Aspek Budaya dan Sosial dalam Komunikasi dan Profesionalisme Medis

  • Astrid Pratidina Susilo Fakultas Kedokteran, Universitas Surabaya, Jl. Raya Kalirungkut, Surabaya, 60293, Indonesia
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Keywords: Asia, communication, culture, education, professionalism

Abstract

Abstract Medical communication and professionalism are central issues in clinical practice. Both are highly influenced by context such as cultural and social aspects. In medical education, a lot of studies about communication and professionalism have been conducted in Western setting and may not be fully applicable for other cultural or social context. This article aims to introduce several evidence from non-Western context in the area of medical communication and professionalism and discuss their applicability. We will use the study from Hofstede et al. about cultural domains as a theoretical basis. We will also present different studies on communication and professionalism conducted in Asia, such as from Indonesia and Japan, highlight some differences, and discuss how they may influence the medical communication and professionalism. We will provide practical examples on how to use these body of evidence in communication skills training and other area of medical education. Finally, we will discuss some ideas to strengthen future research initiatives from our context.

Keyword: Asia, communication, culture, education, professionalism

 

Abstrak— Komunikasi medis dan profesionalisme adalah masalah sentral dalam praktik klinis. Keduanya sangat dipengaruhi oleh konteks seperti aspek budaya dan sosial. Dalam pendidikan kedokteran, banyak penelitian tentang komunikasi dan profesionalisme telah dilakukan di lingkungan Barat dan mungkin tidak sepenuhnya dapat diterapkan untuk konteks budaya atau sosial lainnya. Artikel ini bertujuan untuk memperkenalkan beberapa bukti dari konteks non-Barat di bidang komunikasi medis dan profesionalisme serta membahas penerapannya. Kami akan menggunakan karya Hofstede et al tentang ranah budaya sebagai dasar teoritis. Kami juga akan menyajikan berbagai studi tentang komunikasi dan profesionalisme yang dilakukan di Asia, seperti dari Indonesia dan Jepang, menyoroti beberapa perbedaan, dan membahas bagaimana pengaruhnya atas komunikasi medis dan profesionalisme. Kami akan memberikan contoh praktis tentang bagaimana menggunakan bukti-bukti ini dalam pelatihan keterampilan komunikasi dan bidang pendidikan kedokteran lainnya. Terakhir, kami akan membahas beberapa ide untuk memperkuat inisiatif penelitian di masa depan dari konteks Indonesia.

Kata kunci: Asia, komunikasi, budaya, pendidikan, profesionalisme

 

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References

Acuin, J, Firestone, R, Htay, T.T, Khor, G.L, Thabrany, H, Saphonn, V & Wibulpolprasert, S (2011). 'Southeast Asia: an emerging focus for global health',The Lancet, 377, 534–535.

Bartholomew, L.K, Parcel, G.S, Kok, G, Gottlieb, N.H & Fernandez, M.E (2011),'Planning health promotion programs: An intervention mapping approach,Jossey-Bass.

Beach, M.C, Price, E.G, Gary, T.L, Robinson, K.A, Gozu, A, Palacio, A, Smarth, C, Jenckes, M.W, Feuerstein, C, Bass, E.B, Powe, N.R & Cooper, L.A (2005),'Cultural competency: A systematic review of health care provider educational interventions',Medical Care, 43, 356–373.

Chongsuvivatwong, V, Phua, K.H, Yap, M.T, Pocock, N.S, Hashim, J.H, Chhem, R, Wilopo, S.A & Lopez, A.D (2011). Health and health-care systems in southeast Asia: diversity and transitions. The Lancet 377, 429–437.

Claramita, M (2012),'Doctor-patient communication in a culturally hierarchical context of Southeast Asia: a partnership approach', [Dissertation] Maastricht University, Maastricht.

Claramita, M, Nugraheni, M.D, van Dalen, J & van der Vleuten, C (2013),'Doctor–patient communication in Southeast Asia: a different culture?',Adv Health Sci Educ Theory Pract, 18, 15–31.

