Joseph Betancourt, Alexander Green, J. Emilio Carrillo, and Owusu Ananeh-Firempong define cultural competency as acknowledging and incorporating “at all levels—the importance of culture, assessment of cross-cultural relations, vigilance toward the dynamics that result from cultural differences, expansion of cultural knowledge, and adaptation of services to meet culturally unique needs.”7 They also note that a culturally competent system has as its foundation, “an awareness of the integration and interaction of health beliefs and behaviors, disease prevalence and incidence, and treatment
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