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HPP 187 May: A Cultural Competence Organizational Review for Communtiy Health Services: Insights from a Participatory Approach

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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.


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  • A Cultural Competence Organizational Review for Communtiy Health Services: Insights from a Participatory Approach