The presence of a patient's voice in the care process: implications for patient-centeredness
SOURCE: Stellenbosch Papers in Linguistics Plus
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2016
TITLE AUTHOR(S): K.Sobane, M.Magampa
KEYWORDS: PATIENT-PROVIDER PARTNERSHIPS, PATIENTS, PRIMARY HEALTH CARE
DEPARTMENT: Impact Centre (IC), Impact Centre (PRESS), Impact Centre (CC)
Print: HSRC Library: shelf number 9521
HANDLE: 20.500.11910/10494
URI: http://hdl.handle.net/20.500.11910/10494
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2016
TITLE AUTHOR(S): K.Sobane, M.Magampa
KEYWORDS: PATIENT-PROVIDER PARTNERSHIPS, PATIENTS, PRIMARY HEALTH CARE
DEPARTMENT: Impact Centre (IC), Impact Centre (PRESS), Impact Centre (CC)
Print: HSRC Library: shelf number 9521
HANDLE: 20.500.11910/10494
URI: http://hdl.handle.net/20.500.11910/10494
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
A patient-centred approach to care is increasingly recognised as the hallmark of adequate healthcare delivery since it allows a holistic approach to care. Although there is no agreed-upon definition of patient-centred care, literature on this subject recognises effective communication and patient participation as necessary factors for the achievement of patient-centred care. Despite ample literature on the value of patient-centred care and the patient's voice in it, there is very limited literature on its achievement in linguistically-diverse consultations. There is even less literature on the subject based on research conducted in Sub-Saharan Africa, where multilingual healthcare systems are prevalent and there is a need for policy interventions to regulate such systems. This paper traces the presence or silence of the patient's voice in linguistically-diverse consultations and the implications that it has for achieving a patient-centred approach to care. The findings suggest that the language barrier submerges the patient's voice at many of the points of the care process. Where it is visible, it is not on the basis of participation in decision-making, but in responding to questions asked. The paper therefore makes recommendations for a strategic communication framework that will enhance the presence of the patient's voice in language-discordant consultations.-
Related Research Outputs:
- Prevalence of alcohol use by rural primary care outpatients in South Africa
- An assessment of factors influencing levels of patient satisfaction in Kouga primary health care facilities in Cacadu district (Eastern Cape Province) in 2009
- Patient satisfaction with primary health care services in a selected district municipality of the Eastern Cape of South Africa
- Primary health care in the era of HIV/AIDS. Some implications for health systems reform
- Managing chronic diseases in less developed countries: healthy teamworking and patient partnership are just as important as adequate funding
- Integrating services, marginalizing patients: psychiatric patients and primary health care in South Africa
- Putting HIV/AIDS counselling in South Africa in its place
- Reflective practice: psychodynamic ideas in the community
- The "good enough" community: power and knowledge in South African community psychology
- South African Epidemiology Network on Drug Use (SACENDU): July-December 1999: (phase 7)
- South African Community Epidemiology Network on Drug Use (SACENDU): January - June 2000: (phase 8)
- South African Community Epidemiology Network on Drug Use (SACENDU): July-December 2000: (phase 9)
- South African Community Epidemiology Network on Drug Use (SACENDU): alcohol and drug abuse trends: July-December 2001
- South African Community Epidemiology Network on Drug Use (SACENDU): key alcohol and drug abuse trends: January-June (Phase 12)
- An initiative to provide primary health care using telemedicine: observations from a reconnaissance study
- Baseline assessment: European Union partnerships for the delivery of primary health care programme in South Africa
- Substance abuse and HIV risk behaviours amongst primary health care service users in Cape Town
- Universal HIV testing of infants at immunization clinics: an acceptable and feasible approach for early infant diagnosis in high HIV prevalence settings
- African socialisation: the application of cross-cultural methodology
- Changing usage of private/public primary health care in South Africa, 1995-2005