Mora Claramita1, Nungki Arininta2, Yayuk Fathonah3, Sandra Kartika4, Yayi Suryo Prabandari5, I Dewa Putu Pramantara6. 1. Department of Medical, Health Professions Education, and Bioethics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada (UGM), Indonesia. Electronic address: mora.claramita@ugm.ac.id. 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.
Abstract
OBJECTIVES: A 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. METHODS: In 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. RESULTS: Doctors' 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. CONCLUSIONS: The '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 IMPLICATIONS: Using a partnership-oriented and culturally-sensitive communication guideline, doctors can improve their communication skills with their patients towards optimum health outcomes.
OBJECTIVES: A 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. METHODS: In 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. RESULTS: Doctors' 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. CONCLUSIONS: The '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 IMPLICATIONS: Using a partnership-oriented and culturally-sensitive communication guideline, doctors can improve their communication skills with their patients towards optimum health outcomes.
Keywords:
Chronic-care management; Culturally-sensitive communication; Doctor-patient communication skills; Partnership communication style; Patient-centered care
Authors: Diah Martina; Christina Yeni Kustanti; Rahajeng Dewantari; Noorwati Sutandyo; Rudi Putranto; Hamzah Shatri; Christantie Effendy; Agnes van der Heide; Judith A C Rietjens; Carin van der Rijt Journal: BMC Palliat Care Date: 2022-06-22 Impact factor: 3.113