All ETDs from UAB

Advisory Committee Chair

Robert Weech-Maldonado

Advisory Committee Members

Amy Yarbrough

Ria Hearld

Irena Stepanikova

Document Type


Date of Award


Degree Name by School

Executive Doctor of Science (DSc) School of Health Professions


The study examined whether hospital implementation of cultural competence practices was influenced by the racial/ethnic composition of top management. With one-third of the U.S. population identifying with a racial or ethnic group other than non-Hispanic White, and that population continuing to grow increasingly diverse, racial and ethnic minorities are increasingly accessing health care services. Yet they represent less than 1% of the top management teams (TMT) of health care organizations. The study sought to determine the extent to which health care organizations with TMTs that are representative of the racial and ethnic compositions of the communities in which they serve were more likely to provide greater culturally competent care. Implementation of Cultural Competence practices was evaluated using a composite score of four cultural competence questions included in the American Hospital Association (AHA) 2012 Annual Survey. Racial/ethnic diversity of the market served by hospitals with minority executives in the TMT was assessed using Blau's index of heterogeneity with data from the HHS Area Health Resource File (AHRF).



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