Doctor-patient communication in a Southeast Asian setting: the conflict between ideal and reality.

Advances in Health Sciences Education : Theory and Practice
Mora ClaramitaCees Van der Vleuten

Abstract

Doctor-patient communication has been extensively studied in non-Western contexts and in relation to patients' cultural and education backgrounds. This study explores the perceived ideal communication style for doctor-patient consultations and the reality of actual practice in a Southeast Asian context. We conducted the study in a teaching hospital in Indonesia, using a qualitative and a quantitative design. In-depth interviews were conducted with ten internal medicine specialists, ten internal medicine residents, 16 patients in two groups based on education level and ten most senior medical students. The contributions of doctors and patients to the communication during consultations were observed and rated quantitatively by thirty internal medicine residents, 393 patients with different educational backgrounds and ten senior medical students. The 'informed and shared decision making' is the central observation in this quantitative study. The results of the interviews showed that Southeast Asian stakeholders are in favor of a partnership style of communication and revealed barriers to achieving this: doctors and patients are not prepared for a participatory style and high patient load due to an inefficient health care system do...Continue Reading

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Citations

Jun 19, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Aulia IskandarsyahJan Passchier
Feb 9, 2012·Advances in Health Sciences Education : Theory and Practice·Mora ClaramitaCees van der Vleuten
May 29, 2014·Perspectives on Medical Education·Mora Claramita, Astrid Pratidina Susilo
Jan 19, 2012·Journal of Interprofessional Care·Astrid Pratidina SusiloAlbert Scherpbier
May 10, 2013·Journal of Continuing Education in Nursing·Astrid Pratidina SusiloAlbert Scherpbier
Sep 30, 2015·BMJ Quality & Safety·Nicole Margaret PhillipsEmily Haesler
Oct 21, 2016·BMC Medical Ethics·Pauline Siew Mei LaiSajaratulnisah Othman
Nov 19, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Nynikka R A PalmerKathryn E Weaver
Feb 5, 2013·Nursing Ethics·Astrid P SusiloNora Ekawati
May 13, 2014·Nursing Ethics·Astrid P SusiloAlbert Scherpbier
Jan 18, 2018·The Journal of Antimicrobial Chemotherapy·Chun Fan LeeWing Hong Seto
Nov 15, 2019·Health Policy and Planning·Teresa HallMichelle Kermode
Nov 22, 2017·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Flávia Del Castanhel, Suely Grosseman
Aug 8, 2020·Japanese Journal of Clinical Oncology·Shao-Yi ChengRaymond Ng
Oct 10, 2017·Health Literacy Research and Practice·Shannon McKinnKirsten McCaffery
Oct 11, 2019·Singapore Medical Journal·Jason Meng Huey ChanMitesh Shah
Feb 9, 2021·Journal of Health Psychology·Eng Hooi TanBee Choo Tai

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