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Resources and Links

Generic

Online Resources

The Provider's Guide to Quality and Culture 
http://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language

Bureau of Primary Health Care - Quality and Culture 
http://bphc.hrsa.gov/about/index.html

National Center on Minority Health and Health Disparities,
National Institutes of Health
http://ncmhd.nih.gov

Office of Minority Health - Think Cultural Health: Bridging the Health Care Gap
Through Cultural Competency Continuing Education Programs: 
Cultural Competency Environmental Scans and Curriculum Modules Projects 
http://www.cultureandhealth.org/cccm

National Network of Libraries in Medicine 
Minority Health Concerns - Resources 
http://nnlm.gov/bhic/category/minority-health-concerns/

Diversity Rx - Resources for Cross Cultural Health Care 
htt p ://www.diversityrx.org

Centers for Disease Control and Prevention 
http://www.cdc.gov/minorityhealth/resources.html

Kaiser Family Foundation, Compendium of Cultural Competence Initiatives 
http://kff.org/disparities-policy/report/compendium-of-cultural-competence-initiatives-in-health/

Beach MC, et al. Johns Hopkins Evidence-Based Practice Center.
Strategies for Improving Minority Healthcare Quality . Evidence Report/
Technology Assessment Number 90. AHRQ Pub. No. 04-E008-02, January 2004.
Rockville , MD. 
http://archive.ahrq.gov/downloads/pub/evidence/pdf/minqual/minqual.pdf 

Fortier JP, Bishop D, eds. Setting the Agenda for Research on Cultural Competence
in Health Care: Final Report. Resources for Cross Cultural Health Care. 
US Department of Health and Human Services Office of Minority Health and Agency
for Healthcare Research and Quality, August 2004. Rockville , MD 
http://www.ahrq.gov/research/cultural.htm )

Gilbert J: Cultures in the Clinic Project. (three excellent California Endowment-funded publications available at:
http://www.calendow.org/uploadedfiles/principles_standards_cultural_competence.pdf

Principles and Recommended Standards for Cultural Competence Education
of Health Care Professionals , 2003

A Manager's Guide to Cultural Competence Education for Health Care 
Professionals , 2003

Resources in Cultural Competence Education for Health Care Professionals,
2003

National Center for Cultural Competence - Policy Briefs 1-5 
Georgetown University Center for Child and Human Development 
http://nccc.georgetown.edu/resources/publicationstitle.html#P

Society for Medical Anthropology 
http://www.medanthro.net

Transcultural Nursing Society 
http://www.tcns.org

National Council on Interpreting in Health Care 
http://www.ncihc.org

Print Resources

Aguirre-Molina M, Molina CW, Zambrana RE. Health Issues in the Latino Community. 
San Francisco , CA : Jossey-Bass, 2001.

Bailey EJ. Urban African-American Health . Lanham , MD : University Press of America,
1991.

Braithwaite RL, Taylor SE, eds. Health Issues in the Black Community , Second Edition, 
San Francisco , CA : Jossey-Bass, 2001.

D'Avanzo CE, Geissler EM. Pocket Guide to Cultural Assessment , Third Edition,
Mosby 2002.

Galloway JM, Goldberg BW, Alpert JS, eds. Primary Care of Native American Patients: 
Diagnosis, Therapy, and Epidemiology , Butterworth-Heinemann Medical, 1999.

Helman CG. Culture, Health and Illness , Fourth Edition. Oxford : Oxford University
Press, 2000.

McBride G. The Coming of Age of Multicultural Medicine. PLoS Medicine March 2005
2(3)e62 .

Molina CW,Aguirre-Molina A. Latino Health in the US : A Growing Challenge ,
Washington , DC : American Public Health Association, 1995.

National Alliance for Hispanic Health. A Primer for Cultural Proficiency: Towards Quality
Health Services for Hispanics . Washington , DC : Estrella Press, 2000.

Price EG, et al. A Systematic Review of the Methodological Rigor of Studies Evaluating 
Cultural Competence Training of Health Professionals. Academic Medicine 2005;
80:578-586. 

Thomas DC, Inkson K. Cultural Intelligence . San Francisco, CA : Berrett-Koehler, 2004.

Young TK. The Health of Native Americans: Toward a Biocultural Epidemiology . 
New York : Oxford University Press, 1994.

Zane NWS, Takeuchi DT, Young KNJ, eds. Confronting Critical Health Issues of Asian
and Pacific Islander Americans , Newbury Park, CA: SAGE Publications, 1994.

