20.500.12556/DKUM-94187 Advancing cultural competence in healthcare system insights on barriers and required measures Spodbujanje napredka kulturne kompetentnosti v zdravstvenem sistemu vpogledi v ovire in potrebne ukrepe Background/Purpose: Cultural competence in the healthcare system is a crucial strategy to ensure the availability, accessibility, acceptability, and quality of healthcare services. However, literature on the systemic implementation of this concept in the Central and Eastern European region is scarce. The aim of our study is to present insights into the barriers to cultural competence and measures for its advancement in the Slovenian healthcare system. Methods: We employed a qualitative methodology, conducting semi-structured interviews with professionals and experts in Slovenian healthcare system. Data was analysed by directed content analysis. Results: The identified barriers to cultural competence and measures for its advancement pertained to several areas, including staffing, information for healthcare users, multidisciplinary and multi-level approaches, data collection and research, communication possibilities and skills, legislative foundation, flexibility of the healthcare system, quality standards, and educational efforts and policies. Conclusions: In our study, we found that most barriers to cultural competence exist at the systemic and organizational level. Consequently, the measures identified to address these barriers should also be implemented at these levels. The first step towards achieving safer and more equitable healthcare services should involve incorporating the core principles of cultural competence into strategies and policies at both systemic and organizational levels of healthcare. Namen: Kulturna kompetentnost v zdravstvenem sistemu je ključna strategija za zagotavljanje razpoložljivosti, dostopnosti, ustreznosti in kakovosti zdravstvenih storitev. Kljub temu je literatura o sistemski implementaciji tega koncepta v srednje- in vzhodnoevropski regiji skopa. Namen naše študije je predstaviti ovire pri spodbujanju kulturne kompetentnosti ter ukrepe za njen napredek v slovenskem zdravstvenem sistemu. Metode: Uporabili smo kvalitativno metodologijo, pri čemer smo izvedli polstrukturirane intervjuje z zdravstvenimi strokovnjaki in poznavalci področja v slovenskem zdravstvenem sistemu. Podatke smo analizirali z usmerjeno vsebinsko analizo. Rezultati: Ovire za zagotavljanje kulturne kompetentnosti in potrebne ukrepe za njen napredek smo zaznali na področjih, kot so zaposlovanje, informacije za uporabnike zdravstvenih storitev, multidisciplinarni in večstopenjski pristop, zbiranje podatkov in raziskovanje, možnosti in veščine komunikacije, zakonodajne podlage, fleksibilnost zdravstvenega sistema, standardi kakovosti, izobraževanje in strateške politike. Zaključek: Naša študija je pokazala, da obstajajo na sistemski in organizacijski ravni v zdravstvu številne ovire za napredek kulturne kompetentnosti. Posledično je potrebno tudi ukrepe za spodbujanje napredka implementirati na teh ravneh. Prvi korak k doseganju bolj varnega in dostopnega zdravstva je vključitev temeljnih načel kulturne kompetentnosti v strategije in politike na sistemski in organizacijski ravni zdravstvenega sistema. cultural competency patient diversity obstacles strategies healthcare system kulturna kompetentnost raznolikost pacientov ovire strategije zdravstveni sistem true true true Angleški jezik Slovenski jezik Neznano 2025-08-07 11:35:53 2025-08-07 11:35:53 2025-08-08 03:13:30 0000-00-00 00:00:00 2025 0 0 str. 107-121 issue 2 Vol. 58 2025 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 2025-05-01 316.72: 614.2 243866115 10.2478/orga-2025-0007 1318-5454 https://organizacija.fov.um.si/issues/vol-58-no-2-2025/ 1 e9965d77-7371-11f0-b1f8-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=194885 RAZ_Halbwachs_Helena_Kristina_2025.pdf RAZ_Halbwachs_Helena_Kristina_2025.pdf 1 14518244B10BD2592A546A62981C91E5 11a43ed00569501551efbca563b483a8a36080e2046bc7fa978ee15197596f27 b54e62c8-7373-11f0-b1f8-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=194886 Fakulteta za organizacijske vede Organizacija 0 0 0