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1079

Doctor-patient communication in Southeast Asia: a different culture?

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Credit Value: 2
Exam Questions: 20
Passing Grade: 15 correct
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Course Description:
This course is based upon material published by the journal Advances in Health Science and is available with open access at Springerlink website.
 
Abstract: Studies of doctor–patient communication generally advocate a partnership communication style. However, in Southeast Asian settings, we often see a more one-way style with little input from the patient. We investigated factors underlying the use of a one way consultation style by doctors in a Southeast Asian setting. We conducted a qualitative study based on principles of grounded theory. Twenty residents and specialists and 20 patients of a low or high educational level were interviewed in internal medicine outpatient clinics of an Indonesian teaching hospital and two affiliated hospitals. During 26 weeks we engaged in an iterative interview and coding process to identify emergent factors. Patients were generally dissatisfied with doctors communication style. The doctors indicated that they did not deliberately use a one-way style. Communication style appeared to be associated with characteristics of Southeast Asian culture, the health care setting and medical education. Doctor–patient communication appeared to be affected by cultural characteristics which fell into two broad categories representing key features of Southeast Asian culture, ‘‘social distance’’ and ‘‘closeness of relationships’’, and to characteristics categorized as ‘‘specific clinical context’’. Consideration of these characteristics could be helpful in promoting the use of a partnership communication style.
 
This course is based upon a qualitative study of communication styles within the Asia culture. It affords a clinician the opportunity to learn more about a specific culture and thereby increase their cross cultural competency. The content relates culturally relevant information regarding communication styles between doctors and clients and this relationship can easily be translated into the field of counseling. This course on cultural competency for Asians is valuable for clinical social workers and substance abuse counselors as well as psychologists, nurses, chemical dependency workers, and professional counselors who work with culturally diverse clients and need continuing education. This course is appropriate for beginning, intermediate and advanced level practitioners who wish to develop their understanding of various cultural components of their clients.  It may also be useful for licensed clinicians who require cross cultural competency courses as part of their continuing education and are interested in learning more about communications styles in Southeast Asian clients.  
 
Authors: Claamita, Nugraheni, van Dalen and van der Vleuten
 
 
Learning Objectives: This course will provide the practitioner with detailed information regarding cross cultural practice with Asia clients. Specifically, a professional will:
·         Describe doctor patient communication styles
·         Identify the most commonly used communication styles of Southeast Asian clients
·         Identify ways to enhance culturally relevant practices with Asian clients
 
Citation:   Claamita, Nugraheni, van Dalen and van der Vleuten (2013). Doctor-pati:ent -communication in Southeast Asia: a different culture? Advances in Health Science, 18: 15-31.
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Credits: 2 Exam Fee: $20.00 Format: Online
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