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Health professional-patient communication practices in East Asia: An integrative review of an emerging field of research and practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China.
Patient Educ Couns. 2018 07; 101(7):1193-1206.PE

Abstract

OBJECTIVE

To provide an integrative review of literature on health communication in East Asia and detail culturally-specific influences.

METHODS

Using PRISMA model, search of PubMed, PsychInfo, Web of Knowledge, ERIC and CINAHL databases were conducted for studies between January 2000 and March 2017, using the terms 'clinician/health professional-patient', 'nurse/doctor-patient, 'communication' and 'Asia'.

RESULTS

38 studies were included: Mainland China, Hong Kong, Japan, South Korea, and Taiwan. The existing body of research on clinician patient communication in East Asia can be classified: 1) understanding the roles and expectations of the nurse, clinician, patient, and family in clinician-patient consultations: a) nurse-patient communication; b) doctor-patient communication; c) the role of family member; and 2) factors affecting quality of care: d) cultural attitudes towards death and terminal illnesses; e) communication preferences affecting trust, decision-making and patient satisfaction; f) the extent to which patient centred care is being implemented in practice; and g) communication practices in multilingual/multi-disciplinary environments.

CONCLUSION

The review detailed the complexity and heterogeneity of clinician-patient communication across East Asia. The studies reviewed indicate that research in East Asia is starting to move beyond a preference for Western-based communication practices.

PRACTICE IMPLICATIONS

There is a need to consider local culture in understanding and interpreting medical encounters in East Asia. The paper highlights the need for a specific culturally-appropriate model of health communication in East Asia which may significantly improve relationships between clinicians and patients.

Authors+Show Affiliations

Department of English, The City University of Hong Kong, 83, Tat Chee Avenue, Kowloon, Hong Kong, China; Department of Education, St Antony's College, University of Oxford, 15 Norham Gardens, Oxford, United Kingdom; The Institute for Communication in Health Care, School of Languages, Literature and Linguistics, The Australian National University, Canberra, Australia. Electronic address: jackpun@me.com.The Institute for Communication in Health Care, School of Languages, Literature and Linguistics, The Australian National University, Canberra, Australia; School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China.Faculty of Arts and Social Science, The University of Technology Sydney, Sydney, Australia.The Institute for Communication in Health Care, School of Languages, Literature and Linguistics, The Australian National University, Canberra, Australia; School of Literature, Language and Linguistics, ANU College of Arts & Social Sciences, The Australian National University, Canberra, Australia.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

29422231

Citation

Pun, Jack K H., et al. "Health Professional-patient Communication Practices in East Asia: an Integrative Review of an Emerging Field of Research and Practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China." Patient Education and Counseling, vol. 101, no. 7, 2018, pp. 1193-1206.
Pun JKH, Chan EA, Wang S, et al. Health professional-patient communication practices in East Asia: An integrative review of an emerging field of research and practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China. Patient Educ Couns. 2018;101(7):1193-1206.
Pun, J. K. H., Chan, E. A., Wang, S., & Slade, D. (2018). Health professional-patient communication practices in East Asia: An integrative review of an emerging field of research and practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China. Patient Education and Counseling, 101(7), 1193-1206. https://doi.org/10.1016/j.pec.2018.01.018
Pun JKH, et al. Health Professional-patient Communication Practices in East Asia: an Integrative Review of an Emerging Field of Research and Practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China. Patient Educ Couns. 2018;101(7):1193-1206. PubMed PMID: 29422231.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health professional-patient communication practices in East Asia: An integrative review of an emerging field of research and practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China. AU - Pun,Jack K H, AU - Chan,E Angela, AU - Wang,Sophie, AU - Slade,Diana, Y1 - 2018/01/31/ PY - 2017/10/16/received PY - 2018/01/19/revised PY - 2018/01/24/accepted PY - 2018/2/10/pubmed PY - 2019/3/29/medline PY - 2018/2/10/entrez KW - Communication KW - Doctor-patient KW - East-Asia KW - Empathy KW - Health care communication KW - Hong Kong KW - Japan KW - Mainland China KW - Nurse-patient KW - Patient involvement KW - Patient-centred care KW - Review KW - South Korea KW - Taiwan KW - Trust SP - 1193 EP - 1206 JF - Patient education and counseling JO - Patient Educ Couns VL - 101 IS - 7 N2 - OBJECTIVE: To provide an integrative review of literature on health communication in East Asia and detail culturally-specific influences. METHODS: Using PRISMA model, search of PubMed, PsychInfo, Web of Knowledge, ERIC and CINAHL databases were conducted for studies between January 2000 and March 2017, using the terms 'clinician/health professional-patient', 'nurse/doctor-patient, 'communication' and 'Asia'. RESULTS: 38 studies were included: Mainland China, Hong Kong, Japan, South Korea, and Taiwan. The existing body of research on clinician patient communication in East Asia can be classified: 1) understanding the roles and expectations of the nurse, clinician, patient, and family in clinician-patient consultations: a) nurse-patient communication; b) doctor-patient communication; c) the role of family member; and 2) factors affecting quality of care: d) cultural attitudes towards death and terminal illnesses; e) communication preferences affecting trust, decision-making and patient satisfaction; f) the extent to which patient centred care is being implemented in practice; and g) communication practices in multilingual/multi-disciplinary environments. CONCLUSION: The review detailed the complexity and heterogeneity of clinician-patient communication across East Asia. The studies reviewed indicate that research in East Asia is starting to move beyond a preference for Western-based communication practices. PRACTICE IMPLICATIONS: There is a need to consider local culture in understanding and interpreting medical encounters in East Asia. The paper highlights the need for a specific culturally-appropriate model of health communication in East Asia which may significantly improve relationships between clinicians and patients. SN - 1873-5134 UR - https://www.unboundmedicine.com/medline/citation/29422231/Health_professional_patient_communication_practices_in_East_Asia:_An_integrative_review_of_an_emerging_field_of_research_and_practice_in_Hong_Kong_South_Korea_Japan_Taiwan_and_Mainland_China_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0738-3991(18)30040-5 DB - PRIME DP - Unbound Medicine ER -