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Healthcare Workplace Communication: Case 5 Between Patient and a Dentist

Introduction

A patient from Switzerland gets dental care abroad, comes without booking and faces challenges due to communication obstacles because she can speak Italian only; a misunderstanding with therapy advice occurs, and then they have problems with bill-paying. The above incident highlights the importance of open communication in hospitals, especially where there are cultural barriers and various languages. Communication in the health care setting is essential since it ensures that patients understand what treatments are available, how much they cost, and what procedures they entail. This encourages patient confidence and helps deliver the best possible care. Communication with proficiency gains importance in cross-cultural settings, as even one miscommunication may undermine a patient’s ability to participate in treatment selection.

Communicative Strategies

Language Barrier and Treatment Misunderstanding

Healthcare decision-making and understanding are affected by the language barrier. Individuals need help understanding medical directions or even interpreting their situation or treatment options due to the language barriers between health workers and patients. The patient who wanted teeth extraction immediately might have been in pain and unable to comprehend when the dentist advised him to use other forms of treatment. Many hospitals today have language issues that can affect patients’ treatment decisions (Raza et al., 2020).

Pain immediately might have influenced their willingness to extract because other treatments may not be as painful as possible to an individual. In hospital settings, extreme pain or aches can drive patients to seek immediate relief rather than considering future consequences. The patient might have concentrated only on pain relief and completely disregarded the dentist’s suggestions about preserving the teeth due to the language barrier. It means that decision-making concerning acute pain is complex, especially when patients speak another language and want quick fixes, not long-term solutions.

Communication Breakdowns

Significant obstacles confront dentist-patient relationships related to treating and cost issues within healthcare provision. According to statistics from Statistics Canada, in 2021, about 15.7% of the Ontarian population, which translates to over 4.6 million people, mainly speak languages other than English or French at home (Abraham, 2023). Similarly, a report produced by Social Planning Toronto in 2018 indicates that one in every twenty Toronto residents needs help understanding or speaking English or French, highlighting the region’s broad range of language diversity. Statistical data from the UK’s National Health Service (NHS) further highlights this point. The diversity of the population served is reflected by the 2011 census data indicating that 16 percent of England and Wales’ population are from minority ethnic backgrounds. About 8% (equivalent to 8,153,266 people over three years old) are declared non-English or Welsh speakers in this category. As per the Office of National Statistics statistics in 2013, 59 percent of these groups suffer difficulties speaking English. The constraints on language proficiency, where people need help speaking, reading, writing and understanding English, lead to obstacles during medical interactions (Diamond et al., 2019). About 785,000 LEP patients aged sixteen or older in New York City (NYC) are concerned about this issue. Therefore, These language barriers prevent patients’ comprehension of treatment choices and costs and impede HCPs from providing complete and safe service.

Remedying the Situation:

Improving Communication Strategies:

Healthcare communication with better communication can aid people of different linguistic origins to understand and receive medical care. Medical consultations rely on language translation services or tools (Mehandru et al., 2022). Such services enable healthcare professionals to communicate with multilingual patients and transmit information correctly. High context refers to healthcare settings where multilingual staff or resources are necessary because they serve diverse patient populations. Healthcare personnel conversing in different tongues helps facilitate communication, build rapport and ease healthcare for patients who have difficulties raising their queries or digesting health information.

Providing interpreter services or translating devices directly integrated with medical consultations will assist patients in understanding the information provided. Digital translations and expert interpreters allow patients to understand their diagnosis, treatment options, and cost. Healthcare institutions may also benefit from multilingual workers or other resources to enhance communications and make treatment patient-centred. Speaking in a familiar tongue enables patients to become less fearful and minimize misunderstandings about their health problems and what to do.

