Patients' need for information provision and perceived participation in decision making in doctor-patient consultation: Micro-cultural differences between French- and Italian-speaking Switzerland

Anne Linda Camerini, Peter J. Schulz

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Objectives: To explore micro-cultural differences in patients' need for information provision, perceived participation in decision making, and related concepts during the doctor-patient consultation between French- and Italian-speaking patients in Switzerland. Methods: In 2012, 153 French- and 120 Italian-speaking patients with chronic low back pain (cLBP) were surveyed on their need for information provision, perceived participation in decision making, cLBP knowledge, psychological empowerment, and trust in their doctor. T-tests and regression analyses with interaction terms were performed. Results: Results show that French- and Italian-speaking patients significantly differed in their participation in decision making, with French-speaking patients reporting higher involvement. Need for information provision was related to empowerment among French- and to trust among Italian-speaking patients. For participation in decision making, trust was the only related concept among French-, and cLBP knowledge among Italian-speaking patients. Significant interaction terms indicate a moderation of micro-cultural background. Conclusion: Findings point towards differences in the relationships between individual patient characteristics (i.e. knowledge, empowerment) and relational doctor-patient characteristics (i.e. trust) and patients' need for information provision and participation in decision making between French- and Italian-speaking patients in Switzerland. Practice implications: Doctors should be aware of these differences when dealing with patients of different micro-cultural backgrounds.

Original languageEnglish
Pages (from-to)462-469
Number of pages8
JournalPatient Education and Counseling
Volume99
Issue number3
DOIs
StatePublished - 1 Mar 2016

Keywords

  • Chronic low back pain
  • Doctor-patient consultation
  • Empowerment
  • French
  • Italian
  • Knowledge
  • Micro-culture
  • Participation in decision making
  • Patient information provision
  • Switzerland
  • Trust

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