Movies, Videos, and CD-ROM Resources

Alexander M. Cinemeducation: An Innovative Approach to Teaching Multi-Cultural Diversity in Medicine. Annals of Behavioral Science and Medical Education 1995; 2(1):23-28.

Communicating Effectively Through an Interpreter (1998) (Available from the Cross Cultural Health Care Program, 270 South Hanford Street, Suite 100, Seattle, Washington 98134; Phone (206)-860-0329; Website www.xculture.org ).

The Bilingual Medical Interview I (1987), and The Bilingual Medical Interview II: The Geriatric Interview , Section of General Internal Medicine, Boston City Hospital, in collaboration with the Department of Interpreter Services and the Boston Area Health Education Center (Available from the BAHEC, 818 Harrison Ave., Boston, MA 02118; Phone (617)-534-5258).

The Kaiser Permanente/California Endowment Cultural Issues in the Clinical Setting. Kaiser Permanente's award-winning (Finalist Award, The New York Festival) cultural issues videos are available to the public. Produced by Kaiser Permanente's MultiMedia Communications department and the Educational Theatre Program's CareActors, the brief but dramatic vignettes are accompanied by support materials for facilitators and participants. These materials will be sent on a compact disc and are included in the price.

The vignettes, scripted with the help of physicians, nurses and medical anthropologists, raise numerous issues around differing health beliefs and practices, values in conflict, stereotyping, overt and covert prejudices and language barriers as they occur in healthcare settings. Support materials provide questions and discussion points for each vignette. This format lends itself equally well to a series of short modules (30 minutes) or incorporation into a longer workshop.

The Multicultural Health Series is a set of case studies. The videos, accompanied by a facilitator's discussion guide and contextual materials, focus on cross-cultural interactions between patients of diverse backgrounds and their healthcare providers. Adapted from actual encounters, selected and reviewed by an Advisory Committee of healthcare professionals, the modules are designed to spark discussions around cultural competency issues involved in the providing of healthcare to people of different ages, genders, ethnicities, races and economic backgrounds. Each of the modules is designed for a 45-60 minutes session.

Contact information for ordering: 
Kaiser Permanente 
MultiMedia Communications
Attn: Duplicating Services 
825 Colorado Blvd., Suite 222 
Los Angeles , CA 90041 

Quality Care for Diverse Populations . Video/CD-ROM/Facilitator's Guide, Contributors:

K. Bullock, L.G. Epstein, E.L. Lewis, R.C. Like, J.E. South Paul, C. Stroebel, et al.) This educational program includes five video vignettes depicting simulated physician-patient visits in an office setting as a means to explore ethnic and sociocultural issues found in today's diverse health care environment. Produced by the American Academy of Family Physicians (AAFP), with partial funding by the Bureau of Primary Health Care, Health Resources and Services Administration, June 2002. (Available from the American Academy of Family Physicians, AAFP Order Dept., 11400 Tomahawk Creek Parkway, Leawood, KS 66211; Phone (800)-944-0000; Fax (913)-906-6075; http://www.aafp.org/x13887.xml).

Community Voices: Exploring Cross-Cultural Care Through Cancer . Video and Facilitator's Guide by Jennie Greene, MS & Kim Newell, MD (Available from the Harvard Center for Cancer Prevention, Harvard School of Public Health, 665 Huntington Avenue, Bldg 2, Rm 105, Boston, MA 02115; Phone (617) 432-0038; Fax: (617)-432-1722; hccp@hsph.harvard.edu , or Fanlight Productions, www.fanlight.com).

Worlds Apart. A Four-Part Series on Cross-Cultural Healthcare . By Maren Grainger-Monsen, MD, and Julia Haslett, Stanford University, Center for Biomedical Ethics (available from Fanlight Productions, www.fanlight.com)

The Angry Heart: The Impact of Racism on Heart Disease Among African Americans . By Jay Fedigan. (Available from Fanlight Productions, www.fanlight.com).

The Culture of Emotions: A Cultural Competence and Diversity Training Program . Harriet Koskoff, Producer/Co-Coordinator, 415 Noe Street, #5 , San Francisco , CA 94114 ; Phone 415-864-0927; Fax 415-621-8969 (Available from Fanlight Productions, www.fanlight.com).

Cultural Competency Challenge CD-ROM Educational Program (AAOS Product #02735). American Academy of Orthopaedic Surgeons , 6300 North River Road , Rosemont , IL 60018-4262 (website: www.aaos.org/challenge).

Ohio Department of Health and Medical College of Ohio . Cultural Competence in Breast Cancer Care (CD-ROM), 2000.

