Appendix 20 Deriving a Theme Global theme: Interaction and rapport-building in cross-cultural medical encounters Descriptive codes Analytical themes Organizing themes Trust between IMGs and Most of the IMGs were Rapport building and patients aware of the quality of care Rapport-building importance of provision Patients’ information in improving disclosure the quality of care (one IMG disagreed) Most of the IMGs believed that physicians are better able to build rapport with patients and hence more trusted by them Changing The IMGs were aware Different expectations approach that local patients need between IMGs and Formal/informal different approach patients relationship than that needed by patients in their home countries The IMGs and the patients showed different expectations IMGs have different expectations regarding shared decision making than that of patients Equal Patients look inferiorly Patient-physician Dominant/superior to IMGs power dynamic Patients control IMGs IMGs seen as servants Some IMGs do not feel Prejudice in the Linking IMGs to that they are respected medical interaction domestic labour from their patients Respect
Appendix 20 Deriving a Theme Global theme: Interaction and rapport-building in cross-cultural medical encounters Descriptive codes Analytical themes Organizing themes Trust between IMGs and patients Rapport-building Patients’ information disclosure Most of the IMGs were aware of the importance of in improving the quality of care (one IMG disagreed) Most of the IMGs believed that physicians are better able to build rapport with patients and hence more trusted by them Rapport building and quality of care provision Changing approach Formal/informal relationship The IMGs were aware that local patients need different approach than that needed by patients in their home countries The IMGs and the patients showed different expectations IMGs have different expectations regarding shared decision making than that of patients Different expectations between IMGs and patients Equal Dominant/superior Patients control IMGs Patients look inferiorly to IMGs Patient-physician power dynamic IMGs seen as servants Linking IMGs to domestic labour Respect Some IMGs do not feel that they are respected from their patients Prejudice in the medical interaction
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