Prioritization of cultural competence and humility in U.S. state health departments: a pilot study
摘要
National government agencies have set standards for the integration of cultural competence concepts within state and local health departments. Cultural humility has also been found to further improve health experiences. This study sought to analyze a random subset of state public health department websites for evidence of implementation of such principles.
Subject and methodsEight public health department websites were identified using a stratified (by CDC funding level and state diversity) and random sample design. A content analysis of the websites was conducted using a tool created by the research team to assess implementation of cultural competence and cultural humility-related practice in both internal department processes and through external (community-facing) experiences.
ResultsAverage overall assessment scores calculated about half of the maximum possible scores. The lowest funding level group had significantly lower scores overall, but there were no consistent trends in scores based on state diversity. The lowest scoring assessment category of criteria was related to staff diversity. Preliminary findings show low scores for all states indicating significant room for improvement in prioritizing cultural competence and humility integration overall.
ConclusionInitial recommendations include addressing staff hiring practices to reflect the demographics of the state, inclusion of community members in evaluation processes, and incorporation of humility principles into staff training. Evidence supports further exploration of this topic, particularly focused on the impact of funding on the integration of these practices within state health departments.