能力培养中的文化缺失：医学教育中文化的运用与误用

Losing Culture on the Way to Competence：The Use and Misuse of Culture in Medical Education

文化能力培养对改善卫生保健质量、消除种族不平等的重要性已渐为人们所重视。本文作者讨论了文化与健康及卫生保健的相关性，尤其是其不调和性，审视了文化的概念，尤其关注在文化能力培养中文化的运用与误用，并分析了相关论点对卫生专业教育的影响意义。

The importance of patient─centered care and cultural competence training as a mean of improving the quality of health care for all and eliminating racial╱ethnic disparities in health care has been highlighted in recent years. In this article the authors first discuss the relevance of culture to health and health care generally， and to disparities in particular；then examine the concept of culture， paying particular attention to how it has been used and misused in cultural competence training；and finally discuss the implications of these ideas for health professions education.