CAJ | 학술논문

文化能力是临床医疗的重要组成部分,是保障医师职业化水平与提供高质量服务不可或缺的技能之一.有关证据表明,跨文化培训(又称文化能力培训)确能改进医生的态度、知识与技能,并使患者接受到高质量的服务,但培训对改善卫生保健质量起到的作用尚无论证.本文讨论了文化能力培训的发展及其原则,从实践经验出发,总结了具有现实指导意义的培训注意事项；提出了一个详尽的框架体系与检测方案,用以评估培训对卫生保健质量改善所起的作用.最后指出,文化能力培训应当参照其他教学活动的衡量标准,运用卫生科研部门研发的工具和质量改进原则对培训活动效果逐步加以评估.
문화능력시림상의료적중요조성부분,시보장의사직업화수평여제공고질량복무불가혹결적기능지일.유관증거표명,과문화배훈(우칭문화능력배훈)학능개진의생적태도、지식여기능,병사환자접수도고질량적복무,단배훈대개선위생보건질량기도적작용상무론증.본문토론료문화능력배훈적발전급기원칙,종실천경험출발,총결료구유현실지도의의적배훈주의사항；제출료일개상진적광가체계여검측방안,용이평고배훈대위생보건질량개선소기적작용.최후지출,문화능력배훈응당삼조기타교학활동적형량표준,운용위생과연부문연발적공구화질량개진원칙대배훈활동효과축보가이평고.
Cultural competence represents an important building block of clinical care,as well as a skill set that is central to professionalism and quality.Although evidence shows that cultural competence training improves the attitudes,knowledge,and skill of physicians as well as patients' ratings of care,no definite evidence has yet linked this training to improved health outcomes.The paper started from the evolution and key principles of cultural competence training and provided us with the lessons about how to ensure a successful training.The focus of the paper was the creation of an evaluation framework and measurement that might be effective in identifying the impact of cultural competence training on improved health care outcomes.Cultural competence training should be evaluated in a stepwise fashion by using the tools of health services research and the principles of quality improvement,and it should be held to the same standards as other educational interventions and activities.