October 9-10, 2007, Caesarea, Israel

Coordinator: Leon Epstein

The last decade has seen a major development in the appreciation of the degree to which health care services are delivered in a manner that is appropriate for the cultural and social heterogeneity of the population. This "change" is evident in many parts of the industrialized world but in its preliminary stage in Israel.
Participants at the International Workshop (October 2007) studied and discussed relevant issues towards promoting culturally appropriate health care in Israel. You are invited to view the speakers' presentations, followed by recommended literature on the topic.

Workshop Report

Program & Presentations

Tuesday, October 9, 2007
09:30 - 10:00	Welcoming Remarks – Chaim Doron
	– Leon Epstein
10:00 - 13:30	Cultural & Social Disparity: Health and Health Care Implications
	The objective of this session is to bring to all the participants an
	overview of the issues to be raised. This will include the data on
	health inequality, a summary of the link between this and socio-
	cultural disparities.
Chairperson:	Yoram Blachar
10:00 - 10:30	Leon Epstein (Israel) – The Israel Reality
10:30 - 11:15	Joseph Betancourt (US) – The IOM studies, their importance in defining
	the race, ethnicity, social/cultural disparities relevance to health
	inequalities; the links to quality of care and the safety of patients
Chairperson:	Meir Oren
11:30 - 12:15	Jürgen Pelikan (Western Europe) – The background to the development
	of the European Migrant Friendly Hospitals Program and its link to the
	Health Promoting Hospitals.
12:15 - 13:15	Robert Like (US) – Cultural Competence: Implications for Clinical
	Practice, Health Care Organizations, and Public Policy
14:30 - 18:00	Health Communication at the Population Level
	This session will focus on communication at the different levels of the
	Health Care System and the population, i.e. at the total population,
	the institutional and the individual levels. It should be realized that
	while the HCS may wish to convey messages to theheterogeneous
	population as a whole it finally is aimed at the individual and the family.
Chairperson:	Zvi Stern
14:30 - 15:00	Nurit Guttman (Israel) – The Challenges of Social Marketing of Health:
	Issues in a Culturally & Socially Diverse Population – the Case of Israel.
15:00 - 16:00	The Critical Role of Language – Translation & Interpretation: A basic
	need for Health Communication
	Miriam Schlesinger (Israel) – The need in Israel
	Nataly Kelly and Marjory Bancroft (US) – Interpreter services both face-
	to-face and remote telephone/video interpretation and quality assurance
16:00 - 16:30	Diane Levine (Israel) – Health Literacy
Chairperson:	Boaz Lev
16:45 - 17:30	Gary Kreps (US) – Health Communication at the Population Level –
	Principles, Methods and Results
17:30 - 18:00	Discussion
Wednesday, October 10, 2007
09:00 - 13:00	What Has and Can be Done?
	The objective of the morning session is to provide an insight into what
	has been done in CC and the results, to the extent they exist.
Chairperson:	Jack Habib
09:00 - 09:45	Jürgen Pelikan (Austria) – European Migrant Friendly Hospitals Project
09:45 - 10:30	Joseph Betancourt (US) – Boston Health Disparities Project/MASS
	General
10:30 - 11:00	Anat Jaffe (Israel) – Diabetes in immigrants from Ethiopia
Chairperson:	Miriam Hirschfeld
11:15 - 12:00	Marjory Bancroft and Nataly Kelly (US) – Culturally and Linguistically
	Appropriate ServicesStandards and the training of practicing health
	professionals in CC
12:00 - 12:45	Robert Like (US) – Graduate & Undergraduate Cultural Competence
	Education
12:45-13:15	Film: "Hold Your Breath" and discussion
14:15 - 16:30	Initiating a Program Nationally in Israel
	This plenary session will be devoted to a discussion based on a position
	paper with a view to developing both policy and action in Israel. The
	Paper will be available to all participants at the meeting.
Chairperson:	Avi Israeli
Introduction:	Leon Epstein
Open Discussion
The International Experts: Prof Robert Like: Professor and Director Center for Healthy Families and Cultural Diversity, Department of Family Medicine, UMDNJ-Robert Wood Johnson Medical School. Prof Joseph Betancourt: Director, The Disparities Solutions Center, Director, Leading Change: The Disparities Solutions Initiative, Senior Scientist, The Institute for Health Policy, Director of Multicultural Education, Mass General Hospital, Assistant Professor of Medicine, Harvard Medical School. Prof Gary Kreps: Professor and Chair of the Department of Communication at George Mason University (GMU) in Fairfax, VA, where he holds the Eileen and Steve Mandell Endowed Chair in Health Communication; formerly founding Chief of the Health Communication and Informatics Research Branch at the National Cancer Institute (NCI), Washington, DC. Prof Jürgen Pelikan: Institute of Sociology, University of Vienna; Director - Ludwig Boltzmann - Institute for Sociology of Health and Medicine; Scientific director, WHO -Collaborating Centre for Health Promotion in Hospitals and Health Care. Ms Marjory Bancroft: Director, Cross-Cultural Communications, LLC. Board Member, National Council on Interpreting in Health Care. http://www.cultureandlanguage.net/ Ms Nataly Kelly: Independent Consultant, Certified Court Interpreter (English-Spanish), Board Member and Outreach Committee Co-Chair, National Council on Interpreting in Health Care. We acknowledge the kind support of The Myers-JDC-Brookdale Institute, The Israel Medical Association and Hadassah Medical Organization

