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Barriers to Communication and Treatment Adherence Among Women of Different Cultures
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Introduction

Well thank you and I appreciate those of you who are here for this symposium. I'll be discussing as it says in my title, some barriers to communication and treatment adherence among women of different cultures. We bring up some broad generalizations. And so as other people have said before, you really need to treat patients, as we all know, as individuals. But there are certain broad concepts regarding gender and ethnicity in culture and race that you can at least keep in the back of your mind. So as you're sort of feeling your way through a patient encounter, especially an initial interview, you may see certain things come up and that may cue you into different ways to try to communicate, to kind of get beyond some of the barriers.

For those of you who have taken the Bayer course, some of the things that we talk about are the fact that patients will come in with a diagnosis and what they expect as far as treatment, that may not coincide with what you think is going on or what you think may need to happen. But in order for patients to adhere to what you're recommending, they need to understand why you think something is going on, why you're recommending a certain kind of treatment. But to get patients to tell you that, you really need to understand where they're coming from and how they're coming to their opinions.

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