title: Client communication behaviors with health care providers in Indonesia.
abstract: Patient participation in health care consultations can improve the quality of decision making and increase patients' commitment to the treatment plan. This study examines client participation, operationally defined as client active communication, during family planning consultations in Indonesia. Data were collected on 1203 consultations in the provinces of East Java and Lampung. Sessions were audiotaped and the conversation coded using an adaptation of the roter interaction analysis system (RIAS). Culturally acceptable ways for Indonesian clients to participate in consultations include asking questions, requesting clarification, stating opinions, and expressing concerns. Factors significantly associated with client active communication were, in order of importance, providers' information giving, providers' facilitative communication, providers' expressions of negative emotion, client educational level, and province. The latter suggests the influence of culture on client participation. The results suggest that a combination of provider training and client education on key communication skills could increase client participation in health care consultations.
authors.affiliation: Center for Communication Programs, Johns Hopkins University, Suite 310, 111 Market Place, Baltimore, MD 21202-4024, USA. ykim@jhuccp.org
authors.forename: Y M
authors.initials: YM
authors.lastname: Kim
authors.forename: A
authors.initials: A
authors.lastname: Kols
authors.forename: C
authors.initials: C
authors.lastname: Bonnin
authors.forename: P
authors.initials: P
authors.lastname: Richardson
authors.forename: D
authors.initials: D
authors.lastname: Roter
mesh_terms: D000328:Adult; D003142:Communication; D004522:Educational Status; D004644:Emotions; D005193:Family Planning Services / Q000193:education; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007214:Indonesia; D008297:Male; D009721:Nurse Midwives / Q000523:psychology*; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D010353:Patient Education as Topic; D010358:Patient Participation / Q000523:psychology*; D012111:Residence Characteristics; D012922:Social Change; D013637:Tape Recording