Circling the undefined-A grounded theory study of intercultural consultations in Swedish primary care

PloS One
Erica RothlindSolvig Ekblad

Abstract

Well-functioning physician-patient communication is central to primary care consultations. An increasing demand on primary care in many countries to manage a culturally diverse population has highlighted the need for improved communication skills in intercultural consultations. In previous studies, intercultural consultations in primary care have often been described as complex for various reasons, but studies exploring physician-patient interactions contributing to the understanding of why they are complex are lacking. Therefore, the aim of this study was to explore intercultural physician-patient communication in primary care consultations, generating a conceptual model of the interpersonal interactions as described by both the patients and the physicians. Using grounded theory methodology, 15 residents in family medicine and 30 foreign-born patients, the latter with Arabic and Somali as native languages, were interviewed. The analysis generated a conceptual model named circling the undefined, where a silent agreement on issues fundamental to the core of the consultation was inadequately presumed and the communicative behaviors used did not contribute to clarity. This could be a possible contributory cause of the perceived co...Continue Reading

References

Mar 12, 1999·Journal of Health Care for the Poor and Underserved·M Tervalon, J Murray-García
Jun 12, 1999·Annals of Internal Medicine·J E CarrilloJ R Betancourt
Nov 1, 2001·The Cochrane Database of Systematic Reviews·S A LewinJ Dick
Apr 24, 2002·European Journal of Public Health·Joke C M van WieringenMarc A Bruijnzeels
May 17, 2002·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Ardys McNaughton Dunn
Sep 11, 2002·Patient Education and Counseling·Nicola Mead, Peter Bower
Mar 22, 2005·Medical Care·Mary Catherine BeachLisa A Cooper
Jun 22, 2005·Patient Education and Counseling·Ellen RosenbergShelly N Abdool
Aug 27, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Elyse R ParkJoel S Weissman
Sep 8, 2005·JAMA : the Journal of the American Medical Association·Joel S WeissmanAngela W Maina
Oct 26, 2005·Family Practice·Caroline WachtlerMargareta Troein
Jan 24, 2006·Patient Education and Counseling·Barbara C Schouten, Ludwien Meeuwesen
Mar 6, 2007·Patient Education and Counseling·Jennifer CarrollPascal Jean-Pierre
Nov 26, 2008·Journal of the National Medical Association·Somnath SahaLisa A Cooper
Mar 12, 2009·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Claire L Morgan, Hendrik J Beerstecher
May 12, 2010·The American Psychologist·Seth J SchwartzJosé Szapocznik
Sep 14, 2010·The International Journal of Social Psychiatry·Karin IngvarsdotterMargareta Östman
Jan 17, 2012·Social Science & Medicine·Bo Burström
Dec 19, 2012·Patient Education and Counseling·Camille BrissetKarine Laforest
Dec 22, 2012·Qualitative Health Research·Elisabeth Björk Brämberg, Karin Dahlberg
May 6, 2014·The Cochrane Database of Systematic Reviews·Lidia HorvatJohn Kis-Rigo
Dec 3, 2014·Lancet·A David NapierKatherine Woolf
Dec 24, 2014·Patient Education and Counseling·Emma PaternotteFedde Scheele
Jan 1, 2015·The New England Journal of Medicine·Anders Anell
Jul 1, 2015·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Cynthia ForondaKevin Ousman
Sep 5, 2015·Patient Education and Counseling·Maria Angela MazziJozien M Bensing
Oct 27, 2015·Health & Social Care in the Community·Somayeh Alizadeh, Meena Chavan
Nov 26, 2015·Advances in Health Sciences Education : Theory and Practice·M E MuntingaP Verdonk
Sep 18, 2016·Perspectives on Medical Education·Emma PaternotteSandra van Dulmen
Jan 29, 2017·International Journal for Equity in Health·Bo BurströmUlrika Winblad
May 24, 2017·International Journal of Medical Education·Emma PaternotteFedde Scheele
Aug 2, 2017·Medical Education·Marianne BrouwersEvelyn van Weel-Baumgarten
Sep 25, 2017·Journal of General Internal Medicine·Viraj BhiseHardeep Singh

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