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Intercultural communication through the eyes of patients: experiences and preferences

OBJECTIVES: To explore patients’ preferences and experiences regarding intercultural communication which could influence the development of intercultural patient-centred communication training. METHODS: This qualitative study is based on interviews with non-native patients. Thirty non-native patient...

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Autores principales: Paternotte, Emma, van Dulmen, Sandra, Bank, Lindsay, Seeleman, Conny, Scherpbier, Albert, Scheele, Fedde
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IJME 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457791/
https://www.ncbi.nlm.nih.gov/pubmed/28535143
http://dx.doi.org/10.5116/ijme.591b.19f9
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author Paternotte, Emma
van Dulmen, Sandra
Bank, Lindsay
Seeleman, Conny
Scherpbier, Albert
Scheele, Fedde
author_facet Paternotte, Emma
van Dulmen, Sandra
Bank, Lindsay
Seeleman, Conny
Scherpbier, Albert
Scheele, Fedde
author_sort Paternotte, Emma
collection PubMed
description OBJECTIVES: To explore patients’ preferences and experiences regarding intercultural communication which could influence the development of intercultural patient-centred communication training. METHODS: This qualitative study is based on interviews with non-native patients. Thirty non-native patients were interviewed between September and December 2015 about their preferences and experiences regarding communication with a native Dutch doctor. Fourteen interviews were established with an interpreter. The semi-structured interviews took place in Amsterdam. They were focused on generic and intercultural communication skills of doctors. Relevant fragments were coded by two researchers and analysed by the research team by means of thematic network analysis. Informed consent and ethical approval was obtained beforehand. RESULTS: All patients preferred a doctor with a professional patient-centred attitude regardless of the doctor’s background. Patients mentioned mainly generic communication aspects, such as listening, as important skills and seemed to be aware of their own responsibility in participating in a consultation. Being treated as a unique person and not as a disease was also frequently mentioned. Unfamiliarity with the Dutch healthcare system influenced the experienced communication negatively. However, a language barrier was considered the most important problem, which would become less pressing once a doctor-patient relation was established. CONCLUSIONS: Remarkably, patients in this study had no preference regarding the ethnic background of the doctor. Generic communication was experienced as important as specific intercultural communication, which underlines the marginal distinction between these two. A close link between intercultural communication and patient-centred communication was reflected in the expressed preference ‘to be treated as a person’.  
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spelling pubmed-54577912017-06-08 Intercultural communication through the eyes of patients: experiences and preferences Paternotte, Emma van Dulmen, Sandra Bank, Lindsay Seeleman, Conny Scherpbier, Albert Scheele, Fedde Int J Med Educ Original Research OBJECTIVES: To explore patients’ preferences and experiences regarding intercultural communication which could influence the development of intercultural patient-centred communication training. METHODS: This qualitative study is based on interviews with non-native patients. Thirty non-native patients were interviewed between September and December 2015 about their preferences and experiences regarding communication with a native Dutch doctor. Fourteen interviews were established with an interpreter. The semi-structured interviews took place in Amsterdam. They were focused on generic and intercultural communication skills of doctors. Relevant fragments were coded by two researchers and analysed by the research team by means of thematic network analysis. Informed consent and ethical approval was obtained beforehand. RESULTS: All patients preferred a doctor with a professional patient-centred attitude regardless of the doctor’s background. Patients mentioned mainly generic communication aspects, such as listening, as important skills and seemed to be aware of their own responsibility in participating in a consultation. Being treated as a unique person and not as a disease was also frequently mentioned. Unfamiliarity with the Dutch healthcare system influenced the experienced communication negatively. However, a language barrier was considered the most important problem, which would become less pressing once a doctor-patient relation was established. CONCLUSIONS: Remarkably, patients in this study had no preference regarding the ethnic background of the doctor. Generic communication was experienced as important as specific intercultural communication, which underlines the marginal distinction between these two. A close link between intercultural communication and patient-centred communication was reflected in the expressed preference ‘to be treated as a person’.   IJME 2017-05-16 /pmc/articles/PMC5457791/ /pubmed/28535143 http://dx.doi.org/10.5116/ijme.591b.19f9 Text en Copyright: © 2017 Emma Paternotte et al. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use of work provided the original work is properly cited. http://creativecommons.org/licenses/by/3.0/
spellingShingle Original Research
Paternotte, Emma
van Dulmen, Sandra
Bank, Lindsay
Seeleman, Conny
Scherpbier, Albert
Scheele, Fedde
Intercultural communication through the eyes of patients: experiences and preferences
title Intercultural communication through the eyes of patients: experiences and preferences
title_full Intercultural communication through the eyes of patients: experiences and preferences
title_fullStr Intercultural communication through the eyes of patients: experiences and preferences
title_full_unstemmed Intercultural communication through the eyes of patients: experiences and preferences
title_short Intercultural communication through the eyes of patients: experiences and preferences
title_sort intercultural communication through the eyes of patients: experiences and preferences
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457791/
https://www.ncbi.nlm.nih.gov/pubmed/28535143
http://dx.doi.org/10.5116/ijme.591b.19f9
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