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Patient-centred care: The patients' perspective - A mixed-methods pilot study.

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  • 1Centre for Health Professions Education, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town. hershey@mweb.co.za.

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Patient-centred care, emphasizing empathic communication, is crucial. Western empathy concepts are relevant in South Africa, but patients desire clear communication about their health issues and management plans.

Keywords:
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Area of Science:

  • Healthcare communication
  • Medical education
  • Patient experience

Background:

  • Patient-centredness is a moral philosophy, with patient-centred care encompassing its practical application.
  • Empathic communication is a key action for healthcare practitioners to deliver patient-centred care.
  • Medical curricula often include empathetic communication, but patient perspectives on its relevance are under-explored.

Purpose of the Study:

  • To assess the relevance of Western constructs of empathy in a South African context.
  • To identify specific aspects of the medical interview that patients deem important for communication in their home language.

Main Methods:

  • A mixed-methods pilot study with an explanatory sequential design was conducted.
  • Participants were recruited from two urban communities in Cape Town, South Africa, using convenience sampling.
  • Participants were first-language Afrikaans or isiXhosa speakers utilizing public healthcare facilities, with a subgroup participating in focus groups.

Main Results:

  • Western constructs of empathy were found to be relevant within the multicultural South African setting.
  • Patients expressed a strong desire for clear communication with doctors regarding the cause and management of their health problems.
  • A perception of patient-centred care not being implemented was noted in some public healthcare facilities, leading to feelings of being unseen and disrespected.

Conclusions:

  • Empathic communication, rooted in Western concepts, is relevant across diverse cultural contexts.
  • Effective patient-centred care hinges on clear, understandable communication about diagnosis and treatment plans.
  • Addressing communication gaps and ensuring respectful patient interactions are vital for improving healthcare experiences in public facilities.