Factors influencing intercultural doctor- XXXX communication: A realist review.

@entity1 @entity497
OBJECTIVE: Due to migration, doctors see @entity1 from different ethnic backgrounds. This causes challenges for the communication. To develop training programs for doctors in @entity497 ( @entity497 ), it is important to know which barriers and facilitators determine the quality of @entity497 . This study aimed to provide an overview of the literature and to explore how @entity497 works. METHODS: A systematic search was performed to find literature published before October 2012. The search terms used were cultural, communication, healthcare worker. A realist synthesis allowed us to use an explanatory focus to understand the interplay of communication. RESULTS: In total, 145 articles met the inclusion criteria. We found @entity497 challenges due to language, cultural and social differences, and doctors' assumptions. The mechanisms were described as factors influencing the process of @entity497 and divided into objectives, core skills and specific skills. The results were synthesized in a framework for the development of training. CONCLUSION: The quality of @entity497 is influenced by the context and by the mechanisms. These mechanisms translate into practical points for training, which seem to have similarities with @entity1 -centered communication. PRACTICE IMPLICATIONS: Training for improving @entity497 can be developed as an extension of the existing training for @entity1 -centered communication.
