A partnership-oriented and culturally-sensitive communication style of doctors can impact the health outcomes of patients with chronic illnesses in Indonesia |
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| Institution: | 1. Department of Medical, Health Professions Education, and Bioethics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada (UGM), Indonesia;2. Puskesmas (Primary Health Care Center) of Kretek, Bantul District, Yogyakarta Special Region, Indonesia;3. Department of Public Health, Faculty of Medicine, Universitas Islam Indonesia, Indonesia;4. Patalan - Primary Care Clinic of Jetis, Bantul District, Yogyakarta Special Region, Indonesia;5. Department of Health Behavior, Environment, and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada (UGM), Indonesia;6. Department of Internal Medicine – Sub-division of Geriatrics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada (UGM), Indonesia;1. Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands;2. Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA;1. Wayne State University School of Medicine, Department of Psychiatry, Detroit, MI, United States;2. Wayne State University School of Medicine, Department of Oncology, Detroit, MI, United States;3. Barbara Ann Karmanos Cancer Institute, Population Studies and Disparities Research Program, Detroit, MI, United States;1. Department of Primary Care, University of Malaya, Kuala Lumpur, Malaysia;2. School of Medicine, University of Glasgow, Glasgow, UK;1. Athena Institute, Faculty of Beta Sciences, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, The Netherlands;2. Institute of Communication & Health, Faculty of Communication Sciences, Università della Svizzera italiana, Via Giuseppe Buffi 6, 6900 Lugano, Switzerland;1. CATALYST – The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, OH, USA;2. Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, USA;3. Department of Family Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA |
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| Abstract: | ObjectivesA partnership-oriented communication style is globally recommended for medical practice. A culturally-sensitive doctor-patient communication guideline is also needed for Southeast Asia. The ‘Greet-Invite-Discuss’ guideline was established and tested with primary care doctors and their patients in Indonesia.MethodsIn this mixed-methods study, doctors were trained according to the ‘Greet-Invite-Discuss’ guideline, while patients received standard treatment. Two groups of fifteen doctors were assigned to have consultations with 45 patients with hypertension or 51 patients with type-2 diabetes mellitus. Doctors’ self-assessment and patients’ perceptions and their clinical outcomes were longitudinally measured. Six focus group discussions were conducted to explore doctors’ and patients’ experiences.ResultsDoctors’ self-assessments and patients’ perceptions of doctors’ communication skills increased significantly (p < 0.05). Moreover, patients’ blood pressure or fasting blood glucose levels decreased significantly (p < 0.05), except the two-hour blood glucose levels (NS). Qualitatively, doctors demonstrated more partnership and culturally-sensitive communication, and patients expressed more satisfaction, increased comprehension and self-management, of their chronic illnesses.ConclusionsThe ‘Greet-Invite-Discuss’ guideline was useful for primary care doctors for a more partnership-oriented and culturally-sensitive communication with patients in chronic care management.Practice implicationsUsing a partnership-oriented and culturally-sensitive communication guideline, doctors can improve their communication skills with their patients towards optimum health outcomes. |
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| Keywords: | Doctor-patient communication skills Partnership communication style Culturally-sensitive communication Chronic-care management Patient-centered care |
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