Recommended Literature
1.	Eliminating Racial and Ethnic Disparities in Health Care: What Is the Role of Academic
	Medicine? – Joseph R. Betancourt
2.	Resident physicians’ preparedness to provide Cross-cultural care: implications for
	Clinical care and medical education policy – Joseph R. Betancourt et al.
3.	Communication and Racial Inequities in Health Care – Gary L. Kreps
4.	Mayor’s Blueprint Sets out Path for Reducing Racial Health Disparities in Boston –
	Media Release
5.	The Impact of Communication on Cancer Risk, Incidence, Morbidity, Mortality, and
	Quality of Life – Gary L. Kreps
6.	Cultural Competence and Health Care Disparities: Key Perspectives and Trends –
	Joseph R. Betancourt et al.
7.	lmproving ethnocultural competence of hospital staff by training: experiences from the
	European 'Migrant-friendly Hospitals' project – Karl Krajic et al.
8.	Disseminating relevant health information to underserved audiences: implications of
	the Digital Divide – Gary L. Kreps
9.	Migrant-Friendly Hospitals Project – WHO
10.	Rethinking Communication in the E-health Era – Linda Neuhauser and Gary l. Kreps
11.	Library outreach: overcoming health literacy challenges – Ruth Parker and Gary L. Kreps
12.	Unequal Treatment: The Institute Of Medicine Report and Its Public Health Implications
	– Editorial, Public Health Reports
13.	Summary Recommendations of the 2005 Mayor’s Task Force to Eliminate Racial and
	Ethnic Disparities in Health – Boston Public Health Commission
14.	STFM Core Curriculum Guidelines: Recommended Core Curriculum Guidelines on
	Culturally Sensitive and Competent Health Care – Robert C. Like et al.
15.	Do Professional Interpreters Improve Clinical Care for Patients with Limited English
	Proficiency? A Systematic Review of the Literature – Leah S. Karliner et al.
16.	Understanding Medical Interpreters: Re-conceptualizing Bilingual Health Communication
	– Elaine Hsieh
17.	National Standards For Culturally And Linguistically Appropriate Services (CLAS) – U.S.
	Department of Health and Human Services Office of Minority Health
18.	Unequal treatment: What health care system administrators need to know about racial
	and ethnic disparities in healthcare – Institute of Medicine