A cross-sectional survey of general practice health workers' perceptions of their provision of culturally competent services to ethnic minority people with diabetes

Peter Zeh, Ann-Marie Cannaby, Harbinder K Sandhu, Jane Warwick, Jackie A Sturt

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)
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Aims: To explore General Practice teams cultural competence, in particular, ethnicity, linguistic skillset and cultural awareness. The practice teams’ access to diabetes training, and overall perception of cultural-competence was also assessed.

Methods: A cross-sectional single-city survey with one in three people with diabetes from an ethnic minority group, using 35 semi-structured questions was completed. Self-reported data analysed using descriptive statistics, interpreted with reference to the Culturally-Competent-Assessment-Tool.

Results: Thirty-four (52%) of all 66 practices in Coventry responded between November 2011 and January 2012. Key findings: (1) One in five practice staff was from a minority group in contrast with one in ten of Coventry’s population, (2) 164 practice staff (32%) spoke a second language relevant to the practice's minority population, (3) 56% of practices were highly culturally-competent at providing diabetes services for minority populations, (4) 94% of practices reported the ethnicity of their populations, and (5) the most frequently stated barriers to culturally-competent service delivery were language and knowledge of nutritional habits.

Conclusions: Culturally-competent diabetes care is widespread across the city. Language barriers are being addressed, cultural knowledge of diabetes-related nutrition requires further improvement. Further studies should investigate if structured cultural-competence training for diabetes service providers produces positive effects in diabetes-related outcome-measures in minority populations.
Original languageEnglish
Pages (from-to)501-509
Number of pages9
JournalPrimary Care Diabetes
Issue number6
Early online date23 Aug 2018
Publication statusPublished - Dec 2018

Bibliographical note

NOTICE: this is the author’s version of a work that was accepted for publication in
Primary Care Diabetes. Changes resulting from the publishing process, such as peer
review, editing, corrections, structural formatting, and other quality control
mechanisms may not be reflected in this document. Changes may have been made
to this work since it was submitted for publication. A definitive version was
subsequently published in Primary Care Diabetes, Vol 12, 2018, DOI:

© 2017, Elsevier. Licensed under the Creative Commons AttributionNonCommercial-NoDerivatives
4.0 International


  • General practice
  • Primary care
  • Diabetes care
  • Cultural competences
  • Cultural awareness
  • Linguistic competences
  • Diabetes knowledge
  • Ethnic minority groups


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