title: A Cultural Competence Organizational Review for Community Health Services: Insights From a Participatory Approach.
abstract: Cultural competence is an important aspect of health service access and delivery in health promotion and community health. Although a number of frameworks and tools are available to assist health service organizations improve their services to diverse communities, there are few published studies describing organizational cultural competence assessments and the extent to which these tools facilitate cultural competence. This article addresses this gap by describing the development of a cultural competence assessment, intervention, and evaluation tool called the Cultural Competence Organizational Review (CORe) and its implementation in three community sector organizations. Baseline and follow-up staff surveys and document audits were conducted at each participating organization. Process data and organizational documentation were used to evaluate and monitor the experience of CORe within the organizations. Results at follow-up indicated an overall positive trend in organizational cultural competence at each organization in terms of both policy and practice. Organizations that are able to embed actions to improve organizational cultural competence within broader organizational plans increase the likelihood of sustainable changes to policies, procedures, and practice within the organization. The benefits and lessons learned from the implementation of CORe are discussed.
authors.affiliation: 1 University of Melbourne, Carlton, Victoria, Australia.
authors.forename: Mandy
authors.initials: M
authors.lastname: Truong
authors.affiliation: 1 University of Melbourne, Carlton, Victoria, Australia.
authors.forename: Lisa
authors.initials: L
authors.lastname: Gibbs
authors.affiliation: 2 Merri Health, Brunswick, Victoria, Australia.
authors.forename: Veronika
authors.initials: V
authors.lastname: Pradel
authors.affiliation: 3 The Centre for Culture, Ethnicity and Health, Richmond, Victoria, Australia.
authors.forename: Michal
authors.initials: M
authors.lastname: Morris
authors.affiliation: 3 The Centre for Culture, Ethnicity and Health, Richmond, Victoria, Australia.
authors.forename: Pauline
authors.initials: P
authors.lastname: Gwatirisa
authors.affiliation: 2 Merri Health, Brunswick, Victoria, Australia.
authors.forename: Maryanne
authors.initials: M
authors.lastname: Tadic
authors.affiliation: 1 University of Melbourne, Carlton, Victoria, Australia.
authors.forename: Andrea
authors.initials: A
authors.lastname: de Silva
authors.affiliation: 4 North Richmond Community Health, Richmond, Victoria, Australia.
authors.forename: Martin
authors.initials: M
authors.lastname: Hall
authors.affiliation: 1 University of Melbourne, Carlton, Victoria, Australia.
authors.forename: Dana
authors.initials: D
authors.lastname: Young
authors.affiliation: 5 Murdoch Childrens Research Institute, Parkville, Victoria, Australia.
authors.forename: Elisha
authors.initials: E
authors.lastname: Riggs
authors.affiliation: 1 University of Melbourne, Carlton, Victoria, Australia.|6 La Trobe University, Melbourne, Victoria, Australia.|7 Dental Health Services Victoria, Carlton, Victoria, Australia.
authors.forename: Hanny
authors.initials: H
authors.lastname: Calache
authors.affiliation: 1 University of Melbourne, Carlton, Victoria, Australia.|6 La Trobe University, Melbourne, Victoria, Australia.
authors.forename: Mark
authors.initials: M
authors.lastname: Gussy
authors.affiliation: 8 University College London, London, UK.
authors.forename: Richard
authors.initials: R
authors.lastname: Watt
authors.affiliation: 9 Monash University, Clayton, Victoria, Australia.|10 Federation University Australia, Mount Helen, Australia.|11 Pakistan Australia Association, Melbourne, Victoria, Australia.
authors.forename: Iqbal
authors.initials: I
authors.lastname: Gondal
authors.affiliation: 1 University of Melbourne, Carlton, Victoria, Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Waters
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D054521:Cultural Competency; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D015279:Organizational Culture; D009937:Organizational Objectives
keywords: access to health care; community organization; cultural competence; program planning and evaluation