Claramita, M &Susilo, A.P (2014), 'Improving communication skills in the Southeast Asian health care context'.Perspect Med Educ,3, 474–479.

Claramita, M, Susilo, A.P, Kharismayekti, M, van Dalen, J, & van der Vleuten, C (2013)b,'Introducing a partnership doctor-patient communication guide for teachers in the culturally hierarchical context of Indonesia',Educ Health, 26, 147–155.

Claramita, M, Utarini, A, Soebono, H, van Dalen, J & van der vleuten, C (2011),'Doctor–patient communication in a Southeast Asian setting: the conflict between ideal and reality', Adv Health Sci Educ Theory Pract,16, 69–80.

Hofstede, G, Hofstede, G.J & Minkov, M (2010),Cultures and Organizations: software of the mind: intercultural cooperation and its importance for survival, McGraw Hill, New York.

Kanchanachitra, C, Lindelow, M, Johnston, T, Hanvoravongchai, P, Lorenzo, F.M, Huong, N.L, Wilopo, S.A & dela Rosa, J.F (2011),'Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services',The Lancet, 377, 769–781.

Nishigori, H, Harrison, R, Busari, J & Dornan, T 2014,'Bushido and medical professionalism in Japan'Acad Med,89, 560–563.

Pun, J.K.H, Chan, E.A, Wang, S & Slade, D (2018), 'Health professional-patient communication practices in East Asia: An integrative review of an emerging field of research and practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China',Patient Educ and Couns,101, 1193–1206.

Shields, L & Hartati, L.E (2003),'Nursing and health care in Indonesia',J of Adv Nurs, 44, 209–216.

Silverman, J, Kurtz, S.M, Draper, J, van Dalen, J, Platt, F.W (2005),Skills for communicating with patients, Radcliffe Pub, Oxford, UK.

Susilo, A.P (2013),'Learning to be the patient advocate: The development of a communication skills course to enhance nurses’ contribution to the informed consent process' [Dissertation].,Maastricht University, Maastricht.

Susilo, A.P, van Dalen, J, Scherpbier, A, Tanto, S, Yuhanti, P & Ekawati, N (2013),'Nurses’ roles in informed consent in a hierarchical and communal context',Nurs Ethics, 20, 413–425.

Susilo, A.P, van Merriënboer, J, van Dalen, J, Claramita, M & Scherpbier, A (2013),'From lecture to learning tasks: Use of the 4C/ID Model in a communication skills course in a continuing professional education context', J Contin Educ Nurs, 44, 278–84.

Susilo, A.P, Claramita, M, van Dalen, J & Scherpbier, A (2014), 'Learning to be the patients’ advocates: Evaluation of an evidence-based communication skills course,South East AsianJ Med Educ, 8, 60–69.

Susilo, A.P, Nurmala, I, van Dalen, J & Scherpbier, A (2012), 'Patient or physician safety? Physicians’ views of informed consent and nurses’ roles in an Indonesian setting',J Interprof Care, 26, 212–218.

Susilo, A.P, van Dalen, J, van den Eertwegh, V & Scherpbier, A (2013),'Leary’s Rose to improve negotiation skills among health professionals: Experiences from a Southeast Asian culture', Educ Health 26, 54–59.

Tangcharoensathien, V, Patcharanarumol, W, Ir, P., Aljunid, S.M, Mukti, A.G, Akkhavong, K, Banzon, E, Huong, D.B, Thabrany, H & Mills, A (2011), 'Health-financing reforms in southeast Asia: challenges in achieving universal coverage', The Lancet, 377, 863–873.

Vaartio, H & Leino-Kilpi, H (2005),'Nursing advocacy—a review of the empirical research 1990–2003', Int J Nurs Stud, 42, 705–714.

Published
2021-04-30
How to Cite
Susilo, A. P. (2021). Aspek Budaya dan Sosial dalam Komunikasi dan Profesionalisme Medis . Keluwih: Jurnal Sosial Dan Humaniora, 2(1), 38-42. https://doi.org/10.24123/soshum.v2i1.3971