IDEAS home Printed from https://ideas.repec.org/a/gam/jsoctx/v12y2022i2p43-d767017.html

Diversity Competence in Healthcare: Experts’ Views on the Most Important Skills in Caring for Migrant and Minority Patients

Author

Listed:
  • Sandra Ziegler

    (Section for Health Equity Studies & Migration, Department of General Practice and Health Services Research, Heidelberg University Hospital, 69120 Heidelberg, Germany)

  • Camilla Michaëlis

    (Danish Research Centre for Migration, Ethnicity and Health, Section for Health Services Research, Department of Public Health, University of Copenhagen, DK-1014 Copenhagen, Denmark)

  • Janne Sørensen

    (Danish Research Centre for Migration, Ethnicity and Health, Section for Health Services Research, Department of Public Health, University of Copenhagen, DK-1014 Copenhagen, Denmark)

Abstract

Many researchers and practitioners agree that a specific skillset helps to provide good healthcare to migrant and minority patients. The sciences offer multiple terms for what we are calling ‘diversity competence’. We assume that teaching and developing this competence is a complex, time-consuming task, yet health professionals’ time for further training is limited. Consequently, teaching objectives must be prioritised when creating a short, basic course to foster professionals’ diversity competence. Therefore, we ask: ‘What knowledge, attitudes and skills are most important to enable health professionals to take equally good care of all patients in evermore diverse, modern societies that include migrant and (ethnic) minority patients?’ By means of a modified, two-round Delphi study, 31 clinical and academic migrant health experts from 13 European countries were asked this question. The expert panel reached consensus on many competences, especially regarding attitudes and practical skills. We can provide a competence ranking that will inform teaching initiatives. Furthermore, we have derived a working definition of ‘diversity competence of health professionals’, and discuss the advantages of the informed and conscious use of a ‘diversity’ instead of ‘intercultural’ terminology.

