Abstract:
BACKGROUND:Patients in inner-city areas come from increasingly diverse language and cultural backgrounds. Neither communications training modelled on local English speakers nor the provision of interpreters offer adequate solutions. AIM:To identify how patients with limited English and culturally different communication styles consult with general practitioners (GPs) in English, and to develop training strategies from both good practice and observed misunderstandings. METHODS:Randomly selected routine and emergency surgeries in 19 inner London general practices were video-recorded. The videos were viewed independently by 2 discourse analysts. Key consultations, across a wide range of English language ability, were selected and transcribed to analyse misunderstandings resulting from language/cultural differences. RESULTS:Of the 232 video recordings that were made, 20% were with patients with limited English and contained major and often extended misunderstandings. QUALITATIVE ANALYSIS: Four main categories of patient 'talk' contributing to misunderstandings are identified: (1) pronunciation and word stress; (2) intonation and speech delivery; (3) grammar, vocabulary and lack of contextual information; and (4) style of presentation. The importance of different styles of self-presentation by patients as the reason for misunderstandings is highlighted. On only 3 occasions were culturally specific health beliefs raised. CONCLUSION:It is routine for GPs in inner London practices to manage consultations with patients with culturally different communicative styles from their own. Specific training in identifying these problems and preventing/repairing them in the consultation is essential. This level of awareness-raising is more crucial than general discussions of culturally different health belief models.
journal_name
Med Educjournal_title
Medical educationauthors
Roberts C,Moss B,Wass V,Sarangi S,Jones Rdoi
10.1111/j.1365-2929.2005.02121.xkeywords:
subject
Has Abstractpub_date
2005-05-01 00:00:00pages
465-75issue
5eissn
0308-0110issn
1365-2923pii
MED2121journal_volume
39pub_type
杂志文章,多中心研究abstract:CONTEXT:Although competence committees (CCs) are most often conceptualised as group decision-making bodies, policy documents forward a more ambitious vision and outline several additional roles for CCs that support the continuous quality improvement of education programmes and promote formative feedback. However, wheth...
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journal_title:Medical education
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journal_title:Medical education
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journal_title:Medical education
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pub_type: 杂志文章,随机对照试验
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更新日期:2009-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2007.02776.x
更新日期:2007-08-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00236.x
更新日期:1998-09-01 00:00:00
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doi:10.1111/medu.13280
更新日期:2017-06-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/medu.12058
更新日期:2012-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2011-07-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2021-01-13 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2004-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:1998-07-01 00:00:00
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更新日期:2006-04-01 00:00:00
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更新日期:2006-10-01 00:00:00
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更新日期:2020-12-01 00:00:00
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更新日期:1979-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:1992-01-01 00:00:00
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更新日期:2004-09-01 00:00:00
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更新日期:1992-09-01 00:00:00
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更新日期:2020-12-21 00:00:00