CrossCultural Communication

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Cross-Cultural Communication the
Physician-Patient Relationship

• Hayley Ross
• CIS Senior Presentation

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• Verbal Behavior
• Gathering information
• Relationship Development
• Active decision making

• Nonverbal Behaviors
• Vocal intonation
• Touch
• Body language

Relationship Building
Information Exchange
Effective Responses
Decision Making
Outcomes Short term Patient recall,
satisfaction, intention to comply,
trust Intermediate compliance Long term symptom
resolution, health, quality of life
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• Verbal Behavior
• Gathering information
• Relationship Development
• Active decision making

• Nonverbal Behaviors
• Vocal intonation
• Touch
• Body language

Relationship Building
Information Exchange
Effective Responses
Decision Making
Outcomes Short term Patient recall,
satisfaction, intention to comply,
trust Intermediate compliance Long term symptom
resolution,
trust
health, quality of life
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Communication Issues

• .more physicians report having inadequate time
  with patients.

Center for Health Systems Change
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Travaline et. al, 2005
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Why is Communication Important?

• Acknowledge Health Problems
• Understand Follow Treatment
• Proactive Care

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Translation and Relationships

• Clear Communication
• Comfort

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Translation Services

• Confidentiality
• Limited Translation Services
• Translator Physician?

National Council on Interpreting in Health Care
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Culture and Relationships
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Smileys Clinic
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Family Medical Center
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Diagnosis
Puas muaj lwm tus kws khomob qhia tias koj muaj
teeb meem siab o (plab hlav) los yog po o (mob
txiav).
Hmong for Health Care Workers
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Treatment

• Drug Compliance
• Surgery

Image Healing By Heart
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Maintaining Relationships

• Translator as Tool
• Acknowledge Culture

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Implications for Care

• Self and external evaluation
• Cultural Education
• Patient responsibility?

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Thank You

• Professor Dave VanWylen
• Mary Titus
• Susan Carlson
• Interviewees