How culture influences patient preferences for patient-centered care with their doctors.
J Commun Healthc
; 16(2): 186-196, 2023 07.
Article
em En
| MEDLINE
| ID: mdl-37401877
ABSTRACT
BACKGROUND:
Patient-centered care (PCC) is the prevailing model of care globally. However, most research on PCC has been conducted in Westernized countries or has focused on only two facets of PCC decision-making and information exchange. Our study examined how culture influences patients' preferences for five facets of PCC, including communication, decision-making, empathy, individualized focus, and relationship.METHODS:
Participants (N = 2071) from Hong Kong, the Philippines, Australia, and the U.S.A. completed an online survey assessing their preferences for exchange of information, autonomy in decision-making, expression and validation of their emotions, focus on them as an individual, and the doctor-patient relationship.RESULTS:
Participants from all four countries had similar preferences for empathy and shared decision-making. For other facets of PCC, participants in the Philippines and Australia expressed somewhat similar preferences, as did those in the U.S.A. and Hong Kong, challenging East-West stereotypes. Participants in the Philippines placed greater value on relationships, whereas Australians valued more autonomy. Participants in Hong Kong more commonly preferred doctor-directed care, with less importance placed on the relationship. Responses from U.S.A. participants were surprising, as they ranked the need for individualized care and two-way flow of information as least important.CONCLUSIONS:
Empathy, information exchange, and shared decision-making are values shared across countries, while preferences for how the information is shared, and the importance of the doctor-patient relationship differ.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
/
Preferência do Paciente
Tipo de estudo:
Prognostic_studies
Aspecto:
Patient_preference
Limite:
Humans
País/Região como assunto:
Oceania
Idioma:
En
Revista:
J Commun Healthc
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Austrália