Cultural differences in medical communication: A review of the literature

Schouten, Barbara C.; Meeuwesen, Ludwien

doi:10.1016/j.pec.2005.11.014

Cited by 536 publications

(389 citation statements)

References 52 publications

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“…Because it is hard to reach GPs who are less interested in or aware of difficulties in intercultural health communication for research purposes, it could be interesting to develop experimental studies that use video vignettes in which GPs' behavior is simulated to be more doctor or patient centered and investigate how those behaviors impact communication outcomes among ethnic minority patients. The higher preference for patient participation and higher perceived participation among Turkish-Dutch patients compared to Dutch patients are surprising findings, because most studies report a lower preference for participation and lower participation levels among ethnic minority patients (e.g., Schouten & Meeuwesen, 2006). The higher scores in our sample could be explained by measurement differences (Say, Murtagh, & Thomson, 2006).…”

Section: Discussioncontrasting

confidence: 53%

Enhancing Health Communication Outcomes Among Ethnic Minority Patients: The Effects of the Match Between Participation Preferences and Perceptions and Doctor–Patient Concordance

Schinkel

Schouten

Street

et al. 2016

Journal of Health Communication

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Section: Discussioncontrasting

confidence: 53%

Enhancing Health Communication Outcomes Among Ethnic Minority Patients: The Effects of the Match Between Participation Preferences and Perceptions and Doctor–Patient Concordance

Schinkel

Schouten

Street

et al. 2016

Journal of Health Communication

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“…This has been known for some time [17,[19][20][21][22][23][24]. It is disappointing that, at least in the cases we examined, limited progress appears to have been made in addressing this problem.…”

Section: Discussionmentioning

confidence: 99%

Family Support and Cardiac Rehabilitation: A Comparative Study of the Experiences of South Asian and White-European Patients and Their Carer's Living in the United Kingdom

Astin

Atkin

Darr

2008

European Journal of Cardiovascular Nursing

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Background: Effective lifestyle modification facilitated by cardiac rehabilitation is known to reduce the occurrence of adverse coronary events and mortality. South Asians have poorer outcomes after a myocardial infarction than the general UK population, but little is known about their experiences of family support, cardiac rehabilitation and lifestyle change. Aims: To explore the nature of family support available to a sample of South Asian and White-European cardiac patients and to highlight similarities and differences between these groups with regard to cardiac rehabilitation and lifestyle modification. Methods: Using a qualitative approach, semi-structured interviews (in 1 of 6 languages) were conducted by researchers with; 45 South Asian patients and 37 carers and 20 White-European patients and 17 carers. Interviews were conducted in a home setting, up to eighteen months after discharge from hospital following myocardial infarction, coronary artery bypass surgery or unstable angina. Results: The main themes that emerged related to the provision of advice and information, family support and burden, dietary change and exercise regimes. Conclusions: Several cultural and ethnic differences were identified between patients and their families alongside similarities, irrespective of ethnicity. These may represent generic characteristics of recovery after a cardiac event. Health professionals should develop a cultural repertoire to engage with diversity and difference. Not every difficulty a person encounters as they try to access appropriate service delivery can be attributed to ethnic background. By improving services generally, support for South Asian populations can be improved. The challenge is to know when ethnicity makes a difference and mediates a person's relationship with service support and when it does not.

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“…However, doctor-patient communication goes further than language. A Dutch review suggested that general practitioners behave less affectively when interacting with ethnic minorities compared with native Dutch Patients and that ethnic minorities seem to be less assertive and affective during the medical encounter [18]. The results of another Dutch study suggested that consultations with immigrant patients (particularly those from Turkey and Morocco) were well over 2 min shorter than those with Dutch patients [19].…”

Section: Discussionmentioning

confidence: 99%

Do immigrants from Turkey, Pakistan and Yugoslavia receive adequate medical treatment with beta-blockers and statins after acute myocardial infarction compared with Danish-born residents? A register-based follow-up study

Hempler

Diderichsen

Larsen

et al. 2010

Eur J Clin Pharmacol

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Purpose We undertook a study investigating whether immigrants from Turkey, Pakistan and Yugoslavia received adequate medical treatment with beta-blockers and statins after acute myocardial infarction (AMI) when compared with Danish-born residents and explored whether associations between patient origin and medical treatment were mediated by socioeconomic status (SES). Methods This register-based follow-up study consisted of individuals >17 years of age, admitted to hospital with AMI between 2001 and 2005 (n=25 443). Danish-born residents were compared with immigrants from Turkey, Pakistan and Yugoslavia. Individuals were identified by civil registration number, and data were obtained through linkage to the national registers of hospitalisations and drug prescriptions. Odds of initiating treatment and hazard ratios (HR) of terminating treatment were estimated. Mediators such as income and employment were included in the models. Results Pakistanis were less likely than Danish-born residents to initiate treatment with beta-blockers after AMI [odds ratio 0.52; 95% confidence interval (CI) 0.34-0.80]. Immigrants from Turkey (HR 1.36; 95% CI 1.07-1.73) and Pakistan (HR 1.59; 95% CI 1.21-2.08) were more likely to terminate treatment with beta-blockers before being recommended to do so. Estimates did not change markedly when income and education were included in the models. Conclusions The results of this study suggest that immigrants from Pakistan and Turkey do not receive adequate medical treatment with beta-blockers after a first AMI compared with Danish-born residents. Mediators such as income and employment may not be sufficient indicators of SES when the effect of patient origin on medical treatment is explored. A lower SES of immigrants, communication problems between doctor and patient and doctors' attitudes towards immigrants may explain ethnic differences in medical treatment after AMI.

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Cultural differences in medical communication: A review of the literature

Cited by 536 publications

References 52 publications

Enhancing Health Communication Outcomes Among Ethnic Minority Patients: The Effects of the Match Between Participation Preferences and Perceptions and Doctor–Patient Concordance

Enhancing Health Communication Outcomes Among Ethnic Minority Patients: The Effects of the Match Between Participation Preferences and Perceptions and Doctor–Patient Concordance

Family Support and Cardiac Rehabilitation: A Comparative Study of the Experiences of South Asian and White-European Patients and Their Carer's Living in the United Kingdom

Do immigrants from Turkey, Pakistan and Yugoslavia receive adequate medical treatment with beta-blockers and statins after acute myocardial infarction compared with Danish-born residents? A register-based follow-up study

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