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Related Experiment Videos

Intercultural communication in general practice.

Joke C M van Wieringen1, Johannes A M Harmsen, Marc A Bruijnzeels

  • 1Centre for Migration and Child Health, Wilhelmina Children's Hospital, PO Box 85090, Huispost KE-04-153.0, 3508 AB Utrecht, The Netherlands. cmch@worldonline.nl

European Journal of Public Health
|April 24, 2002
PubMed
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Ethnic minority patients experience more communication barriers with healthcare providers, leading to poorer understanding and compliance. Building strong patient-provider relationships is crucial for improving health outcomes in diverse populations.

Area of Science:

  • Healthcare communication
  • Cross-cultural health
  • Patient compliance

Background:

  • Communication challenges between healthcare professionals and ethnic minority patients are not well understood.
  • Factors beyond language, such as cultural differences, contribute to these communication issues.
  • Patient beliefs about health, healthcare, and disease influence understanding and compliance.

Purpose of the Study:

  • To explore the impact of communication and patient beliefs on understanding and compliance.
  • To compare outcomes between native-born and ethnic-minority patients.
  • To identify factors affecting patient-provider communication and adherence.

Main Methods:

  • Descriptive study in seven general practices in a multi-ethnic neighborhood.

Related Experiment Videos

  • Video recording and home interviews with 87 parents (over 50% ethnic minority) visiting a GP with a child.
  • Analysis of communication using the Roter Interaction Analysis System and assessment of mutual understanding and therapy compliance.

    • Main Results:

    • Poor mutual understanding occurred in 33% of consultations with ethnic minority patients vs. 13% with native-born patients.
    • Patient-reported problems in the GP relationship significantly correlated with mutual understanding.
    • Consultations lacking mutual understanding more frequently resulted in non-compliance with prescribed therapy.

    Conclusions:

    • Ethnic minority parents report more relationship issues with GPs and hold different health beliefs.
    • Strong GP-patient relationships are essential for achieving mutual understanding.
    • Mutual understanding and compliance are lower in consultations with ethnic minority parents compared to native-born parents.