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Cultural competence and diversity : is there a difference? -- Health services administration and public health and the paradigm shift -- Understanding cultural nuances and barriers to cultural appreciation -- The cultural competence continuum -- Cultural competence and the role of the board of directors, health service administrator, providers, and staff -- Cultural competency and assesment -- Cultural competence training -- Culturally and linguistically appropriate services standards : an overview -- The ultimate challenge : educational and institutional considerations -- Cultural competence and women of color.