4.5 Article

Moving beyond the language barrier: The communication strategies used by international medical graduates in intercultural medical encounters

期刊

PATIENT EDUCATION AND COUNSELING
卷 84, 期 1, 页码 98-104

出版社

ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2010.06.022

关键词

International medical graduates; Physician patient communication; Foreign doctors; Communication accommodation; Convergence; Communication challenges; Communication barriers; Communication strategies

向作者/读者索取更多资源

Objective: To understand the communication strategies international medical graduates use in medical interactions to overcome language and cultural barriers. Methods: In-depth interviews were conducted with 12 international physicians completing their residency training in internal medicine in a large hospital in Midwestern Ohio. The interview explored (a) barriers participants encountered while communicating with their patients regarding language, affect, and culture, and (b) communication convergence strategies used to make the interaction meaningful. Results: International physicians use multiple convergence strategies when interacting with their patients to account for the intercultural and intergroup differences, including repeating information, changing speaking styles, and using non-verbal communication. Practice implications: Understanding barriers to communication faced by international physicians and recognizing accommodation strategies they employ in the interaction could help in training of future international doctors who come to the U.S. to practice medicine. Early intervention could reduce the time international physicians spend navigating through the system and trying to learn by experimenting with different strategies which will allow these physicians to devote more time to patient care. We recommend developing a training manual that is instructive of the socio-cultural practices of the region where international physician will start practicing medicine. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Computer Science, Information Systems

Patient preferences toward an interactive e-consent application for research using electronic health records

Christopher A. Harle, Elizabeth H. Golembiewski, Kiarash P. Rahmanian, Janice L. Krieger, Dorothy Hagmajer, Arch G. Mainous, Ray E. Moseley

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION (2018)

Article Health Care Sciences & Services

Electronic Health Literacy Across the Lifespan: Measurement Invariance Study

Samantha R. Paige, M. David Miller, Janice L. Krieger, Michael Stellefson, JeeWon Cheong

JOURNAL OF MEDICAL INTERNET RESEARCH (2018)

Article Oncology

A Pilot Study Determining Comprehension and the Acceptability of a Cancer Research Study Website for Cancer Patients and Caregivers

Elizabeth Flood-Grady, Jordan M. Neil, Samantha R. Paige, Donghee Lee, Rachel E. Damiani, Deaven Hough, Zack Savitsky, Thomas J. George, Janice L. Krieger

JOURNAL OF CANCER EDUCATION (2020)

Article Health Care Sciences & Services

Engaging Institutional Stakeholders to Develop and Implement Guidelines for Recruiting Participants in Research Studies Using Social Media: Mixed Methods, Multi-Phase Process

Elizabeth Flood-Grady, Lauren B. Solberg, Claire Baralt, Meghan Meyer, Jeff Stevens, Janice L. Krieger

Summary: The study established replicable procedures for utilizing social media in research participant recruitment by investigating social media use cases, conducting a scoping review of web-based materials, and obtaining feedback from end users.

JOURNAL OF MEDICAL INTERNET RESEARCH (2021)

Article Education & Educational Research

Do they speak like me? Exploring how perceptions of linguistic difference may influence patient perceptions of healthcare providers

Donghee N. Lee, Myiah J. Hutchens, Thomas J. George, Danyell Wilson-Howard, Eric J. Cooks, Janice L. Krieger

Summary: This pilot study used virtual clinicians to investigate how linguistic features affect patient perceptions of Black healthcare providers, and whether linguistic cues increase or decrease racial bias in healthcare interactions.

MEDICAL EDUCATION ONLINE (2022)

Article Health Policy & Services

PrEP awareness among people living with HIV in Florida: Florida Cohort study

Angel B. Algarin, Zhi Zhou, Shantrel Canidate, Nioud Mulugeta Gebru, Janice L. Krieger, Jordan M. Neil, Robert L. Cook, Gladys E. Ibanez

Summary: Florida ranks 2nd in the U.S. for HIV prevalence and incidence rates. A study was conducted to examine PrEP awareness among PLWH in Florida, finding urban location, sexual partner's PrEP use, viral suppression, and engagement in transactional sex as significant correlates. Care providers and HIV/AIDS support groups were the most common and trusted sources of PrEP information for participants.

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV (2021)

Article Communication

Promoting Clinical Conversations about Lung Cancer Screening: Exploring the Role of Perceived Online Social Support

Samantha R. Paige, Ramzi G. Salloum, Janice L. Krieger, Maribeth Williams, Wei Xue, Babette Brumback

JOURNAL OF HEALTH COMMUNICATION (2020)

Article Oncology

Tailoring virtual human-delivered interventions: A digital intervention promoting colorectal cancer screening for Black women

Melissa J. Vilaro, Danyell S. Wilson-Howard, Lauren N. Griffin, Fatemeh Tavassoli, Mohan S. Zalake, Benjamin C. Lok, Francois P. Modave, Thomas J. George, Peter J. Carek, Janice L. Krieger

PSYCHO-ONCOLOGY (2020)

