Alexander R Green
Affiliation: Massachusetts General Hospital
- Evaluation of medical student self-rated preparedness to care for limited English proficiency patientsFatima Rodriguez
Harvard Medical School, 25 Shattuck Street, Boston, MA, USA
BMC Med Educ 11:26. 2011..We used data from a survey of medical students' cross-cultural preparedness, skills, and training to specifically explore their self-rated preparedness to care for LEP patients...
- Designing and implementing a cultural competence OSCE: lessons learned from interviews with medical studentsAlexander R Green
Disparities Solutions Center, Massachusetts General Hospital, Boston, MA 02114, USA
Ethn Dis 17:344-50. 2007..We designed an OSCE station emphasizing cross-cultural communication skills (ccOSCE) and interviewed students to better understand and improve upon this tool...
- Cultural competency of health-care providers in a Swiss University Hospital: self-assessed cross-cultural skillfulness in a cross-sectional studyAlejandra Casillas
Department of Ambulatory Care and Community Medicine, Lausanne University Hospital, Lausanne, Switzerland
BMC Med Educ 14:19. 2014..Given limited information about differences in cultural competency by provider role, we compared cross-cultural skillfulness between physicians and nurses working at a Swiss university hospital...
- Barriers to screening colonoscopy for low-income Latino and white patients in an urban community health centerAlexander R Green
The Disparities Solutions Center at the Institute for Health Policy, Massachusetts General Hospital, Boston, MA 02114, USA
J Gen Intern Med 23:834-40. 2008..Colonoscopy is a screening modality for the early detection of colonic polyps and cancers but is underutilized, particularly among minorities...
- Providing culturally competent care: residents in HRSA Title VII funded residency programs feel better preparedAlexander R Green
The Disparities Solutions Center at the Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts, USA
Acad Med 83:1071-9. 2008..The authors sought to determine whether primary care residents in Title VII-funded training programs feel better prepared than those in nonfunded programs to provide care to culturally diverse patients...
- Leveraging quality improvement to achieve equity in health careAlexander R Green
Disparities Solutions Center, Boston, USA
Jt Comm J Qual Patient Saf 36:435-42. 2010..Health care organizations are engaged in efforts to improve quality in general but often make little attempt to address disparities...
- Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patientsAlexander R Green
The Disparities Solutions Center, Massachusetts General Hospital, Harvard Medical School, 50 Staniford Street, Suite 901, Boston, MA 02114, USA
J Gen Intern Med 22:1231-8. 2007..No study to date has measured physicians' unconscious racial bias to test whether this predicts physicians' clinical decisions...
- Interpreter services, language concordance, and health care quality. Experiences of Asian Americans with limited English proficiencyAlexander R Green
Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
J Gen Intern Med 20:1050-6. 2005..Both interpreter- and language-concordant clinicians may help overcome these problems but few studies have compared these approaches...
- The longitudinal impact of patient navigation on equity in colorectal cancer screening in a large primary care networkSanja Percac-Lima
Massachusetts General Hospital Chelsea HealthCare Center, Chelsea, Massachusetts General Medicine Division, Massachusetts General Hospital, Boston, Massachusetts
Cancer 120:2025-31. 2014..The long-term effects of interventions to improve colorectal (CRC) screening in vulnerable populations are uncertain. The authors evaluated the impact of patient navigation (PN) on the equity of CRC prevention over a 5-year period...
- Primary care resident perceived preparedness to deliver cross-cultural care: an examination of training and specialty differencesJoseph A Greer
Harvard Medical School, Massachusetts General Hospital, Boston, Mass, USA
J Gen Intern Med 22:1107-13. 2007..The goals of this study were to identify factors that relate to primary care residents' perceived preparedness to provide cross-cultural care and to explore the extent to which these perceptions vary across primary care specialties...
- Measuring residents' perceived preparedness and skillfulness to deliver cross-cultural careElyse R Park
Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA
J Gen Intern Med 24:1053-6. 2009..As patient populations become increasingly diverse, we need to be able to measure residents' preparedness and skillfulness to provide cross-cultural care...
- Bridging the digital divide in health care: the role of health information technology in addressing racial and ethnic disparitiesLenny Lopez
Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, USA
Jt Comm J Qual Patient Saf 37:437-45. 2011..If carefully designed and implemented, HIT also has the potential to eliminate disparities...
- The human face of health disparitiesAlexander R Green
Beth Israel Deaconess Medical Center, Boston, MA, USA
Public Health Rep 118:303-8. 2003..The purpose is to put faces and humanity onto the numbers. While we now have great bodies of evidence upon which to lobby for change, in the end, each statistic still represents a personal tragedy or an individual triumph...
- Barriers to health promotion and disease prevention in the Latino populationJoseph R Betancourt
Institute for Health Policy, Massachusetts General Hospital, 02114, USA
Clin Cornerstone 6:16-26; discussion 27-9. 2004....
- Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health careJoseph R Betancourt
Institute for Health Policy, Massachusetts General Hospital and Department of Medicine, Harvard Medical School, Boston, MA 02114, USA
Public Health Rep 118:293-302. 2003....
