witnessing a radical change in the health care system in the United States as a result of the managed care juggernaut. Driven by the imperative to stem increasing health care costs, managed care seeks to save money by “managing” health care utilization and narrowing the choices available to health care consumers. Although both cost-saving strategies are effective, they also present a potential threat to quality of care. As HEDIS and other measures of quality are revised, physicians must establish guidelines for quality of care that support the burgeoning managed health care environment. In developing these guidelines and …
Get full access to this article
View all available purchase options and get full access to this article.
References
1.
Fisher RS. Medicaid managed care: the next generation? Acad Med. 1994; 69:317-22.
2.
United States. Bureau of the Census. Statistical Abstract of the United States. Washington, DC: U.S. Government Printing Office; 1995:19.
3.
Time. 9 April 1990:28.
4.
Health Status of Minorities and Low-Income Groups. 3d ed. Washington, DC: U.S. Department of Health and Human Services, Public Health Service, Health Resources and Services Administration, Bureau of Health Professions, Division of Disadvantaged Assistance; 1991. DHHS no. 271-848/40085.
5.
LaVeist TA. Segregation, poverty, and empowerment. Milbank Q. 1993; 71:41-64.
6.
Emanuel LL. A professional response to demands for accountability: practical recommendations regarding ethical aspects of patient care. Ann Intern Med. 1996; 124:240-9.
7.
Kleinman A, Eisenberg L, Good B. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978; 88:251-8.
8.
Blackhall LJ, Murphy ST, Frank G, Michel V, Azen S. Ethnicity and attitudes toward patient autonomy. JAMA. 1995; 274:820-5.
9.
Carrese JA, Rhodes LA. Western bioethics on the Navajo reservation. Benefit or harm? JAMA. 1995; 274:826-9.
10.
Friedman E. Money isn't everything. Nonfinancial barriers to access. JAMA. 1994; 271:1535-8.
11.
Friedman EA. Diabetic nephropathy in blacks. Transplant Proc. 1993; 25:2431-2.
12.
Fisher EB Jr, Sussman LK, Arfken C, Harrison D, Munro J, Sykes RK, et al. Targeting high risk groups. Neighborhood organization for pediatric asthma management in the Neighborhood Asthma Coalition. Chest. 1994; 106(Suppl 4):248S-259S.
13.
Hufford DJ. Gender, culture, and experience: a case of fatal, painful miscommunication [Presentation]. Human Diversity in Health Care. Philadelphia: University of Pennsylvania; 18 March 1996.
14.
Wood AJ, Zhou HH. Ethnic differences in drug disposition and responsiveness. Clin Pharmacokinet. 1991; 20:350-73.
15.
McDaniel DO, Alarcon GS, Pratt PW, Reveille JD. Most African-American patients with rheumatoid arthritis do not have the rheumatoid antigenic determinant (epitope). Ann Intern Med. 1995; 123:181-7.
16.
Lang CC, Stein CM, Brown RM, Deegan R, Nelson R, He HB, et al. Attenuation of isoproterenol-mediated vasodilatation in blacks. N Engl J Med. 1995; 333:155-60.
17.
Saunders E. Hypertension in African-Americans. Circulation. 1991; 83:1465-7.
18.
Koenig JQ, Costa LG, Kaylor G. Lymphocyte β-adrenoceptors, asthma, and ethnicity [Letter]. Lancet. 1992; 340:738.
19.
Kitler ME. Clinical trials and transethnic pharmacology. Drug Saf. 1994; 11:378-91.
20.
Chrisman NJ, Maretzki TW, eds. Clinically Applied Anthropology: Anthropologists in Health Science Settings. Boston: D. Reidel; 1982.
Information & Authors
Information
Published In
Annals of Internal Medicine
Volume 124 • Number 10 • 15 May 1996
Pages: 919 - 921
History
Published in issue: 15 May 1996
Published online: 15 August 2000
Keywords
Copyright
© 1996 American College of Physicians.
Authors
Metrics & Citations
Metrics
Citations
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. For an editable text file, please select Medlars format which will download as a .txt file. Simply select your manager software from the list below and click Download.
For more information or tips please see 'Downloading to a citation manager' in the Help menu.
Download article citation data for:
Cultural Competence: Essential Measurements of Quality for Managed Care Organizations. Ann Intern Med.1996;124:919-921. doi:10.7326/0003-4819-124-10-199605150-00010
Cultural Competence: Essential Measurements of Quality for Managed Care Organizations. Ann Intern Med.1996;124:919-921. doi:10.7326/0003-4819-124-10-199605150-00010
View More
Login Options:
Purchase
You will be redirected to acponline.org to sign-in to Annals to complete your purchase.
Access to EPUBs and PDFs for FREE Annals content requires users to be registered and logged in. A subscription is not required. You can create a free account below or from the following link. You will be redirected to acponline.org to create an account that will provide access to Annals. If you are accessing the Free Annals content via your institution's access, registration is not required.
Create your Free Account
You will be redirected to acponline.org to create an account that will provide access to Annals.
Comments
0 Comments