Cross-Cultural Communication in Health Care

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Cross-cultural Communication

in Health Care

Instructor: I-Hui Chen


Student : Ayyu Sandhi
M406103019
Global Health and Transcultural
Care

Outline
Definition of cross-cultural communication
Advantage of establishing good cross-cultural co

mmunication between health providers and pati


ents
Factors contribute to communication gap betwee
n health providers and patients from different cu
ltural background
Strategy to improve the quality of cross-cultural c
ommunication in health care
Cultural aspects that closely related to health
Conclusion

Cross-cultural communication: Definitio


n
Cross-cultural communication describes the abili

ty to successfully form, foster, and improve relati


onships with members of a culture different fro
m one's own.

People from different cultures have different beli

efs about health, illness and communication, not


to mention the language barriers that firstly exist
: a challenge for health providers (Schouten &
Meeuwesen, 2006).

Good cross-cultural communication : Ad


vantage
Facilitate the adequate exchange of informations

and treatment-related decisions, which is funda


mental to optimal care (Cass et al., 2002).
What
is
the
advantage
of
establishing
Enhance patients and physicians' understanding,
good
cross-cultural
communication
trust, compliance.
(Schouten
& Meeuwesen, 200
6).between health providers and
Enable patients to
patients?
have more contact with physic
ians, ask more questions related to treatment, re
ceive more preventive intervention and follow-u
p after initial visit.
Increase patients' satisfaction (Jacobs et al., 200

Factors contribute to
cross-cultural communication gap
Lack of control by the patients
Differing modes of discourse
Dominance of the biomedical model
What factors contribute

to
Lack of shared knowledge and understanding
communication gap between health
Cultural gap and cross-cultural communication
providers
and patients from different
cultural background?
(Cass et al., 2002)

Cross-cultural communication:
Strategy to improve
Train staff in intercultural communication; communi

cation skills.
Train interpreters to prepare them for work with hea
lthcare workers.
What
strategy to improve the quality
Provide adequate time visits.
of
cross-cultural
communication
in
Develop educational resources to facilitate a shared
care?processes and treat
understandinghealth
of physiological
ment options.
Promote strategies to monitor the effectiveness of c
ommunication.
(Cass et al., 2002)

Monitoring the quality of the communica


tion
Did they (health providers) give you (patients) enoug

h time to explain your approach in health manageme


nt?
How much of the time they provided understandable
explanations?
Did you have questions about your care you wanted t
o ask but did not?
Did you have questions about your mental health (str
ess, anxiety, or sadness) you wanted to ask but did n
ot?
Did they give you as much information about your he
alth and treatment as you wanted?

Cultural aspects that closely related to he


alth
Perception of illness
1. How do patients' culture deal with illness?
2. How do they cope with western medicine?
3. Ask about use of pharmaceuticals or home ther

apies as herbal remedies or certain food.


4. Ask if you can see the home treatment if your p
atient cannot identify the substance.

Kerokan
(Tionghoa: ;pinyin:gu sh)

Cultural aspects that closely related to he


alth
Patterns of kinship and decision making
1. Who determines when a family member requires me
2.
3.
4.
5.
6.

dical care?
Who gives permission to go to seek medical care?
Is there any major gender issues in decision making?
Ask patients about whom they want to be included i
n their medical decisions.
Do patients consider their family as the main emotio
nal support?
Do we need to involve the family in managing medic
al news?

Cultural aspects that closely related to he


alth
Understanding concerns about hygiene and heal

th

Understanding concerns about depression


Understanding concerns about eye contact, touc

hing, body language, and same-gender preferenc


e for health providers

Conclusion

References
Cass, A., Lowell, A., Christie, M., Snelling, P. L., Flack, M., Marrnganyin, B., & Bro

wn, I. (2002). Sharing the true stories: improving communication between Abo
riginal patients and healthcare workers. Medical Journal of Australia, 176(10), 4
66-471.
Detmar, S. B., Muller, M. J., Schornagel, J. H., Wever, L. D., & Aaronson, N. K. (20
02). Health-related quality-of-life assessments and patient-physician communi
cation: a randomized controlled trial. JAMA, 288(23), 3027-3034.
Green, A. R., NgoMetzger, Q., Legedza, A. T., Massagli, M. P., Phillips, R. S., & Ie
zzoni, L. I. (2005). Interpreter services, language concordance, and health care
quality. Journal of general internal medicine , 20(11), 1050-1056.
Jacobs, E. A., Lauderdale, D. S., Meltzer, D., Shorey, J. M., Levinson, W., & Thiste
d, R. A. (2001). Impact of Interpreter Services on Delivery of Health Care to Lim
itedEnglishproficient Patients. Journal of General Internal Medicine , 16(7), 46
8-474.
Schouten, B. C., & Meeuwesen, L. (2006). Cultural differences in medical comm
unication: a review of the literature. Patient education and counseling, 64(1), 2
1-34.

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