Sodemann Morten, Kristensen Trine Rønde, Sångren Henrik, Nielsen Dorthe
Indvandrermedicinsk Klinik, Infektionsmedicinsk Afdeling Q, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense C.
Ugeskr Laeger. 2015 Aug 24;177(35).
Clinicians lack cultural competencies and communication skills relevant to clinical decision-making in cases of language and cultural barriers. Life course perspectives and basic understanding of life in exile are not integrated in diagnostics, treatment or follow-up resulting in low patient compliance, mistrust, complications, diagnostic errors and delays. Stereotyping and generalizations put patients in a position where they are forced to protect themselves by withholding important information. When in doubt clinicians should ask, listen and avoid guessing.
在存在语言和文化障碍的情况下，临床医生缺乏与临床决策相关的文化能力和沟通技巧。在诊断、治疗或随访过程中，没有纳入人生历程视角和对流亡生活的基本理解，这导致患者依从性低、不信任、出现并发症、诊断错误和延误。刻板印象和一概而论使患者处于被迫通过隐瞒重要信息来保护自己的境地。如有疑问，临床医生应该询问、倾听并避免猜测。