Article Communication

Transactional eHealth Literacy: Developing and Testing a Multi-Dimensional Instrument

Samantha R. Paige, Michael Stellefson, Janice L. Krieger, M. David Miller, Jeewon Cheong, Charkarra Anderson-Lewis

JOURNAL OF HEALTH COMMUNICATION (2019)

Article Communication

Trends of Parent-Adolescent Drug Talk Styles in Early Adolescence

YoungJu Shin, Jonathan Pettigrew, Michelle Miller-Day, Michael L. Hecht, Janice L. Krieger

HEALTH COMMUNICATION (2019)

Article Public, Environmental & Occupational Health

Computer-Mediated Experiences of Patients With Chronic Obstructive Pulmonary Disease

Samantha R. Paige, Michael Stellefson, Janice L. Krieger, Julia M. Albert

AMERICAN JOURNAL OF HEALTH EDUCATION (2019)

Article Communication

Entertainment-Education Videos as a Persuasive Tool in the Substance Use Prevention Intervention keepin' it REAL

YoungJu Shin, Michelle Miller-Day, Michael L. Hecht, Janice L. Krieger

HEALTH COMMUNICATION (2018)

Article Communication

Calories in Context: Conceptual Metaphors and Consumers' Perception and Use of Calorie Information

Lauren C. Bayliss, Janice L. Krieger

JOURNAL OF HEALTH COMMUNICATION (2018)

Article Communication

Patient Perceptions of Illness Identity in Cancer Clinical Trial Decision-Making

Angela L. Palmer-Wackerly, Phokeng M. Dailey, Jessica L. Krok-Schoen, Nancy D. Rhodes, Janice L. Krieger

HEALTH COMMUNICATION (2018)

Article Communication

Parental Messages about Substance Use in Early Adolescence: Extending a Model of Drug-Talk Styles

Jonathan Pettigrew, Michelle Miller-Day, YoungJu Shin, Janice L. Krieger, Michael L. Hecht, John W. Graham

HEALTH COMMUNICATION (2018)

Article Public, Environmental & Occupational Health

Exploring health advice by dental professionals in USA: A secondary data analysis of NHANES (2015-2018)

Noora Jawad, Faisal F. Hakeem, Wael Sabbah

Summary: This study aims to examine socioeconomic and ethnic variations in the provision of health advice by dental professionals. The findings indicate the prominent roles of education level, ethnicity, and smoking status in the provision of health advice. The study emphasizes the need for targeted interventions to promote equity and cultural competence in delivering health advice in dental settings.

PATIENT EDUCATION AND COUNSELING (2024)

Review Public, Environmental & Occupational Health

The 'Kidney' model for optimising feedback in undergraduate clinical communication: A meta-ethnographic systematic review

Katherine Miles, Bernadette O'Neill, Shuangyu Li

Summary: This study conducted a meta-ethnography to identify and synthesize guidance for optimizing feedback interactions in undergraduate clinical communication simulations. The findings led to the development of a new Feedback Kidney Model, which can guide medical education and future research on feedback in promoting learning. Incorporating meta-cognitive training and utilizing the model can help improve students' learning and communication with patients through on-site face-to-face feedback.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Implementing bedside handovers in mental health care: Insights from an experience-based co-design

Ellen Van de Velde, Ann Van Hecke, Kristof Eeckloo, Simon Malfait

Summary: This study investigates the suitability of experience-based co-design as a method for designing bedside handover in mental health care, and finds that it is a suitable method for enhancing patient involvement in nursing handovers in a general hospital's mental healthcare unit.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Exploring factors to interpretation of targeted nutrition messages for people living with multiple sclerosis

Yasmine Probst, Maddison Luscombe, Marta Hilfischer, Vivienne Guan, Lauren Houston

Summary: This study explores the interpretation of MS-targeted nutrition messages using semi-structured interviews. The findings reveal that dietary changes made by patients with MS after diagnosis are a coping mechanism to address uncertainty, fear of disease progression, and the risk of relapse. The admiration and skepticism towards extremist MS diets depend on individual vulnerability and support from healthcare professionals. The unique MS journey influences the interpretation of the messages, driven by engagement, practicality, and credibility.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Role of digital health communication, sociodemographic factors, and medical conditions on perceived quality of patient-centered communication

Aisha T. Langford, Kerli Orellana, Nancy Buderer, Katerina Andreadis, Stephen K. Williams

Summary: This study examined the associations between digital health, sociodemographic factors, and medical conditions on patient-centered communication (PCC). The results suggested that age, education level, household income, and history of hypertension were related to the quality of PCC.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

'Symptom-free' when inflammatory bowel disease is in remission: Expectations raised by online resources

Danielle Huisman, Taylor Burrows, Louise Sweeney, Kirsty Bannister, Rona Moss-Morris

Summary: This study found limited information on symptoms during remission of inflammatory bowel disease (IBD) on readily searchable patient websites, which fails to adequately explain the persistence of symptoms during remission for patients.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Why affiliation matters: A conversation analysis of complaints calls to the NHS

