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The object of the study was to determine what cultural competence means across the relationships of patients, clinicians, and administrators. The study was performed to reveal the 'barriers' in patient care becasue of cultural implications. The lack of a patient-physcian relationship due to cultural barriers whether that be race or ethnicity, lack of explanation of a diagnosis or the differences in appraoches to patient care- as percieved by administration, patients and doctors.

The study is publiched on NCBI in a library of medicine for NIHM. On this database (original publisher could not be found- presumed to be in a medical journal, the author works for Columbia University) contains may important and valid articles that contain vital information for the future of mental and physical health of others. Publications in this database are natural and presumed to be credible because its association with NIHMS.

The study was perfomed by taking three groups of people from a diverse hospital in Brooklyn-patients, administrators and physicsans and asks them the same ballpark set of question about cultural competence. And how it affects a patient-physician relationship. This is not a new way of studying issues, case studies are quite a common way (in group questioning) to determine how "populations" feel about a topic.

This study has travelled via the definition of cultural competence on many academic and medical websites regarding psychological ideologies.

Technical professionals can make use of this study as a basis of how cultral competnce should be viewed in a healthcare workplace. TO determine the needs of the patients, physicians and higher ups use culture and their expertice to determine a proper patient-physician relationship.

The study addresses vulnerable populations by presiding in an area of high culture and diversity. The study participants were from all backround and genders, so teh study would not be biased.

The study was not funded it was on a volunteer basis, where particpiants would be paid for their time and information gathered would be used for the study.

The purpose of this study is to look at the effect of social and economic factors, status and health comunication behaviors on people's knowledge about the flu pandemic and prevention efforts. In the past it has been reflected in studies that people in different social groups have a far different access to information form each other about health and specific threats of diseases, which in effect may alter their behavior and knowledge on the topic. This study looks to see if these inequalities lead to a compromised  adversity in these vulnerable populations when it comes to responses to the flu outbreak. 

This article was published in Public Health Reports, this is the official journal of the US public Health Service and Surgeon General of the United States. Topics and issues of public health law, public health practice and research as well as schools and teaching are published in this journal. Overall, this journal is highly regarded. It is peer reviewed and publishes original work. Being the official journal of US departments reflects its validity. 

The methods utilized in this paper are not necessarily new or inventive, yet this doesn't detract from its effectiveness. The data used for this study was collected from surveys of 1,569 people and the data was then analyzed using statistical methods of logistic regression.