Cultural Effectiveness and Health Disparities Resources

APHA Health Disparities Community Solutions Database (www.apha.org/NPHW/solutions)
The American Public Health Association has developed a database which contains projects and interventions provided by members of the public health community. The database allows you to search for projects and interventions to health disparity challenges in your communities.

Culturally Effective Pediatric Care (www.aap.org/commpeds/cepc/index.html)
This AAP web page provides general information about culturally effective pediatric care and specific information, such as related Academy Policy Statements and projects supported by the Academy. The following are the components of the web page:

• Facts & Figures – Changes in child demographics
• The Need - Background information on the need for culturally effective pediatric care
• Policy Statements – AAP Policy Statements related to culturally effective pediatric care
• Community Projects – Projects Supported by the AAP
• General Resources – Related organizations, publications, & reports

Children's Rights Curriculum (www.aap.org/commpeds/resources/ChildrensRights.html)
The Children's Rights Curriculum can be used to raise awareness of the United Nations Convention on the Rights of the Child by increasing the understanding of its direct application to health and health care policy and practice, raise awareness of the relationship between public policy and the health rights of children and encourage a commitment to the development of an advocacy role related to children's rights.

Cross Cultural Health Care Program (www.xculture.org/)
Recognizing the diversity and the different ways to health, the mission of the Cross Cultural Health Care Program is to serve as a bridge between communities and health care institutions to ensure full access to quality health care that is culturally and linguistically appropriate.

Culturally Effective Care in the Medical Home (www.medicalhomeinfo.org/tools/cultural.html)
The National Center of Medical Home Initiatives for Children with Special Needs, housed with the Academy, has developed a web site of resources for engaging in compassionate and culturally effective care for children and families.

Diversity Rx (www.diversityrx.org/)
Diversity Rx is a clearinghouse of information on how to meet the language and cultural needs of minorities, immigrants, refugees and other diverse populations seeking health care.

Equity Project (pediatrics.aappublications.org/content/vol112/issue3/index.shtml#SUPPLS1)
This Pediatrics publication is the result of a meeting of 50 pediatricians from the American Academy of Pediatrics (AAP) and the Royal College of Pediatrics and Child Health (RCPCH) who met in the United Kingdom to establish a sustainable international program to improve child health outcomes in these countries. This was the first such joint endeavor for the AAP and the RCPCH and the first organized effort by the societies to recognize the global dimension of health inequities and disparities and the challenges that confront all pediatricians. Articles resulting from this meeting were published in the September 2003 Pediatrics supplement (Vol. 112).

Healthy People 2010(www.healthypeople.gov/)
Healthy People 2010 is a set of health objectives for the Nation to achieve over the first decade of the new century. It can be used by states, communities, professional organizations and others to help them develop programs to improve health. The first goal of Healthy People 2010 is to help individuals of all ages increase life expectancy and improve their quality of life. The second goal of Healthy People 2010 is to eliminate health disparities among different segments of the population.

KIDS COUNT Latino Children and African-American Children Pocket Guides (www.aecf.org/kidscount/)
The Annie E. Casey Foundation has produced "KIDS COUNT Latino Children and African-American Children Pocket Guides." These two guides provide statistics on economic, educational, and social well-being for minority children and highlights gaps that persist between minority children and non-Hispanic white children in the United States.

National Center for Cultural Competence (NCCC) (www.georgetown.edu/research/gucdc/nccc/)
The mission of the NCCC is to assist health and mental health care systems to design, implement and evaluate culturally and linguistically competent service delivery systems. The NCCC accomplishes its mission through: training, technical assistance and consultation; networking, linkages and information exchange; and knowledge and product development and dissemination. Major emphasis is placed on policy development, assistance in conducting cultural competence organizational self-assessments, and strategic approaches to the systematic incorporation of culturally competent values, policy, structures and practices within organizations. The web site contains a range of materials including publications, topical conference call transcripts, checklists and monographs.

Office of Minority Health Resource Center (OMHRC) (www.omhrc.gov/)
The Office of Minority Health (OMH) established the Office of Minority Health Resource Center (OMHRC) to meet the public's need for reliable, accurate, and timely information and technical assistance on issues affecting the health of minority populations. Since that time, OMHRC has grown to become one of the nation's largest sources of minority health information. Some of OMHRC's services include referrals, publications, reference information, and access to its resource person's network -- a database of minority health professionals from across the country.

The Provider's Guide to Quality & Culture (erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=English&ggroup=&mgroup=)
The Provider’s Guide to Quality & Culture is a joint project of Management Sciences for Health (MSH), U.S. Department of Health & Human Services, Health Resources & Services Administration, and the Bureau of Primary Health Care. This web site is designed to assist health care organizations throughout the U.S. in providing high quality, culturally competent services to multi-ethnic populations. The section on “Health Disparities” features a presentation by COCP member, Dr. Denice Cora-Bramble.