- A plan for action: key perspectives from the racial/ethnic disparities strategy forumRoderick K King
The Disparities Solutions Center, Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts, USA
Milbank Q 86:241-72. 2008..Racial and ethnic disparities in health care in the United States have been well documented, with research largely focusing on describing the problem rather than identifying the best practices or proven strategies to address it...
- Cultural competence and health care disparities: key perspectives and trendsJoseph R Betancourt
Institute for Health Policy, Massachusetts General Hospital, Boston, USA
Health Aff (Millwood) 24:499-505. 2005..Yet the motivations for advancing cultural competence and approaches taken vary depending on mission, goals, and sphere of influence...
- Barriers to care for Cambodian patients with diabetes: results from a qualitative studyMegan R Renfrew
Disparities Solutions Center, Mongan Institute for Health Policy, Massachusetts General Hospital, MA, USA
J Health Care Poor Underserved 24:633-55. 2013..We recommend education for health care providers on patient-centered, cross-cultural care with an emphasis on the needs of Cambodians as well as culturally appropriate diabetes education for patients...
- Comparison of C-reactive protein levels in less versus more acculturated Hispanic adults in the United States (from the National Health and Nutrition Examination Survey 1999-2008)Fatima Rodriguez
Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
Am J Cardiol 109:665-9. 2012..Inflammation may play an important role in explaining the association between acculturation and increased cardiovascular risk...
- Commentary: linking cultural competence training to improved health outcomes: perspectives from the fieldJoseph R Betancourt
The Disparities Solutions Center, The Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Acad Med 85:583-5. 2010..Just as medicine strives to meet other challenges in U.S. health care, so should it focus on developing the skills needed to care for the country's diverse population...
- Racial and sex differences in emergency department triage assessment and test ordering for chest pain, 1997-2006Lenny Lopez
Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA
Acad Emerg Med 17:801-8. 2010..This study assessed whether sociodemographic differences exist in triage assignment and whether these differences affect initial diagnostic testing in the emergency department (ED) for patients presenting with chest pain...
- A culturally tailored navigator program for colorectal cancer screening in a community health center: a randomized, controlled trialSanja Percac-Lima
Chelsea HealthCare Center, Massachusetts General Hospital, Chelsea, MA 02150, USA
J Gen Intern Med 24:211-7. 2009..Minority racial/ethnic groups have low colorectal cancer (CRC) screening rates...
- The globalization of cross-cultural medical education and patient-centered careAlexander R Green
The Disparities Solutions Center, Massachusetts General Hospital, Harvard Medical School, USA
Bratisl Lek Listy 109:238. 2008
- Through the Veil of Language: Exploring the Hidden Curriculum for the Care of Patients With Limited English ProficiencyTiffany C Kenison
T C Kenison is a resident, Department of Medicine, Mount Sinai Hospital, New York, New York A Madu is research assistant, Disparities Solutions Center, Massachusetts General Hospital, Boston, Massachusetts E Krupat is director, Center for Evaluation, Harvard Medical School, Boston, Massachusetts L Ticona is a health policy and management fellow, Massachusetts General Physicians Organization, Massachusetts General Hospital, Boston, Massachusetts I M Vargas is an independent science writer and lead instructor, MOSTEC MIT Online Science, Technology, and Engineering Community program, Massachusetts Institute of Technology, Cambridge, Massachusetts A R Green is associate director, Disparities Solutions Center, Massachusetts General Hospital, and Arnold P Gold Associate Professor of Medicine, Harvard Medical School, Boston, Massachusetts
Acad Med . 2016..The authors designed this study to characterize the hidden curriculum that medical and nursing students experience regarding the care of patients with LEP...
- Seizure visits in US emergency departments: epidemiology and potential disparities in careDaniel J Pallin
Department of Emergency Medicine, Brigham and Women s Hospital, Boston, MA, 02115, USA
Int J Emerg Med 1:97-105. 2008..The aim of this investigation was to characterize ED visits for seizure in a large representative US sample and investigate any potential impact of race or ethnicity on management...
- Student reflections on learning cross-cultural skills through a 'cultural competence' OSCEElizabeth Miller
Center for Reducing Health Disparities, UC Davis School of Medicine, Sacramento, CA 95817, USA
Med Teach 29:e76-84. 2007..Medical schools use OSCEs (objective structured clinical examinations) to assess students' clinical knowledge and skills, but the use of OSCEs in the teaching and assessment of cross-cultural care has not been well described...
- Can cultural competency self-assessment predict OSCE performance?Ming Jung Ho
Med Educ 42:525. 2008
- Why the disease-based model of medicine fails our patientsAlexander R Green
Primary Care Internal Medicine Residency Weill Medical College of Cornell University New York Presbyterian Hospital 505 E 70th St HT4 New York, NY 10021
West J Med 176:141-3. 2002
- Integrating social factors into cross-cultural medical educationAlexander R Green
Cornell Internal Medicine Associates, New York, NY 10021, USA
Acad Med 77:193-7. 2002....