Authors : Claramita M, Dalen JV, Van Der Vleuten CP. | Published : 01 Descember 2011

Scient Direct. 2011. Vol 85 ( 3), 169-177.

http://www.sciencedirect.com/science/article/pii/S0738399111001121

Abstract

OBJECTIVE: To explore the relationship between the style of doctor-patient communication and patients’ educational background in a Southeast Asian teaching hospital setting using the Roter Interaction Analysis System (RIAS).

 

METHODS:   We analyzed a total of 245 audio-taped consultations involving 30 internal medicine residents with 7-10 patients each in the internal medicine outpatient clinics. The patients were categorized into a group with a high and a group with a low educational level. We ranked the data into 41 RIAS utterances and RIAS-based composite categories in order of observed frequency during consultations.

 

RESULTS: The residents invariantly used a paternalistic style irrespective of patients’ educational background. The RIAS utterances and the composite categories show no significant relationship between communication style and patients’ educational level.

 

CONCLUSION:  Doctors in a Southeast Asian country use a paternalistic communication style during consultations, regardless of patients’ educational background.

 

PRACTICE IMPLICATION: To approach a more partnership doctor-patient communication, culture and clinical environment concern of Southeast Asian should be further investigated.

 

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http://www.ncbi.nlm.nih.gov/pubmed/?term=Doctors+in+a+Southeast+Asian+country+communicate+sub-optimally+regardless+of+patients%27+educational+background.

 

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