Bethan Benwell, Maria Erofeeva, Catrin S. Rhys

Summary: This study examined how language choices made by call handlers affect the progress of complaint calls and the stance of the callers. The findings showed that displaying affiliation at relevant moments in the conversation helps advance the call and de-escalate the complaint, while the absence or misplacement of affiliation may lead to escalation. Early intervention in establishing affiliation with the caller's concerns and reasoning is crucial for de-escalation.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Race differences in patient trust and distrust from audio-recorded cardiology encounters

Sarah V. Hantzmon, Clemontina A. Davenport, Maya N. Das Gupta, Temi A. Adekunle, Sarah E. Gaither, Maren K. Olsen, Sandro O. Pinheiro, Kimberly S. Johnson, Hannah Mahoney, Allison Falls, Lauren Lloyd, Kathryn I. Pollak

Summary: This study examined the impact of racial differences on patient trust and distrust in physician-patient interactions through audio-recorded cardiologist-patient encounters. The results showed that Black patients had lower expressions of trust and a higher level of guardedness compared to White patients. It suggests that White clinicians can improve communication with Black patients to increase expressions of trust.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Youth perspectives on mobile health adherence interventions: A qualitative study guided by the supportive accountability model

Caitlin S. Sayegh, Ellen Iverson, Karen K. Macdonell, Shinyi Wu, Marvin Belzer

Summary: This study applied a Supportive Accountability Model to examine youth's perception of remote human coaching and automated reminders for medication adherence. The findings indicated that both coaching and automated reminders were effective in improving adherence, with coaching being viewed as more potent and engaging. Phone calls enhanced the sense of supportive accountability, but texts were more convenient and flexible. Individual preferences varied.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Conversation starters: Understanding the facilitators and barriers to physician-initiated secure firearm storage conversations

Jennifer Necci Dineen, Mitchell Doucette, Mekaila Carey, Kerri M. Raissian

Summary: This paper aims to understand the facilitators and barriers perceived by general practice physicians in initiating anticipatory guidance around firearm safety. Qualitative interviews were conducted with 18 GPs to explore their perspectives. Barriers to providing secure firearm storage counseling include inadequate screening mechanisms, limited understanding of who is at risk for firearm injury, time pressures, concerns about patient receptivity, and a need for training. Structural issues need to be addressed before focusing on how to have conversations about firearm safety.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

The use of outcome data in patient consultations from the healthcare professionals' and patients' perspectives: A mixed methods study

Henrike J. Westerink, Cato C. Bresser, Mirjam M. Garvelink, Cornelia F. van Udenkraan, Ouisam Zouitni, Hans A. J. Bart, Philip J. van der Wees, Paul B. van der Nat

Summary: This study aims to explore the perspectives and needs of healthcare professionals (HCPs) and patients regarding the use of outcome data in consultations. The findings indicate that HCPs do not routinely use aggregated outcome data in consultations due to various barriers. Patients, however, consider aggregated outcome data important but have different preferences based on their health conditions.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Co-facilitation to foster equity in codesign: Mechanisms underpinning practice

Bronwyn Newman, Mashreka Sarwar, Ashfaq Chauhan, Reema Harrison

Summary: Co-facilitation presents an opportunity to address inequity in codesign, and through our experiences in the CanEngage project, we have identified three mechanisms to promote equity.

PATIENT EDUCATION AND COUNSELING (2024)

Review Public, Environmental & Occupational Health

Group-based patient education via videoconference: A scoping review

Andre Vaagan, Mette Haaland-Overby, Alison Axisa Eriksen, Kari Fredriksen, Vibeke Stenov, Cecilie Varsi, Brynja Ingadottir, Bryan Richard Cleal, Anita Royneberg Alvheim, Karl Fredrik Westermann, Hilde Stromme, Olof Birna Kristjansdottir

Summary: This study summarizes the recent evidence on the feasibility, acceptability, and effectiveness of videoconference group-based patient and caregiver education. The results suggest that this education approach is highly feasible and acceptable, and may improve health outcomes for participants. However, the evidence of effectiveness is limited and the quality of studies varies. Further research is needed to establish the effectiveness of this education approach for different patient and caregiver groups.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Conversation topics in psychiatric consultations conducted with and without a shared decision-making tool: A qualitative content analysis

Momoka Igarashi, Takayuki Kawaguchi, Takuma Shiozawa, Sosei Yamaguchi

Summary: The study aims to identify conversation topics, who initiated the topics, and differences in topics with and without the use of a shared decision-making (SDM) tool in psychiatric outpatient consultations. The findings show that daily life issues, especially related to work, were the main topics discussed, and the SDM tool seems to facilitate discussion of patients' concerns.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

What's after COVID-19?: Communication pathways influencing future use of telehealth

Qiwei Luna Wu, Grace Ellen Brannon

Summary: This study explores how patient-centered communication, media, and organizational factors influence patients' intentions to use telehealth. The findings suggest that positive healthcare experiences, organizational support, and quality media designs are associated with telehealth adoption.

PATIENT EDUCATION AND COUNSELING (2024)