Providing culturally competent services for American Indian and Alaska Native veterans to reduce health care disparities.

Abstract:

OBJECTIVES:We conducted an exploratory study to determine what organizational characteristics predict the provision of culturally competent services for American Indian and Alaska Native (AI/AN) veterans in Department of Veterans Affairs (VA) health facilities. METHODS:In 2011 to 2012, we adapted the Organizational Readiness to Change Assessment (ORCA) for a survey of 27 VA facilities in the Western Region to assess organizational readiness and capacity to adopt and implement native-specific services and to profile the availability of AI/AN veteran programs and interest in and resources for such programs. RESULTS:Several ORCA subscales (Program Needs, Leader's Practices, and Communication) statistically significantly predicted whether VA staff perceived that their facilities were meeting the needs of AI/AN veterans. However, none predicted greater implementation of native-specific services. CONCLUSIONS:Our findings may aid in developing strategies for adopting and implementing promising native-specific programs and services for AI/AN veterans, and may be generalizable for other veteran groups.

journal_name

Am J Public Health

authors

Noe TD,Kaufman CE,Kaufmann LJ,Brooks E,Shore JH

doi

10.2105/AJPH.2014.302140

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

S548-54

eissn

0090-0036

issn

1541-0048

journal_volume

104 Suppl 4

pub_type

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