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Organizational structure, leadership and readiness for change and the implementation of organizational cultural competence in addiction health services

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  • Guerrero, Erick G.
  • Kim, Ahraemi

Abstract

Increasing representation of racial and ethnic minorities in the health care system and on-going concerns about existing health disparities have pressured addiction health services programs to enhance their cultural competence. This study examines the extent to which organizational factors, such as structure, leadership and readiness for change contribute to the implementation of community, policy and staffing domains representing organizational cultural competence. Analysis of a randomly selected sample of 122 organizations located in primarily Latino and African American communities showed that programs with public funding and Medicaid reimbursement were positively associated with implementing policies and procedures, while leadership was associated with staff having greater knowledge of minority communities and developing a diverse workforce. Moreover, program climate was positively associated with staff knowledge of communities and having supportive policies and procedures, while programs with graduate staff and parent organizations were negatively associated with knowledge of and involvement in these communities. By investing in funding, leadership skills and a strategic climate, addiction health services programs may develop greater understanding and responsiveness of the service needs of minority communities. Implications for future research and program planning in an era of health care reform in the United States are discussed.

Suggested Citation

  • Guerrero, Erick G. & Kim, Ahraemi, 2013. "Organizational structure, leadership and readiness for change and the implementation of organizational cultural competence in addiction health services," Evaluation and Program Planning, Elsevier, vol. 40(C), pages 74-81.
    • Handle: RePEc:eee:epplan:v:40:y:2013:i:c:p:74-81
    DOI: 10.1016/j.evalprogplan.2013.05.002
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    References listed on IDEAS

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    1. Aarons, G.A. & Wells, R.S. & Zagursky, K. & Fettes, D.L. & Palinkas, L.A., 2009. "Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 2087-2095.
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    Cited by:

    1. Bojan Moric Milovanovic & Zoran Bubas & Matea Cvjetkovic, 2022. "Employee Readiness for Organizational Change in the SME Internalization Process: The Case of a Medium-Sized Construction Company," Social Sciences, MDPI, vol. 11(3), pages 1-14, March.
    2. Marcia Sierdovski & Luiz Alberto Pilatti & Priscila Rubbo, 2022. "Organizational Competencies in the Development of Environmental, Social, and Governance (ESG) Criteria in the Industrial Sector," Sustainability, MDPI, vol. 14(20), pages 1-20, October.
    3. Guerrero, Erick G. & Song, Ahyoung & Henwood, Benjamin & Kong, Yinfei & Kim, Tina, 2018. "Response to culturally competent drug treatment among homeless persons with different living arrangements," Evaluation and Program Planning, Elsevier, vol. 66(C), pages 63-69.

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