The authors reviewed interventions using cultural leverage to narrow racial disparities in health care.
Thirty-eight interventions of three types were identified: interventions that modified the health
behaviors of individual patients of color, that increased the access of communities of color to the
existing health care system, and that modified the health care system to better serve patients of color
and their communities. Individual-level interventions typically tapped community members’
expertise to shape programs. Access interventions largely involved screening programs,
incorporating patient navigators and lay educators. Health care interventions focused on the roles of
nurses, counselors, and community health workers to deliver culturally tailored health information.
These interventions increased patients’ knowledge for self-care, decreased barriers to access, and
improved providers’ cultural competence. The delivery of processes of care or intermediate health
outcomes was significantly improved in 23 interventions. Interventions using cultural leverage show
tremendous promise in reducing health disparities, but more research is needed to understand their
health effects in combination with other interventions
The authors reviewed interventions using cultural leverage to narrow racial disparities in health care.Thirty-eight interventions of three types were identified: interventions that modified the healthbehaviors of individual patients of color, that increased the access of communities of color to theexisting health care system, and that modified the health care system to better serve patients of colorand their communities. Individual-level interventions typically tapped community members’expertise to shape programs. Access interventions largely involved screening programs,incorporating patient navigators and lay educators. Health care interventions focused on the roles ofnurses, counselors, and community health workers to deliver culturally tailored health information.These interventions increased patients’ knowledge for self-care, decreased barriers to access, andimproved providers’ cultural competence. The delivery of processes of care or intermediate healthoutcomes was significantly improved in 23 interventions. Interventions using cultural leverage showtremendous promise in reducing health disparities, but more research is needed to understand theirhealth effects in combination with other interventions
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