'How strange is the patient to me?' Physicians' attitudes and expectations toward treating patients with a migration background

作者：Karger Andre^*; Lindtner Rudolph Heide; Mroczynski Robert; Ziem Alexander; Joksimovic Ljiljana

来源：Zeitschrift für Psychosomatische Medizin und Psychotherapie, 2017, 63(3): 280-296.

• Physician-Patient Communication
• Patients with a Migration Background
• Intercultural Competence
• Language Barriers
• Medical Training

Objectives: Undergraduate and postgraduate training in cultural competence remains a challenging issue. It might be useful to integrate culturally sensitive learning objectives in existing curricula. As part of a needs assessment, this qualitative study examined the prototypical experiences in clinical routines with patients with a migration background.
Methods: Twenty physicians took part in half-structured narrative interviews, which were then analyzed by linguistic-ethnographic conversation analysis.
Results: The main reasons for difficulties in patient-physician relation proved to be language barriers. Assignments of professional interpreters were rated critically. Physicians attributed the responsibility for successful communication mainly to the patient. The physicians saw little need for training in cultural competence.
Conclusions: The integration of learning objectives related to cultural sensibility in existing curricula would seem to be useful, especially because the physicians interviewed reported little need for additional training on their own. The importance of implied negative attitudes and stereotypes in creating a culturally sensitive approach should be taken into account.

• 出版日期2017