Thomas D. Sequist, MD, MPH; Dana Gelb Safran, ScD; John Z. Ayanian, MD, MPP
Potential Conflicts of Interest: None disclosed.
Sequist TD, Safran DG, Ayanian JZ. Cultural Competency Training and Performance Measures to Reduce Racial Disparities in Health Care Quality. Ann Intern Med. 2010;152:686-687. doi: 10.7326/0003-4819-152-10-201005180-00016
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Published: Ann Intern Med. 2010;152(10):686-687.
We agree with Drs. Wallace and Duffy that increasing the diversity of the physician workforce is an important goal and is a form of organizational cultural competency that may broadly improve health care for minority patients (1, 2). However, long-term efforts to improve the diversity of the health care workforce must be accompanied by targeted efforts to improve the current workforce. Our quality-improvement program, which combined cultural competency training and performance feedback, increased clinicians' awareness of racial disparities in care. This awareness is the first step to engaging clinicians in eliminating these disparities. However, our data show that improving patients' outcomes will require more than increasing clinicians' consciousness and highlighting performance gaps. Effective solutions will require more effective collaboration between all members of health care delivery teams and the communities they serve.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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