Health and Healthcare Disparities

Online Resources

National Healthcare Disparities Report, 2004 
http://www.qualitytools.ahrq.gov/disparitiesreport/browse/browse.aspx

Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care , Institute of Medicine, 2002http://www.nap.edu/books/030908265X/html

Initiative to Eliminate Racial and Ethnic Disparities in Health 
U.S. Department of Health and Human Services <
http://raceandh e alth.hhs.gov

Health Disparities Collaboratives: A National Efforts to Improve Health Outcomes for All Medically Underserved People with Chronic Diseases 
http://www.healthdisparities.net

Medicare Quality Improvement Community (MedQIC) 
Underserved Populations

Mental Health: Culture, Race, Ethnicity 
Supplement to Mental Health: Report of the Surgeon General
http://www.mentalhealth.org/cre/default.asp

National Business Group Health Disparities Initiative 
Promoting Health for a Culturally Diverse Workforce 
http://www.wbgh.com/prevention/health_disparities.cfm.

National Business Group on Health. Why Companies are Making Health Disparities Their Business: The Business Case and Practical Strategies 
http://www.omhrc.gov/cultural/business_case.pdf

Print Resources

Aberegg SK , Terry PB. Medical Decision-Making and Healthcare Disparities: The Physician's Role. Journal of Laboratory and Clinical Medicine 2004; 144:11-17.

Andrulis DP. Reducing Racial and Ethnic Disparities in Disease Management to Improve Health Outcomes. Practical Disease Management 2003; 11(12):789-800.

Brach C, Fraser I. Can Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model. Medical Care Research and Review Volume 57, Supplement 1, 2000, pp. 181-217.

Byrd, WM, Clayton LA. An American Health Dilemma. Volume 1- A Medical History of African Americans and the Problem of Race ; and Volume 2 - Race, Medicine, and Health Care in the United States 1900-2000 , New York: Routledge, 2000, 2002.

Frederick Schneiders Research. Perceptions of How Race & Ethnic Background Affect Medical Care: Highlights from Focus Groups, Commissioned by the Henry J. Kaiser Family Foundation, Menlo Park , CA , October 1999 (Report #1524, website: http://www.kff.org 1-800-656-4533).

Gamble V. Under the Shadow of Tuskegee : African-Americans and Health Care. American Journal of Public Health 1997; 87(11):1773-1778.

Geiger HJ. Racial Stereotyping and Medicine: The Need for Cultural Competence. Canadian Medical Association Journal 2001;164(12):1699-700.

Green BL, Lewis RK, Bediako SM. Reducing and Eliminating Health Disparities: A Targeted Approach. Journal of the National Medical Association 2005; 97(1):25-30

Hahn RA, Stroup DF. .Race and Ethnicity in Public Health Surveillance: Criteria for the Scientific Use of Social Categories. Public Health Reports 1992; 109:7-15.

Hoffman C, Lillie-Blanton M, eds. Racial and Ethnic Inequalities in Access to Medical Care: A Special Supplement of Medical Care Research and Review ,Volume 57, Supplement 1, 2000.

Jones CP. Levels of Racism: A Theoretic Framework and a Gardener's Tale. American Journal of Public Health 2000; 90(8):1212-1215.

Jones CP, LaVeist TA, and Lillie-Blanton M. "Race" in the Epidemiologic Literature: An Examination of the American Journal of Epidemiology, 1921-1990. American Journal of Epidemiology , 1991; 134:1079-1084.

Key Facts. Race, Ethnicity & Medical Care, Commissioned by the Henry J. Kaiser Family Foundation, Menlo Park , CA , October 1999 (Report # 1523, website: http://www.kff.org 1-800-656-4533).

Krieger N. Embodying Inequality: A Review of Concepts, Measures, and Methods for Studying Health Consequences of Discrimination. International Journal of Health Services 1999; 29; 295-352.

Mayberry RM et al. Racial and Ethnic Differences in Access to Medical Care: A Synthesis of the Literature. Prepared by the Morehouse Medical Treatment Effectiveness Center (MMEDTEC) for the Henry J. Kaiser Family Foundation, Menlo Park , CA , October 1999 (Report # 1526, website: http://www.kff.org 1-800-656-4533).

Mayberry RM, Mili F, Ofili E. Racial and Ethnic Differences in Access to Medical Care. Medical Care Research and Review Volume 57, Supplement 1, 2000, pp. 108-145.

McDonough JE, Gibbs BK, Scott-Harris JL, Kronebusch K, Navarro AM, Taylor K. A State Policy Agenda to Eliminate Racial and Ethnic Health Disparities . Prepared for The Commonwealth Fund, June 2004 (Report # 746, website: http://www.cmwf.org).

