This book discusses how hierarchical and collectivist cultures encounter and manage challenges in communication in healthcare, particularly given that failures in communication may result in threats to patient safety. To date, guidelines on communication practices in healthcare have been primarily based on Western evidence, and thus do not satisfy the needs of other cultural contexts. Existing studies have shown that strong hierarchical and collectivist cultures transnationally have different communication practices, with shared characteristics between several countries in Asia, Africa, and South America. Furthermore, when people migrate, they transport their communication characteristics to their new host environment, which can in turn yield problematic communication gaps affecting doctor-patient care. Building on their extensive work focused on healthcare communication in Southeast Asian cultures, the authors propose remedial approaches and discuss future initiatives for practicing doctors, nurses, pharmacists and other healthcare practitioners who encounter the daily struggle of cultural miscommunication in their clinical practices.They also address the ways in which patients may be hesitant when communicating with healthcare providers, owing to cultural barriers, and address how healthcare providers might tackle these challenges. The work is structured around the Hofstede theoretical framework, focusing on two of the six domains of culture, namely hierarchy and collectivism. The book will be relevant to educators and researchers in public health looking to undertake further communication skills training and knowledge development, with the aim of improving patient care and safety.
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