Enhancing Pre-Procedure Information

Patient participation in all aspects of the care process, including preoperative treatment planning, has shown improved clinical outcomes and higher patient satisfaction scores. Open communication about treatment choices enables individuals to participate in health planning in an informed manner on how much it will cost them. Open price talks inform consumers on how to budget for their treatment finances. This, in turn, helps to manage expectations and create trust between practitioners and their clients. Telling patients about the ways that they must provide consent before medical treatments are the way one ensures the patient’s right of self-determination in health decision-making prior to treatments.

Patients can also be assisted through visual aids, short explanations, and multilingual materials when preparing for procedures. Medical issues are often difficult to comprehend, but diagrams and models offer a more straightforward way of understanding what treatment options might work best (McGill et al., 2021). Plain language makes complicated medical jargon and jargon-rich details simple for patients to comprehend. Provide written information in various languages to address different patients’ backgrounds; let patients read and understand all the pre-procedure documentaries in their preferred languages, thus creating cohesion in healthcare.

Addressing Billing Issues

The increased satisfaction of patients is essential in building trust in the healthcare system, and transparent billing procedures enhance this. Transparent billing advocacy, for instance, requires straightforward and uncomplicated cost billing in a non-emergency case. Patients can plan their expenditures on healthcare and remain protected from surprises due to cost estimates. Hospitals give cost estimates of their services to enable the patients to know what they will pay for the health care services before billing. This creates transparency, allowing patients to make informed decisions without surprises in the form of unplanned high bills—additionally, such an approach in healthcare facilities.

They use direct, concise, and culturally relevant written textual communication while billing can minimize misunderstandings in healthcare financial agreements. A simple billing description is easily understandable by patients. Cultural sensitivity is essential in writing as it involves considering various cultures when reporting a bill. Culturally sensitive billing practices reflect an understanding of cultural norms and values, help improve communication, and mitigate the risks of conflicts with patients from other cultures.

Styles of Communication and Technical Writing:

Adapting Communication Styles

Engaging with multicultural patients requires adapting communication techniques. Healthcare personnel must adapt to culturally diverse patients’ communication norms, language preferences, and perceptions (Shepherd et al., 2019). Healthcare practitioners must learn patience, empathy, and active listening to adapt. First, patience helps healthcare personnel overcome language hurdles and communication pace variations, allowing for understanding and clarity. Empathy helps recognize cultural differences and build rapport and trust, essential for effective communication. Active listening skills like paraphrasing or summarizing patients’ issues improve comprehension and bridge communication gaps. Communication adaptability includes being open to culturally significant non-verbal cues, which improves understanding and rapport. Adaptable healthcare workers use clear, simple, and sensitive language to deliver patient-specific information. Adaptable communication in healthcare improves patient-provider relations, mutual understanding, and patient-centred treatment, meeting varied cultural needs.

Technical Writing in Healthcare

Clear and succinct technical language in healthcare documentation helps varied patient populations understand and communicate (Pun, 2021). Medical forms must employ simple language and ordered formatting to transmit vital information. This involves using straightforward language, eliminating medical jargon, and giving patients clear instructions to fill out forms. Billing statements must be clear for individuals from varied cultural backgrounds to understand medical costs and insurance coverage. Patients can better comprehend their healthcare finances using straightforward language and breaking down complex billing information into simple portions. Healthcare providers should utilize simple language and visual aids to explain medical processes and their effects in treatment explanations. Culturally sensitive language and imagery make information accessible and respectful of diverse ideas and viewpoints, improving patient understanding and compliance.

Healthcare written materials need to be in easy-to-understand language and culturally sensitive across diverse populations of patients. Patients may use brochures, leaflets, and healthcare instructions that are explained. Patients can access medical information written clearly in simple English regardless of their education and social background. Cultural sensitivity translates as recognizing and showing respect for other cultures. For inclusivity purposes, do not use words or images that can offend certain cultural groups. Translating written products into patient-speaker languages promotes diversity, helping non-native speakers understand essential healthcare information. There is an effort to use clear, simple language and consider different cultures in health care.