"Overcoming Disparities in Health Care: A National Dialogue Facilitated by the Surgeons General" (April 9, 2003) - Executive Summary and CD-ROM, from the Communication in Health Care Project. American College of Chest Physicians ( http://www.chestnet.org) and The CHEST Foundation ( http://www.chestfoundation.org).

Sankar P, Cho MK, Condit CM, Hunt LM, Koenig B, Marshall P, Lee SS-J, Spicer P. 
Genetic Research and Health Disparities. Journal of the American Medical Association 2004; 291(24):2985-2989.

Smith DB. Health Care Divided: Race and Healing a Nation . Ann Arbor , MI : University of Michigan Press, 1999.

***Theme Issue - Racial/Ethnic Bias in Health Care. American Journal of Public Health 2003; 93(2).

***Theme Issue - Healthcare Disparities. American Journal of Managed Care 
2004; 10(SP), September.

***Theme Issue - Racial & Ethnic Disparities. Health Affairs 2005; 24(2).

***Theme Issue - Cardiovascular Health Disparities. Circulation 2005; 111(10).

Thomas SB. The Color Line: Race Matters in the Elimination of Health Disparities, American Journal of Public Health 2001; 91:1046-1048.

United States Commission on Civil Rights. The Health Care Challenge: Acknowledging Disparity, Confronting Discrimination, and Ensuring Equality . Volume 1 - The Role of Governmental and Private Health Care Programs and Initiatives; Volume 2 - The Role of Civil Rights Enforcement Efforts, Washington, DC, September 1999.

Van Ryn M, Burke J. The Effect of Patient Race and Socio-Economic Status on Physician's Perceptions of Patients. Social Science and Medicine 2000; 50:813-828.

Williams D. Racism and Health: A Research Agenda. Ethnicity and Disease 1996; 
6:21-29.

Wilson E, Grumbach K, Huebner J, Agrawal J, and Bindman AB. Medical Student, Physician, and Public Perceptions of Health Care Disparities. Family Medicine 2004; 36(10):715-721.

Clinical Cultural Competence

Online Resources

Betancourt JR, Like RC, Gottlieb BR, eds. Caring for Diverse Populations: Breaking Down Barriers. Special Issue of Patient Care: The Practical Journal for Primary Care Physicians , 2000; 34(9), May 15, 2000 ( www.patientcareonline.com ).

Like RC (moderator), with Betancourt JR, Kountz DS, Lu FG, Rios E (panelists). A Medical Mosaic: Achieving Cultural Competency in Primary Care. The American Journal of MultiCultural Medicine , Special Edition, Winter 2001/2002 (Medical Crossfire 3 (12), 2001). 
http://www.medicalcrossfire.com/journal/pdf/01_12_multicultural.pdf

Like RC, Steiner RP, Rubel AJ. Recommended Core Curriculum Guidelines on Culturally Sensitive and Competent Health Care. Family Medicine 1996; 28:291-297 (http://www.stfm.org/group/minority/guidelines.cfm) .

Yeo G et al. Core Curriculum in Ethnogeriatrics. Developed by the Members of the Collaborative on Ethnogeriatric Education, Supported by the Bureau of Health Professions, Health Resources and Services Administration, USDHHS, October 2000http://www.stanford.edu/dept/medfm/ebooks/intro.pdf

National Center for Cultural Competence, Georgetown University 
Cultural Competence Health Practitioner Assessment 
http://nccc.georgetown.edu/features/CCHPA.html

EthnoMed 
http://www.e t h nomed.org

Office of Minority Care
A Family Physician's Guide to Culturally Competent Care 
http://cccm.thinkculturalhealth.hhs.gov/videos/ndex.asp

Quality Interactions, Inc. Cultural Competency for Health Care Professionals 
http://www.qualityinteractions.org/prod_overview/health_care_program_features.html

Delivering Culturally Competent Care: Managing Type 2 Diabetes in Diverse Populations University of Arizona 
http://cme.arizona.edu/event/delivering-culturally-competent-care- managing-type-2-diabetes-diverse-populations

Communicating Through Health Care Interpreters 
The Virtual Lecture Hall and Rush University Medical Center 
http://www.vlh.com/shared/courses/course_info.cfm?courseno=155

Culture and Health Care: An E-Learning Course (based on Cultural Sensitivity: A Guidebook for Physicians and HealthCare) 
Doctors in Touch (DIT) 
http://www.doctorsintouch.com/courses_for_CME_credit.htm

