Factors influencing intercultural doctor–patient communication: A realist review

Paternotte, Emma; Dulmen, Sandra van; Lee, Nadine van der; Scherpbier, Albert J.J.A.; Scheele, Fedde

doi:10.1016/j.pec.2014.11.018

Cited by 122 publications

(108 citation statements)

References 146 publications

(156 reference statements)

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“…Mental wellbeing may be particularly relevant in consultations to reach a PCP agreement (Paternotte et al 2015). Studies suggest ethnic inequalities in doctor patient interactions (Burt et al 2016, Volz, Moore, and Belkora 2015, Ahmed et al 2015, Croker et al 2013, Wong et al 2014, Murray Garcia et al 2000, Lyratzopoulos et al 2012).…”

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confidence: 99%

“…In the UK people of South Asian descent generally report poorer doctor patient experiences compared with Caucasians (Ahmed et al 2015, Burt et al 2016). A recent systematic review of the literature in this area identified negative psychological factors (e.g., perceived prejudice) affecting intercultural doctor patient interactions (Paternotte et al 2015). While evidence suggests positive mental wellbeing can help improve the patients' experience (Folkman 1997, Edwards and Cooper 1988, Salovey et al 2000, Fredrickson 1998, it is unclear to how this applies to PCP consultations, particularly in an intercultural context (Paternotte et al 2015).…”

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confidence: 99%

“…A recent systematic review of the literature in this area identified negative psychological factors (e.g., perceived prejudice) affecting intercultural doctor patient interactions (Paternotte et al 2015). While evidence suggests positive mental wellbeing can help improve the patients' experience (Folkman 1997, Edwards and Cooper 1988, Salovey et al 2000, Fredrickson 1998, it is unclear to how this applies to PCP consultations, particularly in an intercultural context (Paternotte et al 2015). A qualitative study of South Asian adults diagnosed with diabetes found that participants made limited contact with their doctor during fasting (Patel et al 2015), suggesting any necessary PCP related communication is unlikely to have taken place.…”

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confidence: 99%

“…The picture is further compounded by the focus on mental wellbeing (e.g., dissatisfaction, perceived prejudice) (Paternotte et al 2015), and narrowly defined 'patient'…”

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confidence: 99%

“…This was confirmed by the conservative Sobel test for indirect effects, which also showed a significant mediator effect for this psychological state, (z = 2.04, <0.05). focused on negative mindsets, and did not specifically examine PCP related contact (Paternotte et al 2015). Ethnicity wasn't directly related to doctor patient communication.…”

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confidence: 99%

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Ethnic inequalities in doctor-patient communication regarding personal care plans: the mediating effects of positive mental wellbeing

Umeh

2017

Ethnicity & Health

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Umeh, FKEthnic inequalities in doctor-patient communication regarding personal care plans: the mediating effects of positive mental wellbeing http://researchonline.ljmu.ac.uk/5398/ Article LJMU has developed LJMU Research Online for users to access the research output of the University more effectively. Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Users may download and/or print one copy of any article(s) in LJMU Research Online to facilitate their private study or for non-commercial research. You may not engage in further distribution of the material or use it for any profit-making activities or any commercial gain.The version presented here may differ from the published version or from the version of the record. Please see the repository URL above for details on accessing the published version and note that access may require a subscription.

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confidence: 99%

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confidence: 99%

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confidence: 99%

“…The picture is further compounded by the focus on mental wellbeing (e.g., dissatisfaction, perceived prejudice) (Paternotte et al 2015), and narrowly defined 'patient'…”

Section: ! "mentioning

confidence: 99%

Section: %!% "mentioning

confidence: 99%

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Ethnic inequalities in doctor-patient communication regarding personal care plans: the mediating effects of positive mental wellbeing

Umeh

2017

Ethnicity & Health

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Doctor–Patient Relationships

Locklear

Waitzkin

2018

The International Encyclopedia of Anthropology

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Doctor–patient relationships often suffer from barriers that impede communication and understanding. These barriers include socioeconomic conditions such as inequality; structural racism and marginalization of minority populations; and traumatic experiences associated with war and migration. Explanatory models of disease also pose a significant barrier because of differing cultural understandings of sickness and physical symptoms that practitioners may not recognize but also because of social class differences, insufficient educational opportunities, discrimination, and other structural conditions. Refugee and indigenous patients whose cultures have not traditionally utilized mainstream Western medicine illustrate such challenges in doctor–patient relationships. Problems of the social context such as poverty, inequality, and marginalization impinge on medical encounters, partly by creating mental distress and suffering, and warrant changes in social policies that extend beyond the doctor–patient relationship itself.

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Clinician–Patient Communication: Intercultural

Schouten¹

2022

The International Encyclopedia of Health Communication

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Intercultural clinician–patient encounters pose unique challenges for delivering good quality healthcare communication, which contributes to ongoing health inequalities for ethnic minority and migrant patients. To mitigate these challenges, a good grasp of relevant antecedents, processes, and outcomes of intercultural clinician–patient communication is needed. Among the antecedents known to be related to communication difficulties are cultural differences in cognitions around illness and health as well as cultural differences in values. In addition, for ethnic minority and migrant patients without sufficient proficiency in a country's dominant language, the language barrier poses a significant threat to access to healthcare and quality of healthcare communication. These communication difficulties subsequently result in a host of negative outcomes, including diminished patient satisfaction, mutual understanding, and adherence to treatment plans. Health communication scholars have researched how several communication strategies impact the intercultural clinician–patient communication process and its outcomes. In particular, eHealth and mHealth interventions offer unique possibilities to tailor both content and format of health communication to the needs of individual patients, thereby adopting a culturally sensitive communication approach in which both culture‐specific needs and individual differences within cultural groups are acknowledged.

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Factors influencing intercultural doctor–patient communication: A realist review

Abstract: Training for improving ICC can be developed as an extension of the existing training for patient-centered communication.

Cited by 122 publications

References 146 publications

Ethnic inequalities in doctor-patient communication regarding personal care plans: the mediating effects of positive mental wellbeing

Ethnic inequalities in doctor-patient communication regarding personal care plans: the mediating effects of positive mental wellbeing

Doctor–Patient Relationships

Clinician–Patient Communication: Intercultural

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