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PUBLIC HEALTH MATTERS |
At the time of this report, all of the authors were with the University of Texas Medical Branch at Galveston. Phyllis Beck Kritek is now with the Virginia Commonwealth University School of Nursing, Richmond.
Correspondence: Requests for reprints should be sent to Phyllis Beck Kritek, RN, PhD, FAAN, Virginia Commonwealth University School of Nursing, 1220 E Broad St, PO Box 980567, Richmond, VA 23298-0567 (e-mail: pbkritek{at}hsc.vcu.edu).
A national conference convened in May 2001 explored health disparities among minority women. It included 5 one-hour workshops that randomly assigned each participant to 1 of 4 groups. Groups generated recommendations on conference topics and from these identified priority recommendations. Trained facilitators guided groups through brainstorming and weighted voting processes; individual recommendations were submitted in writing. Participants generated 598 recommendations, 71 of them voted as priorities; these were analyzed to capture participants' "messages." Central themes focused on access issues and cultural incompetence as deterrents to the elimination of health disparities and on education, funding, and community-based, community-driven research as mechanisms for change. Strategies for change included reinventing or expanding the role of minority communities and changing health care itself and "how" it does its work. The essential element in all recommendations was community leadership and control.
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J. Giger, R. E. Davidhizar, L. Purnell, J. T. Harden, J. Phillips, and O. Strickland American Academy of Nursing Expert Panel Report: Developing Cultural Competence to Eliminate Health Disparities in Ethnic Minorities and Other Vulnerable Populations J Transcult Nurs, April 1, 2007; 18(2): 95 - 102. [Abstract] [PDF] |
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