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This latter study showed a significant positive relationship between cultural competence policies at sites caring for children with asthma and improved quality care associated with appropriate use of preventive asthma medications and parent satisfaction with care.While the evidence shows great promise for the impact of culturally and linguistically competent interventions on health outcomes and well-being , significant gaps remain , due largely to methodological issues . His experiences in England would have a profound impact of his later writings . Do you people stop to think about the impact of your ridiculous inquisitions ? Clinical trials should be designed to examine the impact of sex on outcomes . Although DoD added $ 445 million to the medical budget in Fiscal 1999 , and allocated another $ 2 billion overall for the next five years , unanticipated medical costs from military operations could have an impact on the budget for the rest of the system .