TY - JOUR
T1 - Patients' need for information provision and perceived participation in decision making in doctor-patient consultation
T2 - Micro-cultural differences between French- and Italian-speaking Switzerland
AU - Camerini, Anne Linda
AU - Schulz, Peter J.
N1 - Funding Information:
This study was funded by the Swiss National Science Foundation (FN 130030 ). The funding source had no involvement in study design, data collection, analysis and interpretation of data, or write-up of the article.
Publisher Copyright:
© 2015 Elsevier Ireland Ltd.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - 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.
AB - 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.
KW - Chronic low back pain
KW - Doctor-patient consultation
KW - Empowerment
KW - French
KW - Italian
KW - Knowledge
KW - Micro-culture
KW - Participation in decision making
KW - Patient information provision
KW - Switzerland
KW - Trust
UR - http://www.scopus.com/inward/record.url?scp=84959171026&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2015.10.018
DO - 10.1016/j.pec.2015.10.018
M3 - Article
C2 - 26554701
AN - SCOPUS:84959171026
SN - 0738-3991
VL - 99
SP - 462
EP - 469
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -