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Determinants of physician-patient communication: The role of language, education and ethnicity.
Aelbrecht, Karolien; Hanssens, Lise; Detollenaere, Jens; Willems, Sara; Deveugele, Myriam; Pype, Peter.
Afiliación
  • Aelbrecht K; Department of Public Health and Primary Care, Ghent University, Belgium. Electronic address: karolien.aelbrecht@ugent.be.
  • Hanssens L; Department of Public Health and Primary Care, Ghent University, Belgium.
  • Detollenaere J; Department of Public Health and Primary Care, Ghent University, Belgium.
  • Willems S; Department of Public Health and Primary Care, Ghent University, Belgium.
  • Deveugele M; Department of Public Health and Primary Care, Ghent University, Belgium.
  • Pype P; Department of Public Health and Primary Care, Ghent University, Belgium.
Patient Educ Couns ; 102(4): 776-781, 2019 04.
Article en En | MEDLINE | ID: mdl-30527850
AIM: The value of patient-centredness, of which effective physician-patient communication is one key element, has been established within medicine. However, research shows social differences in medical communication according to the patient's social background. This study examines the role of the patient's ethnicity, educational background and language proficiency in relation to physician-patient interaction in 31 countries. METHOD: More than fifty thousand patients were given a standardized questionnaire to gain insights into the professional behaviour of their family physician and their own expectations and actions. RESULTS: While no effect of ethnicity was found, there was a significant effect of patients' language proficiency and educational level. Patients with lower language proficiencies were more likely to experience more negative interactions with their physicians. Second-generation migrants who did not fill in the questionnaire in an official language were more negative about the patient-physician interaction. Patients who had a greater chance of having a positive patient-physician interaction were more likely to be higher educated. CONCLUSION: Despite the shift towards patient-centred care in medicine, physician-patient communication is still determined by the patient's educational background and language proficiency. PRACTICE IMPLICATION: GPs should primarily be trained to tailor their communication styles to match patients' backgrounds.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Pautas de la Práctica en Medicina / Satisfacción del Paciente / Comunicación / Escolaridad / Lenguaje Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Patient Educ Couns Año: 2019 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Pautas de la Práctica en Medicina / Satisfacción del Paciente / Comunicación / Escolaridad / Lenguaje Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Patient Educ Couns Año: 2019 Tipo del documento: Article Pais de publicación: Irlanda