Thispaper focuses on the research question, ‘Thecountry of origin of the doctors has an influence on students` choice if theyneed to visit a doctor’.
The experiment is centered around three communities namelythe German community, Polish community and the Indian Community. The aim is tosee how does origin of a doctors (his ethnicity, community or culturalcompetence) really influences the patient’s choice, here being ‘students’ inselecting a doctor. The notion that a student may prefer a doctor from his orher own community holds true except, this might not be entirely true. Thepsychology of the mind works in different ways. There can be circumstances wherethere is no option but to just perform the operation with the best doctor inthe field and hence does origin, really matter in that case? All this will befurther explained as we move further in this research paper. Onwhat basis do patients really choose their doctors is still debatable, the factthat it could be based on the origin, the race or ethnicity cannot be ruledout. Cultural competence of a doctor can also be the reason why a patient wantsto be consulted by him or her. The American Medical Association (AMA) has itsown Cultural Competence Compendium, in which it defines culture as ‘any groupof people who share experience, languages and values that permit them tocommunicate knowledge not shared by those outside the culture.
‘ The AMA alsostates that ‘Culturally competent physicians are able to provide patientcentred care by adjusting their attitudes and behaviours to account for theimpact of emotional, cultural, social, and psychological issues on the ailment'(American Medical Association) Hence, it is notable that given a doctor’sbackground or history the patient might make a better rapport with him and thedoctor may also be more supportive in making the patient feel more comfortable.InAmerica racial discrimination has a history. Efforts to increase the differentethnicity of doctors have been a focus, whether it is the African Americandoctors or the Hispanic doctors (Thomas and Amani 2002) The underlying factbeing the minority will be represented by them or through them. With theconstant efforts, Medical schools have responded to the proposition byincreasing the production of minority doctors pass outs. (Carlisle et al. 1998;Libby et al. 1997).
(Cooper- Patrick et al. 1999) in their research studyconducted a telephonic survey, of 1816 African Americans and white adults, thepatients selected were those which recently took part in the care practice andthey were taken to analyse and assess the doctor patient decision makingparticipatory style. The results showed patients who are give more importanceto race have rated their physicians more participatory than compared topatients who are not such big believers of raceAsimilar area of inquiry where, patients believe that race play an important rolecan be seen in the experiment conducted were patients choose their healthcareproviders according to race. NationalMedical Expenditure Survey conducted by (Gray and Stoddard 1997) concluded thefact that patients from minority community choose doctors belonging to thatminority community.(Saha et al. 2000) further demonstrated that Black, Whiteand Hispanic choose doctors of their own race because of their own personalpreference and comfort and not just because they were limited doctors in thatfield.
The theory that minority of doctors will practice in their own minoritycommunities has also been well documented (Moy and Bartman 1995) (Sahaet al. 1999) also found that African American race concordant people are morelike to rate their physicians as the best or excellent rated. While there aresome researchers like (Chen et al.
2001) who were not able to find any race orcultural differentiation in the field cardiac catheterization. (Litt and Cuskey1998) focused on the satisfaction aspect of meeting a doctor. Their studiesshowed adolescents who reported higher satisfaction after an initial visit with the doctor aremore likely to go back to the doctor for a follow up appointment as compared toan unsatisfied patient in the first visit. Subsequent studies have also showedthat patient satisfaction and appointment keeping have showed the same resultsconfirming this theory and relationship (Fred et al.
1998, Carlson and Gabriel2001, Ivanov and Flynn 1999) Whilepatients may choose physicians from their own race the outcome of the serviceprovided and how successful is it, is still something which needs moreresearch.