Cultural competency: dentistry and medicine learning from one another.
The Institute of Medicine (IOM) report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care is serving as a catalyst for the medical profession to re-examine the manner in which its institutions and training programs relate to cultural competence. This report found that racial and ethnic disparities exist in health care and that a lack of access to care does not fully explain why such disparities exist. The IOM study found bias, stereotyping, prejudice, and clinical uncertainty as possible contributing causes. The U.S. Surgeon General's Report on the Oral Health of the Nation also pointed to oral health disparities related to race, ethnicity, and culture. This paper discusses how medicine is responding to the Unequal Treatment report and the lessons to be considered for dentistry. Recommendations on how dentistry can apply the knowledge from this report to help reduce oral health disparities are suggested.
Formicola
Allan J
AJ
Columbia University School of Dental and Oral Surgery, USA. ajf3@columbia.edu
Stavisky
Judith
J
Lewy
Robert
R
D001291:Attitude of Health Personnel; D003469:Culture; D003657:Decision Making; D004497:Education, Dental; D004501:Education, Medical; D005006:Ethnicity; D006291:Health Policy; D006297:Health Services Accessibility; D006801:Humans; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D009909:Oral Health; D011287:Prejudice; D044469:Racial Groups; D013240:Stereotyping; D014481:United States