Skip to main content

Barriers to Culturally Competent Health Care

  • Chapter
  • First Online:
Handbook for Culturally Competent Care
  • 2978 Accesses

Abstract

Barriers to culturally competent health care are defined as obstacles or hindrances that make it difficult to obtain or access good health or health care. Despite efforts and goals in the United States and many other countries around the world to reduce or eliminate obstacles, significant disparities continue, especially with what the professional literature refers to as vulnerable populations. Vulnerable populations include the following:

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Bibliography

  • Agency for Healthcare Quality and Research (2016) TeamSTEPPS enhancing safety for patients with limited English proficiency module. www.ahrq.gov/teamsteppstools/

  • Betancourt J, Green A, Carrillo JE, Ananeh-Firempong A (2003) Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep 118:293–302

    Article  Google Scholar 

  • Center for Health Care Strategies (2016) Reducing barriers to health care: practical strategies for local organizations. www.chcs.org

  • Flores G (2005) The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev 62(3):255–299

    Article  Google Scholar 

  • Flores G, Laws MB, Mayo SJ, Zuckerman B, Abreu M, Medina L, Hardt EJ (2003) Errors in medical interpretation and their potential clinical consequences in pediatric encounters. Pediatrics 111(1):6–14

    Article  Google Scholar 

  • Giger J, Davidhizar R, Purnell L, Harden J, Phillips J, Strickland O (2007) American Academy of Nursing Expert Panel Report: developing cultural competence to eliminate health disparities in ethnic minorities and other vulnerable populations. J Transcult Nurs 18(2):95–102

    Article  Google Scholar 

  • Institute of Medicine of the National Academies (2016) Crossing the quality chasm. http://nationalacademies.org/hmd/reports/2001/crossing-the-quality-chasm-a-new-health-system-for-the-21st-century.aspx

  • Jacobs EA, Agger-Gupta N, Hm Chin A, Piorowski A, Hardt A (2016) Language barriers in healthcare settings. California Endowment. www.calendow.org

  • Office of Minority Health (2016) National Standards on Culturally and Linguistically Appropriate Services (CLAS). http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=15

  • Purnell L (2013) Transcultural health care: a culturally competent approach. F.A. Davis, Philadelphia

    Google Scholar 

  • Purnell L, Davidhizar R, Fishman D, Strickland O, Allison D (2011) A guide to developing a culturally competent organization. J Transcult Nurs 22(1):5–14

    Article  Google Scholar 

  • The Joint Commission (2010) Advancing effective communication, cultural competence, and family centered care: a roadmap for hospitals. www.jointcommission.org/assets/1/6/aroadmapforhospitalsfinalversion727.pdf

  • The Joint Commission (2011) Patient-centered communication standards and EPs. http://www.imiaweb.org/uploads/pages/275.pdf

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Purnell, L.D., Fenkl, E.A. (2019). Barriers to Culturally Competent Health Care. In: Handbook for Culturally Competent Care. Springer, Cham. https://doi.org/10.1007/978-3-030-21946-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-21946-8_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-21945-1

  • Online ISBN: 978-3-030-21946-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics