How culture influences patient preferences for patient-centered care with their doctors

Sheeran, Nicola; Jones, Liz; Pines, Rachyl; Jin, Ying; Pamoso, Aron; Eigeland, Jessica A.; Benedetti, Maria

doi:10.1080/17538068.2022.2095098

Cited by 11 publications

(14 citation statements)

References 36 publications

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“…Lastly, socio-cultural and structural factors are often referred to as social determinants of health. These factors may influence patient expectations of physician behaviors and qualities 30,31 . Our study does not have the data for patient's social, cultural, and structural status as all the comments were made anonymously, and the personal identifying data are not publicly accessible.…”

Section: Discussionmentioning

confidence: 99%

Perception of good physicians in patient’s face-to-face consultations: Evidence from a Chinese platform

Peng,

Li,

Zheng

et al. 2024

Interdisciplinary Nursing Research

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Objective: This article aimed to offer insights into patients’ expectations regarding the traits of physicians, with the goal of helping physicians gain a better understanding of patient needs and provide better care. Method: This study used a Python crawler script to collect patients’ comments from haodf.com, a major online consultation platform in China, to examine the expected character traits of physicians by patients. A total of 83,315 comments were obtained. We selected positive comments from patients, performed text segmentation using Jieba, and utilized the TextRank algorithm to identify high-ranking words based on the Index of Relative Importance (IRI) within these comments. To make the findings comprehensible and practical for physicians and medical educators, we utilized a word cloud to visualize the results. We classified the high-ranking words into four dimensions—professional competence, communication attitude, communication ability, and character traits—based on the categorization of positive physician qualities found in relevant literature. Results: Key findings from the study included: (1) The top 23 high ranking words for traits of good physicians (in descending order) were: patient, meticulous, proficient, precise, kind, moderate, successful, gentle, rigorous, explicit, clear, effective, humorous, sincere, skilled, kindhearted, modest, awesome, practical (and not flashy), unhurried, experienced, clean, and excellent; (2) Patients placed the highest value on the professional competence of physicians, followed by their communication attitude, communication ability, and character traits; (3) Despite the highest IRI score for professional competence, it was exceeded by the combined scores of communication attitude and communication ability. This underscored the significance of effective communication in medical encounters. Conclusions: Drawing from these findings, recommendations are proposed for physicians and medical educators to enhance the quality of medical encounters. These suggestions include implementing Narrative Medicine training to improve communication awareness and skills as well as encouraging lifelong continuing medical education to maintain professional competence among practitioners. This study contributes to the establishment of positive physician-patient relationships in both telemedicine and face-to-face medical interactions.

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Section: Discussionmentioning

confidence: 99%

Perception of good physicians in patient’s face-to-face consultations: Evidence from a Chinese platform

Peng,

Li,

Zheng

et al. 2024

Interdisciplinary Nursing Research

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“…In a similar way, kapwa may be applied in other contexts, i.e., healthcare. Filipinos highly value their relationships with others (i.e., healthcare providers; Sheeran et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Stigma and Social Support to Quality of Life in Indonesia and the Philippines During the COVID-19 Pandemic

Balmores-Paulino

Suryani

Hta

et al. 2023

International Perspectives in Psychology

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The importance of quality of life (QoL) was magnified as countries faced the COVID-19 pandemic. This study aimed to determine the relationship between COVID-19-related stigma and preferred social support to QoL in two Southeast Asian countries. This paper examined (1) the differences in the physical and psychological dimensions of QoL (QoL-PSY, QoL-PHL), COVID-19 perceived stigma (PcS) and public stigma (PS), and preferred social support (PSS) between Indonesia (IDN) and the Philippines (PHP); (2) the associations between PS and PcS with QoL; (3) the associations between PSS and QoL; and (4) the role of the country as a moderator between the relationship of PcS and PSS to QoL. Data were collected from 992 participants (PHP = 564; IDN = 428) through an online survey (April–June 2022) and analyzed through multivariate analysis of covariance (MANCOVA), hierarchical multiple regression, and multiple-group path analysis. After controlling for potential covariates, we found significant country differences in QOL and PSS, where Indonesia's estimated means for these two measures were significantly higher than the Philippines. Both domains of PSS had significant positive associations with both QOL domains in the merged sample; similarly, PcS had significant negative associations with both domains of QOL. Path analysis also showed similar significant predictors (PSS and PcS) associated with QoL for both countries with minor coefficient variations, except PS and PSS-ST. The findings show a similar relationship pattern between perceived stigma and social support (strong ties) to the QoL in Indonesia and the Philippines. Cultural interventions to mitigate perceived stigma were suggested in healthcare settings.

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“…Participants completed an online survey comprising validated measures of several PCC facets (see Sheeran et al, 2022 for further information). The survey also contained open-ended questions designed to capture preferences for care and decision-making not assessed by existing measures of PCC.…”

Section: Participants and Proceduresmentioning

confidence: 99%

A Multinational Study of Patient Preferences for How Decisions Are Made in Their Care

et al. 2022

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Inadequate consideration has been given to patient preferences for patient-centered care (PCC) across countries or cultures in our increasingly global society. We examined what 1,698 participants from the United States, Hong Kong, Philippines, and Australia described as important when making health care decisions. Analysis of frequencies following directed content coding of open-ended questions revealed differences in patients’ preferences for doctor behaviors and decision-making considerations across countries. Being well informed by their doctor emerged as most important in decision-making, especially in Hong Kong. Participants in Australia and the United States wanted their doctor to meet their emotional needs. The safety and efficacy of treatments were the most common consideration, especially for Hong Kong. Findings suggest that doctors should focus on information exchange and identifying patient concerns about efficacy, lifestyle impact, cost, and recovery speed. Rather than assuming patients prefer shared decision-making, doctors must assess patient’s decision control preferences.

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How culture influences patient preferences for patient-centered care with their doctors

Cited by 11 publications

References 36 publications

Perception of good physicians in patient’s face-to-face consultations: Evidence from a Chinese platform

Perception of good physicians in patient’s face-to-face consultations: Evidence from a Chinese platform

The Relationship Between Stigma and Social Support to Quality of Life in Indonesia and the Philippines During the COVID-19 Pandemic

A Multinational Study of Patient Preferences for How Decisions Are Made in Their Care

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