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A Proposed Framework for Integration of Quality Performance Measures for Health Literacy, Cultural Competence, and Language Access Services Proceedings of a Workshop (2018) / Chapter Skim
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6 Reflections on the Day
Pages 61-66

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From page 61...
... Pleasant said that the key issues he heard were whether patient-­ centeredness should be the organizing rubric for the framework, the burden of measurement, the risk of losing focus on the most vulnerable, the possibility that integration will hide discrimination and inequity resulting from a demonstrated lack of consistency of patient-centered approaches across various populations, and whether what is needed is an integrated 61
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From page 62...
... For her industry, these issues come up in the context of patient education, and in her experience, pharmaceutical companies are working to consider health literacy and culture when developing materials, rather than simply translating materials. In her opinion, the roundtable has the opportunity and obligation to make sure these discussions are part of the entire health care ecosystem.
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From page 63...
... "We know there are some government institutions that still have that deficit definition front and center, but we as a group know there have been papers and deep conversations about why that is not the approach that is healthy or helpful or moves us forward as a system," said O'Leary, who added that this is a fundamental consideration with regard to ethics and equity. She then noted that having a framework for measures that situates health literacy, cultural competence, and language access under an umbrella of patient-centered care may have the consequence of changing the relative weight of these fields.
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From page 64...
... Robinson commended the workshop planning committee for including oral health in the discussion. "We are a neophyte in terms of developing quality measures," said Robinson, noting that the Dental Quality Alliance has existed for only 6 years.
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From page 65...
... As he mentioned at the beginning of the workshop, Rosof described the next steps of the roundtable project on integration of health literacy, cultural competence, and language access services. The roundtable will commission a second paper that will include a revised measurement framework based on the discussion from the workshop and which will also provide a roadmap for integrating health literacy, cultural competency, and language access services.
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Key Terms

  • language access
  • oral health
  • cultural competence
  • health equity
  • entire health

  • integrating health
  • integrated care
  • commissioned paper
  • access services
  • developing health

  • ing health
  • situates health
  • health resources
  • promote health
  • health ecosystem

  • measure health
  • improve health
  • facilitate health
  • consider health
  • pharmaceutical companies

  • literacy measures
  • translating materials
  • dillaha remarked
  • reimbursement mechanisms
  • added value

  • clinical trials
  • rosof described
  • care enterprise
  • cultural competency
  • falling short


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