Perspectives of Difference: A Diversity and Cross-Cultural Teaching Module for the Internet 
http://dgim.ucsf.edu/pods/html/main.html

Physician Toolkit and Curriculum: Resources to Implement Cross-Cultural Curriculum Guidelines for Medicaid Practitioners 
http://www.omhrc.gov/cultural/toolkit.pdf

Cross-Cultural Education Primer 
http://medweb.med.harvard.edu/cccec/teaching/primer/index.htm

Cultural Competency in Women's Health 
http://www.hms.harvard.edu/coewh/cultural

Diversity in Orthopaedics 
www.aaos.org/diversity

Print Resources

*** Academic Medicine . Special Theme Issue on Cultural Competence (12 articles) 2003; 78(6).

American Academy of Pediatrics. Culturally Effective Pediatric Care: Education and Training Issues. Pediatrics 1999; 103(1):167-170.

ACOG Committee Opinion. Cultural Competency in Health Care. No. 201, March 1998. Committee on Health Care for Underserved Women. American College of Obstetricians and Gynecologists. International Journal of Gynaecology and Obstetrics , 1998 Jul, 62(1):96-99.

Beach MC, et al. Cultural Competence: A Systematic Review of Health Care Provider Educational Interventions. Medical Care 2004; 43(4):356-373.

Berlin E, Fowkes W. A Teaching Framework for Cross-Cultural Health Care. Western Journal of Medicine 1983; 139:934-938.

Bigby JA, ed. Cross-Cultural Medicine . Philadelphia : American College of Physicians-American Society of Internal Medicine, 2003.

Campinha-Bacote J. The Process of Cultural Competence in the Delivery of Healthcare

Services , Fourth Edition, Transcultural C.A.R.E. Associates, 2003 (Available fromhttp://www.transculturalcare.net).

Carrillo JE, Green, AR, Betancourt, JR. Cross-Cultural Primary Care: A Patient-Based Approach. Annals of Internal Medicine 1999; 130: 829-834.

Culhane-Pera, KA, Vawter DE , Xiong P, Babbitt B, and Solberg MM. Healing by Heart: Clinical and Ethical Stories of Hmong Families and Western Providers , Nashville : University of Vanderbilt Press, 2003.

Davis BJ, Voegtle KH. Culturally Competent Health Care for Adolescents: A Guide for Primary Care Health Providers . Chicago , IL : American Medical Association, 1994.

Fadiman A. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures . New York : Farrar, Straus, and Giroux, 1997.

Flores G. Culture and the Patient-Physician Relationship: Achieving Cultural Competency in Health Care. Journal of Pediatrics 2000; 136(1):14-23.

Galanti Geri-Ann. Caring for Patients from Different Cultures: Case Studies from American Hospitals , Third edition. Philadelphia , PA : University of Pennsylvania Press, 2004.

Gropper RC. Culture and the Clinical Encounter: An Intercultural Sensitizer for the Health Professions , Intercultural Press, 1996 
Helman CG: Culture, Health and Illness , Fourth Edition. Oxford : Oxford University Press, Heinemann, 2000.

Kai J, ed. Ethnicity, Health, and Primary Care , Oxford : Oxford University Press, 2003.

Kleinman A, Eisenberg L, Good B. Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research. Annals of Internal Medicine 1978; 88:251-258.

Kobylarz FA, Heath JM, Like RC: The ETHNIC(S) Mnemonic: A Clinical Tool for Ethnogeriatric Education. Journal of the American Geriatrics Society 2002; 50:1582-1589.

Leininger M, McFarland MR. Transcultural Nursing: Concepts, Theories, Research & Practice , 3 rd edition, New York : McGraw Hill, 2002.

Lipson JG, Dibble S, Minarik P, eds. Culture and Nursing Care: A Pocket Guide , San Francisco , CA : UCSF Nursing Press, 1996.

Lu FH, Lim RF, Mezzich JE. Issues in the Assessment and Diagnosis of Culturally Diverse Individuals, in Review of Psychiatry (Vol. 14), eds. JM Oldham and MB Riba, eds., London, England: American Psychiatric Press, 1995, pp. 477-510.

Luckmann J, Nobles ST (contributing author). Transcultural Communication in Health Care , Albany , NY : Delmar Thomson Learning, 2000

McCullough-Zander K, ed. Caring Across Cultures: The Provider's Guide to Cross-Cultural Health , Second Edition, The Center for Cross-Cultural Health, Minneapolis , MN , 2000.

