Abstract：
AIM:The value of patient-centredness, of which effective physician-patient communication is one key element, has been established within medicine. However, research shows social differences in medical communication according to the patient's social background. This study examines the role of the patient's ethnicity, educational background and language proficiency in relation to physician-patient interaction in 31 countries. METHOD:More than fifty thousand patients were given a standardized questionnaire to gain insights into the professional behaviour of their family physician and their own expectations and actions. RESULTS:While no effect of ethnicity was found, there was a significant effect of patients' language proficiency and educational level. Patients with lower language proficiencies were more likely to experience more negative interactions with their physicians. Second-generation migrants who did not fill in the questionnaire in an official language were more negative about the patient-physician interaction. Patients who had a greater chance of having a positive patient-physician interaction were more likely to be higher educated. CONCLUSION:Despite the shift towards patient-centred care in medicine, physician-patient communication is still determined by the patient's educational background and language proficiency. PRACTICE IMPLICATION:GPs should primarily be trained to tailor their communication styles to match patients' backgrounds.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Aelbrecht K,Hanssens L,Detollenaere J,Willems S,Deveugele M,Pype Pdoi
10.1016/j.pec.2018.11.006subject
Has Abstractpub_date
2019-04-01 00:00:00pages
776-781issue
4eissn
0738-3991issn
1873-5134pii
S0738-3991(18)30998-4journal_volume
102pub_type
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journal_title：Patient education and counseling
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