Conclusion

Communication is crucial in dealing with misconceptions in multicultural health settings and providing quality patient management (Berry, 2016). Healthcare providers can improve communication between practitioners and their patients by eliminating misunderstandings arising from language barriers that lead to the patient’s misinterpretation of treatment options, costs, and processes, thereby enabling informed decision-making. Patient, active listening and empathic communication is a flexible approach that helps health practitioners overcome the cultural gap with diverse patients. The use of simple language plus culturally appropriate approaches in technical writing in healthcare papers such as medical forms and treatment explanations increases accessibility and intelligibility among different patients with varied cultures and language systems. Healthcare establishments can offer translated documents and other visual aids that help non-native language speakers and people from different cultural backgrounds gain crucial health-related information. Billing that is transparent and preoperative estimates of costs enable patients to understand the financial effects, hence reducing post-treatment disputes. Better communication is essential for cultural diversity and inclusivity, which relates to ethics and enhances an atmosphere of patient-centeredness. These enhanced communication techniques and better technical writing practices correct immediate miscommunications, leading to better patient experience, improved interaction across different cultures, and fair access to health care. Communication is vital in developing a culture that acknowledges diverse groups, resulting in improved health outcomes and patient satisfaction. Such a coordinated approach towards improving communication practice, as depicted, shows health institutions’s seriousness in continuous improvement and cultural competence. They contribute significantly to creating trust, reducing miscommunication and enhancing quality care in various healthcare facilities.

References

Abraham, H. (2023). Investigating differences in cancer incidence between immigrants and non-immigrants: A population-based study from 1992-2015 using Statistics Canada data (Doctoral dissertation, University of Northern British Columbia). https://doi.org/10.24124/2023/59387

Diamond, L., Izquierdo, K., Canfield, D., Matsoukas, K., & Gany, F. (2019). A systematic review of the inpatient–physicians can non-English language concordance on quality of care and outcomes. Journal of General Internal Medicine34, 1591-1606. https://doi.org/10.1007/s11606-019-04847-5

Drossman, D. A., Chang, L., Deutsch, J. K., Ford, A. C., Halpert, A., Kroenke, K., … & Sperber, A. (2021). A review of the evidence and recommendations on communication skills inpatient–provide provider relationship: a Rome foundation working team report. Gastroenterology161(5), 1670-1688. https://doi.org/10.1053/j.gastro.2021.07.037

McGill, E., Er, V., Penney, T., Egan, M., White, M., Meier, P., … & Petticrew, M. (2021). Evaluation of public health interventions from a complex systems perspective: a research methods review. Social Science & Medicine272, 113697. https://doi.org/10.1016/j.socscimed.2021.113697

Mehandru, N., Robertson, S., & Salehi, N. (2022, June). Reliable and safe use of machine translation in medical settings. In Proceedings of the 2022 ACM Conference on Fairness, Accountability, and Transparency (pp. 2016-2025). https://doi.org/10.1145/3531146.3533244

Pun, J. (2021). Clinical handover in a bilingual setting: Interpretative phenomenological analysis exploring translanguaging practices for effective communication among hospital staff. BMJ open11(9), e046494. http://dx.doi.org/10.1136/bmjopen-2020-046494

Raza, A., Matloob, S., Abdul Rahim, N. F., Abdul Halim, H., Khattak, A., Ahmed, N. H., … & Zubair, M. (2020). Factors impeding healthcare professionals to effectively treat coronavirus disease 2019 patients in Pakistan: a qualitative investigation. Frontiers in Psychology11, 572450. https://doi.org/10.3389/fpsyg.2020.572450

Shepherd, S. M., Willis-Esqueda, C., Newton, D., Sivasubramaniam, D., & Paradies, Y. (2019). The challenge of cultural competence in the workplace: perspectives of healthcare providers. BMC Health Services Research19(1), 1-11. https://doi.org/10.1186/s12913-019-3959-7

 

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