Mutha S, Allen C, Welch M. Toward Culturally Competent Care: A Toolbox for Teaching Communication Strategies , San Francisco , CA : Center for the Health Professions, University of California , San Francisco , 2002.

National Maternal and Child Health Resource Center on Cultural Competency. Cultural Diversity Curriculum Set for Social Workers and Health Practitioners , Austin , Tex : University of Texas , 1998.

Paniagua FA. Assessing and Treating Culturally Diverse Clients: A Practical Guide . Thousand Oaks , CA : Sage Publications, 1994.

Pinderhughes EB. Understanding Ethnicity, Race, and Power: The Key to Efficacy in Clinical Practice . New York : The Free Press, 1989.

Purnell L, Paulanka B, eds . Transcultural Health Care: A Culturally Competent Approach , Philadelphia : Davis , 1998.

Rundle A, Carvalho M, Robinson M, eds. Cultural Competence in Health Care: A Practical Guide , San Francisco , CA : Jossey-Bass, 1999.

Salimbene S. What language does your patient hurt in?T A practical guide to culturally competent patient care, from other cultures , Amherst , MA : Diversity Resources, 2000.

Shapiro J, Lenahan P. Family Medicine in a Culturally Diverse World: A Solution-Oriented Approach to Common Cross-Cultural Problems in Medical Encounters. Family Medicine 1996; 28(4):249-255.

Spector RE. Cultural Diversity in Health and Illness , Sixth Edition, Upper Saddle River : Prentice-Hall, 2003.

Tripp-Reiner T, Choi E, Kelley S, Enslien J. Cultural Barriers to Care: Inverting the Problem. Diabetes Spectrum 2001; 14(1): 13-22.

Weissman JS, et al. Resident Physicians' Preparedness to Provide Cross-Cultural Care. JAMA 2005; 1058-1067.

Organizational, Cultural and Linguistic Competence

Online Resources

National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care, Office of Minority Health Resource Center, http://www.omhrc.gov/CLAS

Andrulis D, Delbanco T, Avakian L, and Shaw-Taylor Y. The Cultural Competence Self Assessment Protocol for Health Care Organizations and Systems .http://erc.msh.org/provider/andrulis.pdf .

The Lewin Group, Inc.: Indicators of Cultural Competence in Health Care Delivery Organizations: An Organizational Cultural Competence Assessment Profile, Prepared for: The Health Resources and Services Administration U.S. Department of Health and Human Services, April 2002. http://www.hrsa.gov/omh/cultural1.htm

National Center for Cultural Competence, Georgetown University

A Guide to Planning and Implementing Cultural Competence Organizational Self-Assessment

Planning for Cultural and Linguistic Competence in Systems of Care

Self-Assessment Checklist for Personnel Providing Primary Health Care Services
http://gucchd.georgetown.edu/nccc/products.html

Hablamos Juntos
http://www.hablamosjuntos.org/index/default.asp 
http://www.hablamosjuntos.org/resourcecenter/models_approaches_tools.asp

HHS Office for Civil Rights 
http://www.hhs.gov/ocr/lep

Centers for Medicare and Medicaid Services (CMS) and Agency for Health Care Research and Quality (AHRQ) - QAPI National Initiative

I. Providing Oral Linguistic Services: A Guide for Managed Care Plans.

II. Planning Culturally and Linguistically Appropriate Services: A Guide for Managed Care Plans, http://www.cms.gov/healthplans/quality/project03.asp

National Satellite Broadcast: Cross-Cultural Communication in Health Care: Building Organizational Capacity, June 4, 2003, Co-sponsored by the HRSA Center for Health Services Financing and Managed Care and the DHHS Office of Minority Health,http://www.hrsa.gov/financeMC/broadcast

Youdelman M, Perkins J: Providing Language Interpretation Services in Health Care Settings: Examples from the Field, National Health Law Program, May 2002. 
Report can be obtained at www.cmwf.org or www.healthlaw.org.

Youdelman M, Perkins J: Providing Language Services in Small Health Care Provider Settings: Examples from the Field, National Health Law Program, April 2005. Report can be obtained atwww.cmwf.org or www.healthlaw.org .

Center for Health Services Research and Policy (CHSRP) at the George Washington University , in consultation with Resources for Cross Cultural Health Care, "Optional Purchasing Specifications: Cultural Competence in the Delivery of Services Through Medicaid Managed Care" - A Technical Assistance Document (funded by HRSA), November 2001 (www.gwhealthpolicy.org/newsps/ccs/ccs.pdf).

