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Patient Educ Couns. 2011 Dec;85(3):e169-74. doi: 10.1016/j.pec.2011.02.002. Epub 2011 Mar 21.

Doctors in a Southeast Asian country communicate sub-optimally regardless of patients' educational background.

Author information

1
Faculty of Medicine, Universitas Gadjah Mada, Sekip Utara Yogyakarta, Indonesia. claramita@yahoo.com

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.

PMID:
21420821
DOI:
10.1016/j.pec.2011.02.002
[Indexed for MEDLINE]
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