Publication and Reports on Culturally Effective Pediatric Care:

AMA Commission to End Health Care Disparities (www.ama-assn.org/ama/pub/category/12809.html)
In April, 2004 the secong meeting of the Federation Task Force on Disparities in Health Care was convened. With representation from over 35 state and specialty medical socieites and other health professional organizations, the task force, chaired by the American Medical Association, in conjunction with the National Medical Association, reaffirmed its commitment to eliminating health deisparities in health care and formed the Commission to End Health Care Disparities.

Compendium of Cultural Competence Initiatives in Health Care (www.kff.org/uninsured/6067-index.cfm)
This compendium was developed by the Henry J. Kaiser Family Foundation. The initiatives included in the compendium are from 1990 to the present and are divided into two categories: Public Sector Initiatives (Federal/state/local) and Private Sector Initiatives (health care institutions or professional organizations, foundations, academic institutions/policy research organizations, and other). This resource also includes brief definitions of major terms, organizational descriptions of initiatives and a list of experts in the field.

Cultural Competence and Health Care Disparities: Key Perspectives and Trends (http://content.healthaffairs.org/cgi/content/full/24/2/499)
By Joseph R. Betancourt, Alexander R. Green, J. Emilio Carillo, and Elyse R. Park. Published by Health Affairs, 24, no 2 (2005): 499-505.

Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches (www.cmwf.org/publications/publications_show.htm?doc_id=221320)
Published by The Commonwealth Fund. Joseph R. Betancourt, Alexander R. Green, and J. Emilio Carrillo, October 2002.

Developing a Health Plan Report Card on Quality of Care for Minority Populations (www.cmwf.org/publications/publications_show.htm?doc_id=221275)
Published by The Commonwealth Fund. David R. Nerenz, et al., July 2002.

Dynamics of Race, Culture, and Key Indicators of Health In the Nation's 100 Largest Cities and Their Suburbs (www.rwjf.org/research/researchdetail.jsp?id=1099&ia=133&gsa=1)
This report profiles the 2000 status of and changes since 1990 in rates of health and health-related measures for racially and culturally diverse populations living in the nation's largest cities and their suburbs. Data were drawn from the US Census Bureau and CDC to identify patterns in race/ethnicity, foreign-born status, language use, poverty, income, low birth weight, teen births, prenatal care, and tuberculoses. This report is the second in a series known as the Social and Health Landscape of Urban and Suburban America Reports. To learn more visit Sunny Downstate Medical Center. (www.downstate.edu/healthdata)

2002 National Survey of Latinos (www.kff.org/kaiserpolls/20021217a-index.cfm)
The Pew Hispanic Center/Kaiser family Foundation 2002 National Survey of Latinos examines how members of the Hispanic community identify themselves, their views of the United States, their experiences with discrimination both within the Latino community itself and from non-Latino groups, their language abilities and preferences, their economic and financial situations and their experiences within the healthcare system.

National Survey of Physicians Part I: Doctors on Disparities in Medical Care (www.kff.org/minorityhealth/20020321a-index.htm)
Selected findings from the Kaiser Family Foundation’s forthcoming National Survey of Physicians reveal that most physicians are aware of racial disparities in medical treatment for specific conditions, but they don’t believe it is a widespread problem. Kaiser Family Foundation, March 2002.

National Healthcare Disparities Report (www.qualitytools.ahrq.gov/disparitiesreport/2005/browse/browse.aspx)
The National Healthcare Disparities Report, developed by the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services, represents the first national comprehensive effort to measure differences in access and use of health care services by various populations. The report includes a broad set of performance measures that can serve as baseline views of differences in the use of services.

Providing Language Interpretation Services in Health Care Settings: Examples from the Field (www.cmwf.org/publications/publications_show.htm?doc_id=221272)
Published by The Commonwealth Fund. Mara Youdelman and Jane Perkins, May 2002.

Reducing Health Disparities Through a Focus on Communities (www.policylink.org/Research/HealthDisparities)
The report presents evidence from research and practice of the key role that neighborhood factors play in determining health outcomes and explores the relationship between the communities in which people live and their health."PolicyLink, November 2002.

Summary of State Law Requirements Addressing Language Needs in Health Care (www.healthlaw.org/link.cfm?5354)
Prepared by: Jane Perkins, NHeLP NC Office
Updated January 2006
$25.00

State law provides a source of potential protection for limited English proficient (LEP) persons. In recent years, state legislatures and administrative agencies have increasingly recognized the need for linguistically-appropriate health care and have adopted measures that require or encourage health and social service providers to overcome language barriers. "Summary of State Law Requirements Addressing Language Needs in Health Care" offers citations to, and a short description of, each state's laws regarding services to LEP persons in health care settings. It updates and replaces the listing of state laws first published by the National Health Law Program in August 2003 as part of its language access manual, "Ensuring Linguistic Access in Health Care Settings: Legal Rights and Responsibilites" (covering the time period up to July 2003).

Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (www4.nationalacademies.org/onpi/webextra.nsf/web/minority?OpenDocument)
Report from the Institute of Medicine, March 2002, supporting the long-held perception that minorities tend to receive lower-quality health care than whites, even when insurance status, income, age and severity of conditions are comparable.