| 摘要 | 第2-3页 |
| Abstract | 第3-4页 |
| Chapter Ⅰ Introduction | 第9-15页 |
| 1.1. Background of the Study of Cultural Competence in Health Care Settings | 第9-11页 |
| 1.2. Definitions of Culture | 第11-12页 |
| 1.3 Culture and Health | 第12-13页 |
| 1.4 Cultural Competence | 第13页 |
| 1.5. The importance of Cultural Competence | 第13-15页 |
| Chapter Ⅱ Literature Review | 第15-24页 |
| 2.1 Descriptive Literature | 第17-18页 |
| 2.2 World View Perspectives | 第18-19页 |
| 2.3 Cultural Brokering | 第19页 |
| 2.4 Transcultural World View | 第19-20页 |
| 2.5 Outcomes of Culturally Competent Care | 第20页 |
| 2.6 Implications for Medical Education | 第20-21页 |
| 2.7 Research on Cultural Competent Model | 第21-23页 |
| 2.8 Implications for Healthcare Practice | 第23-24页 |
| Chapter Ⅲ Cultural Influences on Health Care Settings | 第24-38页 |
| 3.1 Health Belief Systems | 第25-27页 |
| 3.1.1 Scientific or Biochemical Systems | 第25-26页 |
| 3.1.2 Magicoreligious or Personalistic Systems | 第26-27页 |
| 3.1.3 Natural or Holistic Systems | 第27页 |
| 3.2 Health Care Systems | 第27-28页 |
| 3.2.1 Biochemical Health Care System | 第27页 |
| 3.2.2 Popular health care system | 第27-28页 |
| 3.2.3 Folk Sector or Traditional Medical System | 第28页 |
| 3.2.4 Alternative Health Care System | 第28页 |
| 3.3 Cultural Manifestations of Health Beliefs. | 第28-31页 |
| 3.3.1 Cultural Variations in the Cause of Illness. | 第28-29页 |
| 3.3.2 Cultural Variations in the Treatment of Illness | 第29-30页 |
| 3.3.3 Cultural Variations in the Prevention of Illness | 第30-31页 |
| 3.4 Religion, Spirituality, and Health Care | 第31-33页 |
| 3.5 Gender Roles and Health Care | 第33-36页 |
| 3.5.1 Male Dominance in the Health Care Setting | 第33-34页 |
| 3.5.2 Female Purity and Modesty | 第34-35页 |
| 3.5.3 PREGNENCE AND CHILDBIRTH | 第35-36页 |
| 3.6 Diet | 第36-37页 |
| 3.7 Biologic Variations | 第37-38页 |
| Chapter Ⅳ Cultural Influences on Communication in Health Care Settings | 第38-42页 |
| 4.1 Self-Disclosure | 第38-39页 |
| 4.2 Language Barriers | 第39-40页 |
| 4.3 Nonverbal Messages | 第40-42页 |
| 4.4 Formality | 第42页 |
| Chapter Ⅴ Theoretical Basis for Cultural Competency Training | 第42-48页 |
| 5.1 Howell's Levels of Communication Competence | 第43-44页 |
| 5.2 Bennett' Levels of Cultural Sensitive | 第44-47页 |
| 5.2.1 Denial | 第44页 |
| 5.2.2 Defense | 第44-45页 |
| 5.2.3 Minimization | 第45页 |
| 5.2.4 Acceptance | 第45-46页 |
| 5.2.5 Adaptation | 第46页 |
| 5.2.6 Integration | 第46-47页 |
| 5.3 Culhane-Perea's Levels of Cultural Competence in Health Care | 第47-48页 |
| Chapter Ⅵ A Cultural Competence Model of Health Care | 第48-56页 |
| 6.1 Cultural Awareness: | 第49-50页 |
| 6.2 Cultural Knowledge: | 第50-52页 |
| 6.2.1 Unconscious Incompetence | 第51-52页 |
| 6.2.2 Conscious Incompetence | 第52页 |
| 6.2.3 Conscious Competence | 第52页 |
| 6.2.4 Unconscious Competence | 第52页 |
| 6.3 Cultural Encounters | 第52-53页 |
| 6.4 Cultural Skill | 第53-55页 |
| 6.5 Cultural Desire | 第55-56页 |
| Chapter Ⅶ Implications for Chinese medical professionals and health organizations | 第56-59页 |
| 7.1 Challenge of Diverse Populations to Chinese Health Care System | 第56-57页 |
| 7.2 Techniques to Improve Culturally Appropriate Service | 第57-59页 |
| 7.2.1 Training | 第57-58页 |
| 7.2.2 Interpreter Services. | 第58页 |
| 7.2.3 Recruitment and Retention | 第58页 |
| 7.2.4 Immersion into Another Culture | 第58-59页 |
| 7.2.5 Administrative and Organizational Accommodations. | 第59页 |
| CONCLUSION | 第59-62页 |
| REFERENCES | 第62-71页 |
| ACKNOWLEDGEMENT | 第71页 |
