文章基本信息

标题：Intercultural doctor-patient communication in daily outpatient care: relevant communication skills
本地全文：下载
作者：Emma Paternotte ; Fedde Scheele ; Conny M. Seeleman 等
期刊名称：Perspectives on Medical Education
印刷版ISSN：2212-2761
电子版ISSN：2212-277X
出版年度：2016
卷号：5
期号：5
页码：268-275
DOI：10.1007/s40037-016-0288-y
出版社：Springer Verlag
摘要：IntroductionIntercultural communication (ICC) between doctors and patients is often associated with misunderstandings and dissatisfaction. To develop ICC-specific medical education, it is important to find out which ICC skills medical specialists currently apply in daily clinical consultations.MethodsDoctor-patient consultations of Dutch doctors with non-Dutch patients were videotaped in a multi-ethnic hospital in the Netherlands. The consultations were analyzed using the validated MAAS-Global assessment list in combination with factors influencing ICC, as described in the literature.ResultsIn total, 39 videotaped consultations were analyzed. The doctors proved to be capable of practising many communication skills, such as listening and empathic communication behaviour. Other skills were not practised, such as being culturally aware and checking the patient’s language ability.ConclusionWe showed that doctors did practice some but not all the relevant ICC skills and that the ICC style of the doctors was mainly biomedically centred. Furthermore, we discussed the possible overlap between intercultural and patient-centred communication. Implications for practice could be to implement the relevant ICC skills in the existing communication training or develop a communication training with a patient-centred approach including ICC skills.
关键词：Doctor-patient communication; Intercultural communication; Communication skills; Clinical practice; Reflective practice; Communication behaviour; Medical education