Enhancing pediatric workforce diversity and providing culturally effective pediatric care: implications for practice, education, and policy making

Pediatrics. 2013 Oct;132(4):e1105-16. doi: 10.1542/peds.2013-2268. Epub 2013 Sep 30.


This policy statement serves to combine and update 2 previously independent but overlapping statements from the American Academy of Pediatrics (AAP) on culturally effective health care (CEHC) and workforce diversity. The AAP has long recognized that with the ever-increasing diversity of the pediatric population in the United States, the health of all children depends on the ability of all pediatricians to practice culturally effective care. CEHC can be defined as the delivery of care within the context of appropriate physician knowledge, understanding, and appreciation of all cultural distinctions, leading to optimal health outcomes. The AAP believes that CEHC is a critical social value and that the knowledge and skills necessary for providing CEHC can be taught and acquired through focused curricula across the spectrum of lifelong learning. This statement also addresses workforce diversity, health disparities, and affirmative action. The discussion of diversity is broadened to include not only race, ethnicity, and language but also cultural attributes such as gender, religious beliefs, sexual orientation, and disability, which may affect the quality of health care. The AAP believes that efforts must be supported through health policy and advocacy initiatives to promote the delivery of CEHC and to overcome educational, organizational, and other barriers to improving workforce diversity.

Keywords: culturally effective care; diversity; education; health disparities; pediatrician; workforce.

Publication types

  • Review

MeSH terms

  • Cultural Diversity*
  • Delivery of Health Care / ethnology*
  • Delivery of Health Care / legislation & jurisprudence
  • Ethnicity / ethnology
  • Health Occupations / education*
  • Health Occupations / legislation & jurisprudence
  • Health Workforce / legislation & jurisprudence
  • Humans
  • Pediatrics / education*
  • Pediatrics / legislation & jurisprudence
  • Policy Making*
  • Practice Guidelines as Topic / standards