title: Reducing disparities through culturally competent health care: an analysis of the business case.
abstract: Finding ways to deliver high-quality health care to an increasingly diverse population is a major challenge for the American health care system. The persistence of racial and ethnic disparities in health care access, quality, and outcomes has prompted considerable interest in increasing the cultural competence of health care, both as an end in its own right and as a potential means to reduce disparities. This article reviews the potential role of cultural competence in reducing racial and ethnic health disparities, the strength of health care organizations' current incentives to adopt cultural competence techniques, and the limitations inherent in these incentives that will need to be overcome if cultural competence techniques are to become widely adopted.
authors.affiliation: Center for Organization and Delivery Studies, Agency for Healthcare Research and Quality, Rockville, Maryland, USA.
authors.forename: Cindy
authors.initials: C
authors.lastname: Brach
authors.forename: Irene
authors.initials: I
authors.lastname: Fraser
mesh_terms: D003362:Cost-Benefit Analysis; D018864:Cultural Diversity; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D005006:Ethnicity; D006297:Health Services Accessibility; D006801:Humans; D009042:Motivation; D011361:Professional Competence; D011785:Quality Assurance, Health Care / Q000379:methods*; D011787:Quality of Health Care; D012935:Social Justice; D014481:United States