Evidence map›Paper›PMID 29973220›Full record

ArticleBMC medical ethics2018

Their view: difficulties and challenges of patients and physicians in cross-cultural encounters and a medical ethics perspective.

Kristina Würth, Wolf Langewitz, Stella Reiter-Theil, Sylvie Schuster

Abstract read
In one paragraph

Article in BMC medical ethics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The patient perspective on diversity-sensitive care: a systematic review.International journal for equity in health · 2024
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kristina WürthUniversitätsspital Basel, Hebelstrasse 2, CH-4031, Basel, Switzerland.
Wolf LangewitzPsychosomatic Medicine - Medical communication, University Hospital Basle, Hebelstrasse 2, CH-4031, Basel, Switzerland. wolf.langewitz@usb.ch.
Stella Reiter-TheilDepartment Clinical Ethics, Psychiatric Hospitals University Basel University Hospital Basel / University of Basel, Wilhelm Klein-Str. 27, CH-4012, Basel, Switzerland.
Sylvie SchusterUniversitätsspital Basel, Hebelstrasse 2, CH-4031, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn todays' super-diverse societies, communication and interaction in clinical encounters are increasingly shaped by linguistic, cultural, social and ethnic complexities. It is crucial to better understand the difficulties patients with migration background and healthcare professionals experience in their shared clinical encounters and to explore ethical aspects involved.

methodsWe accompanied 32 migrant patients (16 of Albanian and Turkish origin each) during their medical encounters at two outpatient clinics using an ethnographic approach (participant observation and semi-structured interviews with patients and healthcare professionals). Overall, data of 34 interviews with patients and physicians on how they perceived their encounter and which difficulties they experienced are presented. We contrasted the perspectives on the difficult aspects and explore ethical questions surrounding the involved issues.

resultsPatients and physicians describe similar problem areas, but they have diverging perspectives on them. Two main themes were identified by both patients and physicians: >patients' behaviour in relation to doctors' advice< and > relationship issues<.

conclusionsA deeper understanding of the difficulties and challenges that can arise in cross-cultural settings could be provided by bringing together healthcare professionals' and patients' perspectives on how a cross- cultural clinical encounter is perceived. Ethical aspects surrounding some of the difficulties could be highlighted and should get more attention in clinical practice and research.

Indexed as

AlbaniaCommunicationCulturally Competent CareFemaleHumansInterviews as TopicMalePhysician-Patient RelationsSwitzerlandTransients and MigrantsTurkeyCross-cultural communicationDifficultiesEthics in clinical practiceMigrant patientsPerspectivesQualitative research

Identifiers

PMID29973220
PMCPMC6033281

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.