"Cultural Competence Works: Using Cultural Competence to Improve the Quality of Health Care for Diverse Populations and Add Value to Managed Care Arrangements" 
http://www.hrsa.gov/financeMC/ftp/cultural-competence.pdf

"Reflections on the CLAS Standards: Best Practices, Innovations, and Horizons," October 2003. Robert Putsch, Ira SenGupta, Alyssa Sampson, Melanie Tervalon. 
http://www.xculture.org/research/downloads/CLAS.pdf

"Building Linguistic and Cultural Competency: A Tool Kit for Managed Care Organizations and Provider Networks that Serve the Foreign-Born, 1998. W. Siegel, Millennia Consulting, with A. Gaichello, University of Illinois . Supported by the Mid-America Institute on Poverty.

Network for Multicultural Health 
http://futurehealth.ucsf.edu/TheNetwork

Inter-Face International 
http://www.inter-faceinter.com

European Union Migrant Friendly Hospitals Initiative and Amsterdam Declaration 
http://www.mfh.eu.net

Print Resources

Betancourt JR, Green AR , Carrillo JE. Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches, Final Report , The Commonwealth Fund, New York , NY , October 2002 (available from www.cmwf.org).

Brach C, Fraser I. Reducing Disparities through Culturally Competent Health Care: An Analysis of the Business Case. Quality Management in Health Care 2002;10(4):15-28.

Cross, TL, Bazron, BJ Dennis, KW and Isaacs MR. Towards a Culturally Competent System of Care , Child and Adolescent Service System Program (CASSP) Technical Assistance Center, Georgetown University Child Development Center, Washington, D.C., 1989.

Dreachslin, JL. Diversity Leadership .  Chicago : Health Administration Press, 1996.

Dreachslin J, Agho A. Domains and Core Competencies for Effective Evidence Based

Practice in Diversity Leadership. Journal of Health Administration Education: Special Issue: The Future of Education and Practice in Health Management and Policy 2001; 19(4): 131-148.

Hogan-Garcia M. The Four Skills of Cultural Diversity Competence: A Process for Understanding and Practice , Second Edition. Pacific Grove , CA : Thomson Learning - Brooks/Cole, 2003.

National Association of Public Hospitals and Health Systems. "Serving Diverse Communities in Safety Net Hospitals and Health Systems," The Safety Net 2003; 17(3):Fall.

Tirado M: "Monitoring the Managed Care of Culturally and Linguistically Diverse Populations," Center for Managed Care, Health Resources and Services Administration, 1998.

New Jersey Department of Health and Senior Services, Division of AIDS Prevention and Control; and the University of Medicine and Dentistry of New Jersey's Center for Continuing Outreach and Education, Division of AIDS Education. New Jersey Culturally and Linguistically Appropriate Services Standards for HIV/AIDS Services: Implementation Guide, June 2003.

Culturally Competent Community and Public Health

Online Resources

National Center for Cultural Competence, Georgetown University

Public Health in a Multicultural Environment Resources
http://www.nccccurricula.info/resources.html#public

Bridging the Cultural Divide in Health Care Settings: The Essential Role of Cultural Broker Programs

Sharing a Legacy of Caring: Partnerships Between Health Care and Faith-Based Organizations 
http://gucchd.georgetown.edu/nccc/products.html

The Asset-Based Community Development Institute 
Institute for Policy Research, Northwestern University 
http://www.northwestern.edu/ipr/abcd.html

Committee on Communication for Behavior Change in the 21st Century: Improving the Health of Diverse Populations, Board on Neuroscience and Behavioral Health. Speaking of Health: Assessing Health Communication Strategies for Diverse Populations , Institute of Medicine , 2002, http://www.nap.edu/books/0309072719/html

North American Primary Care Research Group. Responsible Research with Communities: Participatory Research in Primary Care 
http://napcrg.org/responsibleresearch.pdf

DeBlois H, Evans A. Asset Mapping: Locating the Gifts in Your Community. Empowering Communities Through Access to Information and Training, Module 4 (April 2003).
http://www.nhhealthpolicyinstitute.unh.edu/asset.pdf

Print Resources

Anderson LM, Scrimshaw SC, Fullilove MT , Fielding JE, Normand J, and the Task Force on Community Preventive Services. Culturally Competent Health-Care Systems: A Systematic Review. American Journal of Preventive Medicine 2003; 24(suppl 3):68-79.

Betancourt J, Green A., and Carrillo J. "Defining Cultural Competence: A Practical Framework for Addressing Racial/Ethnic Disparities in Health and Health Care." Public Health Reports 2003; 118:293-302.

"Overcoming Disparities in Health Care: A National Dialogue Facilitated by the Surgeons General" (April 9, 2003) - Executive Summary and CD-ROM, from the Communication in Health Care Project. American College of Chest Physicians ( http://www.chestnet.org ) and The CHEST Foundation ( http://www.chestfoundation.org ).

Gonzalez VM, Gonzales JR, Freeman V, Howard-Pitney B. Health Promotion for Diverse Cultural Communities . Palo Alto , CA : Stanford Health Promotion Resource Center ( Stanford Center for Research and Disease Prevention), 1991.

Hayes-Bautista DE . Research on Culturally Competent Healthcare Systems. Less Sensitivity, More Statistics. American Journal of Preventive Medicine 2003; 24(suppl 3):8-9.

Huff RM, Kline MV, eds. Promoting Health in Multicultural Populations: A Handbook for Practitioners , Thousand Oaks , CA : SAGE, 1999.

Kavanaugh KH, Kennedy P. Promoting Cultural Diversity: Strategies for Health Care Professionals . Thousand Oaks , CA : SAGE, 1992.

Kreps GL, Kunimoto EN. Effective Communication in Multicultural Health Care Settings . Thousand Oaks , CA : SAGE , 1994.

Kretzmann, J. P. and McKnight, J. L. Building Communities from the Inside Out . Evanston , IL : Asset-Based Community Development Institute, Northwestern University, 1993.

Macaulay AC, Gibson N, Freeman W, Commanda L, McCabe M, Robbins C, Twohig P. For the North American Primary Care Research Group. Participatory Research Maximises Community and Lay Involvement. British Medical Journal 1999; 319:
774-8

Phelps LD, Johnson KE. Developing Local Public Health Capacity in Cultural Competency: A Case Study With Haitians in a Rural Community. Journal of Community Health Nursing 2004; 21(4):203-215.

Centers of Excellence (Selected)

National Center for Cultural Competence/Georgetown University 
http://www.dml.georgetown.edu/depts/pe d iatrics/gucdc /cultural.html

Cross Cultural Health Care Program 
http://www.xculture.org

HRSA Bureau of Health Professions Diversity Programs: Centers of Excellence 
http://bhpr.hrsa.gov/diversity/coe/default.htm

Center for Cross-Cultural Health 
http://www.crosshealth.com

Center for Cultural Competency 
University of Medicine and Dentistry of New Jersey 
http://www.umdnj.edu/culturalcompetency/

Center for Healthy Families and Cultural Diversity 
Department of Family Medicine/UMDNJ-Robert Wood Johnson Medical School 
http://www2.umdnj.edu /fmedweb/chfcd/INDEX.HTM

Center for Immigrant Health/ New York University School of Medicine 
http://www.med.nyu.edu/cih

Center for Multicultural and Community Affairs/Mount Sinai School of Medicine 
http://www.mssm.edu/cmca

Center for Multicultural and Minority Health/ New York Weill Cornell Medical Center 
http://www.nycornell.org/dept/medicine/residency/multicultural.html

Centre for Multicultural Health 
University of New South Wales , Sydney , Australia 
http://cch.med.unsw.edu.au/cch.nsf

Culturally Competent Care On-Line Resource Center 
Harvard Medical School
http://medweb.med.harvard.edu/cccec/index.htm

ESRC Centre for Evidence in Ethnicity, Health, and Diversity (CEEHD) 
University of Warwick and De Montfort University , Leicester , United Kingdom 
http://users.wbs.ac.uk/group/ceehd

Multicultural Training and Research Institute/Temple Department of Social Work 
http://www.temple.edu/socialwork/centers_inst/multiculture.html

University of Michigan Health System Program for Multicultural Health 
http://www.med.umich.edu/multicultural

University of Wisconsin Center for the Study of Race & Ethnicity in Medicine 
http://wiscinfo.doit.wisc.edu/crem 

Professional Journals (Selected)

American Indian and Alaska Native Mental Health Research

Anthropology and Medicine

Asian American and Pacific Islander Journal of Health

Caring for Hispanic Patients

Culture, Medicine, and Psychiatry

Diversity in Health and Social Care

Ethnicity & Disease

Hispanic Health Care International

Journal of Cultural Diversity

Journal of Health Care for the Poor and Underserved

Journal of Immigrant Health

Journal of the National Medical Association

Journal of Multicultural Nursing and Health

Journal of Transcultural Nursing

Medical Anthropology

Medical Anthropology Quarterly

Qualitative Health Research

Social Science and Medicine

Transcultural Psychiatry