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Socio-cultural difference in doctor-patient communication in the European countries.

Brink-Muinen, A. van den, Meeuwesen, L. Socio-cultural difference in doctor-patient communication in the European countries. In: Book of abstracts of the 17th Conference of the European Health Psychology Society "European health psychology. Gender, culture and health" September 24-27, 2003, Kos, Greece. 2003. 69
Aims: In medical encounters, good doctor-patient communication is of utmost importance in the health care process. The influence of doctor, patients and organizational charactersitics has been showed in many studies. Scarce studies have indicated the importance of cultural characteristics on communication. Cultural differences find their expression along important dimensions (Hofstede 1991), as power distance and masculinity versus femininity. It was studied how theirs dimensions were reflected in doctor-patient communication and whether they agree with Hofstede's context, i.e.
multinational institutions. Research question: What are the differences in doctor-patient communication between European countries in terms of power distance and masculinity vs femininity? How can the differences be interpreted in terms of these dimension? Do the findings agree with Hofstede's findings? Methods: Data was derived from the Eurocommunication Study I and II (1999, 2003). In total 307 general practitioner and 5820 patients from 10 Western- en Eastern-European countries participated in the study. Consultations were videotaped and communication was assessed
using Roter's Interaction Analysis System. T-tests and oneway analyses were performed. Results: There were substantial socio-cultural differences between the ten European countries Power distance was greater in Central- than Western European countries. Masculinity/femininity also differed between the ten countries. The reflection of the dimension in comuinication considerably differed from Hofstede's finding in the contex of mutinational instituions. Conclusions: Power distance and masculinity vs femininity depend on context and time.(aut. ref.)