Suggested Citation

  • Sandra Ziegler & Camilla Michaëlis & Janne Sørensen, 2022. "Diversity Competence in Healthcare: Experts’ Views on the Most Important Skills in Caring for Migrant and Minority Patients," Societies, MDPI, vol. 12(2), pages 1-23, March.
  • Handle: RePEc:gam:jsoctx:v:12:y:2022:i:2:p:43-:d:767017
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2075-4698/12/2/43/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/2075-4698/12/2/43/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Paul E Farmer & Bruce Nizeye & Sara Stulac & Salmaan Keshavjee, 2006. "Structural Violence and Clinical Medicine," PLOS Medicine, Public Library of Science, vol. 3(10), pages 1-6, October.
    2. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.
    3. Sharon Leiba-O'Sullivan, 1999. "The Distinction between Stable and Dynamic Cross-cultural Competencies: Implications for Expatriate Trainability," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 30(4), pages 709-725, December.
    4. Mead, Nicola & Bower, Peter, 2000. "Patient-centredness: a conceptual framework and review of the empirical literature," Social Science & Medicine, Elsevier, vol. 51(7), pages 1087-1110, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Marja Nesterova & Agostino Portera & Marta Milani, 2022. "Diversity And Intercultural Competence For Sustainable Community Development," Baltic Journal of Economic Studies, Publishing house "Baltija Publishing", vol. 8(5).
    2. Costas S. Constantinou & Panayiota Andreou & Monica Nikitara & Alexia Papageorgiou, 2022. "Cultural Competence in Healthcare and Healthcare Education," Societies, MDPI, vol. 12(6), pages 1-4, November.
    3. Costas S. Constantinou & Monica Nikitara, 2023. "The Culturally Competent Healthcare Professional: The RESPECT Competencies from a Systematic Review of Delphi Studies," Societies, MDPI, vol. 13(5), pages 1-22, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rathert, Cheryl & Mittler, Jessica N. & Vogus, Timothy J. & Lee, Yuna S.H., 2023. "Better outcomes through patient – Provider therapeutic connections? An exploratory study of proposed mediating variables," Social Science & Medicine, Elsevier, vol. 338(C).
    2. Shilo St. Cyr & Elise Trott Jaramillo & Laura Garrison & Lorraine Halinka Malcoe & Stephen R. Shamblen & Cathleen E. Willging, 2021. "Intimate Partner Violence and Structural Violence in the Lives of Incarcerated Women: A Mixed-Method Study in Rural New Mexico," IJERPH, MDPI, vol. 18(12), pages 1-16, June.
    3. Asad, Asad L. & Kay, Tamara, 2015. "Toward a multidimensional understanding of culture for health interventions," Social Science & Medicine, Elsevier, vol. 144(C), pages 79-87.
    4. Gutin, Iliya, 2022. "Not ‘putting a name to it’: Managing uncertainty in the diagnosis of childhood obesity," Social Science & Medicine, Elsevier, vol. 294(C).
    5. Timmermans, Stefan & Tietbohl, Caroline, 2018. "Fifty years of sociological leadership at Social Science and Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 209-215.
    6. Burson, Randall C. & Familusi, Olivia O. & Clapp, Justin T., 2022. "Imagining the ‘structural’ in medical education and practice in the United States: A curricular investigation," Social Science & Medicine, Elsevier, vol. 300(C).
    7. Nicoloro-SantaBarbara, Jennifer & Rosenthal, Lisa & Auerbach, Melissa V. & Kocis, Christina & Busso, Cheyanne & Lobel, Marci, 2017. "Patient-provider communication, maternal anxiety, and self-care in pregnancy," Social Science & Medicine, Elsevier, vol. 190(C), pages 133-140.
    8. Anne Bartel-Radic & Jean-Luc Giannelloni, 2017. "A renewed perspective on the measurement of cross-cultural competence: An approach through personality traits and cross-cultural knowledge," Post-Print hal-01975656, HAL.
    9. Gayitri Kavita Indar & Christine Sharon Barrow & Warren E. Whitaker, 2023. "A Convergence of Violence: Structural Violence Experiences of K–12, Black, Disabled Males across Multiple Systems," Laws, MDPI, vol. 12(5), pages 1-21, September.
    10. Del Mastro N., Irene, 2022. "Providing culturally competent and universal health care in the Peruvian Amazon: The role of medical authority," Social Science & Medicine, Elsevier, vol. 315(C).
    11. Josephson, Iréne & Woodward-Kron, Robyn & Delany, Clare & Hiller, Amy, 2015. "Evaluative language in physiotherapy practice: How does it contribute to the therapeutic relationship?," Social Science & Medicine, Elsevier, vol. 143(C), pages 128-136.
    12. Hyojung Tak & Gregory Ruhnke & Ya-Chen Shih, 2015. "The Association between Patient-Centered Attributes of Care and Patient Satisfaction," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 8(2), pages 187-197, April.
    13. France Légaré & Annette M. O'Connor & Ian D. Graham & Georges A. Wells & Stéphane Tremblay, 2006. "Impact of the Ottawa Decision Support Framework on the Agreement and the Difference between Patients' and Physicians' Decisional Conflict," Medical Decision Making, , vol. 26(4), pages 373-390, July.
    14. Lee, Jooyoung, 2013. "The pill hustle: Risky pain management for a gunshot victim," Social Science & Medicine, Elsevier, vol. 99(C), pages 162-168.
    15. Mitchell, Ellen M.H. & Kwizera, Amata & Usta, Momade & Gebreselassie, Hailemichael, 2010. "Choosing early pregnancy termination methods in Urban Mozambique," Social Science & Medicine, Elsevier, vol. 71(1), pages 62-70, July.
    16. Matthew Williams & Non Arkaraprasertkul, 2017. "Mobility in a global city: Making sense of Shanghai’s growing automobile-dominated transport culture," Urban Studies, Urban Studies Journal Limited, vol. 54(10), pages 2232-2248, August.
    17. Montenegro, Roberto E. & Dori-Hacohen, Gonen, 2020. "Morality in sugar talk: Presenting blood glucose levels in routine diabetes medical visits," Social Science & Medicine, Elsevier, vol. 253(C).
    18. Warren Kealy-Bateman & Georgina M. Gorman & Adam P. Carroll, 2021. "Patient/Consumer Codesign and Coproduction of Medical Curricula: A Possible Path Toward Improved Cultural Competence and Reduced Health Disparity," SAGE Open, , vol. 11(2), pages 21582440211, June.
    19. Capodici, Angelo & Pirni, Alberto & Gadignani, Anna & Noci, Francesca & Giardelli, Lucia & Emdin, Michele & Giannoni, Alberto, 2025. "Humanizing Telemedicine through Recognition-Based Ethics," SocArXiv 8w9xk_v1, Center for Open Science.
    20. Sparke, Matthew, 2017. "Austerity and the embodiment of neoliberalism as ill-health: Towards a theory of biological sub-citizenship," Social Science & Medicine, Elsevier, vol. 187(C), pages 287-295.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsoctx:v:12:y:2022:i:2:p:43-:d:767017. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.