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Submitted: 03 July 2018 Modified: 05 July 2018
HERDIN Record #: NCR-SBU-18070313502563

Culturally competent physician-patient interactions in the Philippine setting: A synthetic review of concepts and its ethico-professional implications.

Pacifico Eric  E. Calderon

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The Filipino culture is a mixture of diverse indigenous and foreign influences. As an archipelagic state consisting of more than seven thousand islands, the Philippines is home to 175 ethno-linguistic groups, each with its unique history, cultural identity, and health beliefs and practices. In the realm of healthcare, it is essential to understand the relationship between culture and health and its impacts on health-related behavior of patients. The study aims to (1) to synthesize and review available literature on cultural competence in healthcare delivery and (2) to indicate how these concepts apply in physician-patient interactions in the Philippine setting. The author searched online databases and performed manual searches of bibliographies to identify the studies included. Among other things, the study found that acknowledging and respecting the context of worldviews and decision-making processes of patients can improve communication and healthcare outcomes. This paradigm involving a fiduciary physician-patient relationship is commensurate with genuine respect for human dignity. In the Philippines, however, there is a need to generate specific, relevant, and useful information about the level of cultural competence of physicians. The study recommends that Filipino physicians should be equipped with the necessary training to provide competent care to patients coming from a wide range of backgrounds. Medical education and clinical training should put emphasis on understanding and respecting culture and its crucial role in molding individual and societal concepts about health. Empirical data should be generated to evaluate the impact of incorporating cultural competence to healthcare delivery using important outcome measures such as patient satisfaction, treatment adherence, and improvements in health-seeking behavior.

Publication Type
Research Report
Date
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