Journal
JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION
Volume 100, Issue 11, Pages 1275-1285Publisher
NATL MED ASSOC
DOI: 10.1016/S0027-9684(15)31505-4
Keywords
cultural competence; patient-physician relationship; quality of care
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Funding
- Commonwealth Fund, a New York
- Health Services Research and Development Service of the Department of Veterans Affairs
- Robert Wood Johnson Foundation
- National Heart Lung and Blood Institute [K24HL083113]
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Cultural competence and patient centeredness are approaches to improving healthcare quality that have been promoted extensively in recent years. In this paper, we explore the historical evolution of both cultural competence and patient centeredness. In doing so, we demonstrate that early conceptual models of cultural competence and patient centeredness focused on how healthcare providers and patients might interact at the interpersonal level and that later conceptual models were expanded to consider how patients might be treated by the healthcare system as a whole. We then compare conceptual models for both cultural competence and patient centeredness at both the interpersonal and healthcare system levels to demonstrate similarities and differences. We conclude that, although the concepts have had different histories and foci, many of the core features of cultural competence and patient centeredness are the same. Each approach holds promise for improving the quality of healthcare for individual patients, communities and populations.
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