'He should feel your pain': Patient insights on patient-provider communication in Rwanda

African Journal of Primary Health Care & Family Medicine
Vincent K CubakaPer Kallestrup

Abstract

Patient-provider communication is an interpersonal interaction between a patient and a health care provider. This study explored patients' communication preferences and perceptions on what factors influence the patient-provider communication in primary health care settings in Rwanda. In-depth semi-structured interviews with 15 individuals including 8 with limited literacy. A thematic inductive analysis was used. Patients valued communication with providers and expressed the need for interacting with caring, empathic providers who can share all the information they want and involve them in their own care. Health literacy and power issues were factors that may influence patient-provider communication. Patients with limited literacy appeared to rely highly on health care providers for making decisions about and managing their health care. The expressed preferences, including those of patients with limited literacy, aligned well with the patient-centred care model. There were indications of a power imbalance weighing on the provider's side. Although patients with limited literacy were reliant on providers for decision-making, they were ready to be more involved in the care, suggesting a potential for improved patient involvement ev...Continue Reading

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