A test of a cultural model of patients' motivation for verbal communication in patient‐doctor interactions

Kim, Min‐Sun; Klingle, Renee Storm; Sharkey, William F.; Park, Hee Sun; Smith, David H.; Cai, Deborah A.

doi:10.1080/03637750009376510

Cited by 59 publications

(34 citation statements)

References 52 publications

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“…Previous studies had been performed among populations with higher education levels and it was seen that participants had undertaken active role in communication [6,8,11,12]. However, in our study, although tried to, patients did not take active role in communication.…”

Section: Discussioncontrasting

confidence: 56%

“…Physician related factors depend on personal characteristics, acquisition of knowledge, skill and appropriate attitudes. Appropriate setting of the interview is very important to facilitate the communication [7,8]. Privacy, comfortable surroundings, seating places, undisturbed room, enough time, and trustable with understandable interview are the requirements for the communication.…”

Section: Introductionmentioning

confidence: 99%

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Problems in Communications with Patients in General Surgery Outpatient Practice

Yılmaz¹,

Gumus²,

Salman³

2015

Eurasian J Med

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Objective: Communication between the patient and physician is central to medical care. However communication skills in Turkey haven't been gained so much concern. This situation effect the national quality of health care. Here, we tried to perform some basic communication skills and to find the problems with the possible solution suggestions. Materials and Methods:The study was conducted for a month in general surgery outpatient department located in the slum part of Ankara with low socio-economic population. Basic communication skills were performed. The age, sex, education levels of the patients were obtained. Total symptom expression and interview time were recorded. Previous medical histories were asked. Interruptions including telephone, door knocking were noted. The questions of the patients at the end of the interview classified as hospital setting, nutrition and treatment.Results: Total 410 interviews were analysed. Mean symptom expression and interview times were 22.9 sec and 7.05 min, respectively. Educated patients, males and young patients expressed symptoms longer than the others (p<0.05). There were 174 interruptions in which total interview time signifantly increased than the non interrupted ones (p<0.05). Final questions about hospital setting were signifantly higher in illiterate patients than the educated ones (p<0.05). Awareness of medical history is higher in educated and young patients. Conclusion:Basic communications skills can be performed whether in rural regions. Much more concern should be given to the education of communication skills. The obstacles in communication in medicine are low education levels, and unorganised health system. Keywords: Communication skills, surgery, education ÖzetAmaç: İletişim, tıbbi bakımda hasta doktor arasında temel teşkil eder. Fakat Türkiye'de iletişim becerilerine fazla ilgi gösterilmemiştir. Bu konu ülkede sağlık kalitesini de etkilemektedir. Bu çalışmada bazı temel iletişim becerilerini uyguladık ve karşılaştığımız problemleri olası çözüm önerileri ile birlikte sunmak istedik. Gereç ve Yöntem:Çalışma Ankara'nın varoş semtinde bulunan Genel Cerrahi polikinliniğinde 1 aylık süre içinde gerçekleşirildi. Hasta muayenesinde temel iletişim becerileri kullanıldı. Hastaların yaşı, cinsiyet ve eğitim düzeyleri belirlendi. Toplam semptomları anlatma ve muayene süreleri belirlendi. Geçmiş tıbbi hikayeleri alındı. Telefon çalması, kapı açılması gibi muayeneyi engelleyen faktörler belirlendi. Muayene sonunda hastaların soruları hastane işleyişi, tedavi ve beslenme ile ilgili olarak gruplandırıldı. Bulgular:Toplam 410 görüşme yapıldı. Ortalama semptom belirtme 22,9 saniye, ortalama muayene 7,05 dakika sürdü. Eğitimli, erkek ve genç olma semptom anlatım süresini uzatmıştır (p<0,05). Toplam 174 kez muayene kesilmiştir ki bunlar muayene süresini anlamlı artır-mıştır (p<0,05). Hastane işleyişi ile ilgili sorular en çok okuma yazma bilmeyen hastalar tarafından sorulmuştur (p<0,05). Tıbbi öykü farkın-dalığı, eğitimli ve genç hastalarda daha fazla bulundu. Sonuç:Te...

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Section: Discussioncontrasting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Problems in Communications with Patients in General Surgery Outpatient Practice

Yılmaz¹,

Gumus²,

Salman³

2015

Eurasian J Med

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“…These results suggest that non-Western patients (i.e. Asians, Latinos) have fewer positive beliefs about patient participation, less need for information disclosure and participation in decision-making, and are less willing to be assertive than white patients [19,20]. Although these preferences are conceptually different from actual communication behaviour, it is reasonable to assume that they will be at least partly related to actual behaviour [e.g.…”

Section: Patient Participationmentioning

confidence: 99%

Cultural diversity in patient participation: The influence of patients’ characteristics and doctors’ communicative behaviour

Schouten

Meeuwesen

Tromp

et al. 2007

Patient Education and Counseling

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“…Researchers reported mean differences in CA from culture to culture (e.g., Watson et al, 1989) but did not investigate why the level of CA differs across cultures. Only two recent studies (Kim, Klingle, Sharkey, Park, Smith & Cai, 2000;Kim et al, 2001) explained the differences of CA between Americans, Chinese in Hong Kong and Koreans by their differences in cultural orientations. In addition to the influence of cultural orientations, temperamental and situational factors may play a role in the differences of CA across cultures or nations.…”

mentioning

confidence: 99%

Sources of differences in communication apprehension between Chinese in Taiwan and Americans

Hsu

2004

Communication Quarterly

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This study investigated whether cross-cultural differences in communication apprehension (CA) can be explained with regard to cultural orientations, personality traits and component theory. To this end, a total of 618 undergraduates, studying in Taiwan (n = 298) and the United States (n = 320), participated in this study. Participants filled out the Personal Report of Communication Apprehension along with SelfConstrual Scale, the Revised NEO Personality Inventory, Fear of Negative Evaluation, and Self-Perceived Communication Competence scale. The results indicated that Chinese in Taiwan scored significantly higher in communication apprehension than Americans. The influence of culture on CA was mediated by independence self-construal, neuroticism, extroversion, fear of negative evaluation, and communication competence. The strongest mediating effect was found for self-perception of communication competence. The implications of these findings were further discussed.

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A test of a cultural model of patients' motivation for verbal communication in patient‐doctor interactions

Cited by 59 publications

References 52 publications

Problems in Communications with Patients in General Surgery Outpatient Practice

Problems in Communications with Patients in General Surgery Outpatient Practice

Cultural diversity in patient participation: The influence of patients’ characteristics and doctors’ communicative behaviour

Sources of differences in communication apprehension between Chinese in Taiwan and Americans

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