Kulturelle Kompetenz in der medizinischen Versorgung
摘要
Cultural competence is essential for equitable health care delivery in increasingly diverse societies. Medical professionals treating refugees and migrants often encounter cultural and communicative barriers, impacting care quality.
ObjectivesThis systematic review assesses the effectiveness of time-limited cultural competence training for medical personnel working with refugee and migrant populations.
MethodsWe searched MEDLINE, Web of Science, Embase, PsycNet and the Cochrane Library for studies reporting quantitative outcomes of training interventions aimed at improving cultural competence among medical professionals. Eligible studies focused on refugee or migrant populations and were evaluated using the ROBINS‑I tool. PROSPERO registration: CRD42022342651.
ResultsOf 2539 screened articles, six studies met inclusion criteria. Interventions varied in format, length, and target groups (e.g., medical students, GPs, nurses). Four studies reported statistically significant improvements in cultural competence. However, outcome measures were heterogeneous, and the majority relied on self-assessment. Risk of bias was rated moderate across all studies.
ConclusionWhile some interventions showed promise, methodological heterogeneity and the lack of standardised outcome measures preclude definitive conclusions. There is a pressing need for robust, standardised training and evaluation frameworks in cultural competence for refugee and migrant health care.