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Perceived cultural differences in healthcare for foreign patients visiting South Korea: tool development and measurement

Cited 1 time in Web of Science Cited 1 time in Scopus
Authors
Sung, Sumi; Park, Hyeoun-Ae
Issue Date
2019-03-28
Publisher
BioMed Central
Citation
BMC Health Services Research, 19(1):197
Keywords
Culturally competent healthcareNursing careMedical tourismCultural differencesTool development
Abstract
Background
We developed a 41-item tool measuring cultural differences in healthcare as perceived by foreign patients visiting South Korea.

Methods
The tool was tested on 256 foreign patients who visited three tertiary hospitals in Seoul, South Korea. Content validity was explored by two physicians and eight nurses working in an international healthcare department. Structural validity was tested via exploratory factor analysis and by testing two hypotheses: (1) there are perceived cultural differences between the South Korean healthcare and those of foreign patients’ home countries (one-sample t-test); and, (2) Perceived cultural differences vary among language groups (analysis of variance). We also calculated Cronbach’s alpha.

Results
The content validity index of the tool was 0.97. Exploratory factor analysis identified seven significant factors: hospital care and services, food, the healthcare system, communication, the healthcare facility, religion, and cultural values. The overall Cronbach’s alpha for the tool was 0.96, indicating very high internal consistency. We found that foreign patients visiting South Korean hospitals perceived that the healthcare culture differed significantly from that of their home country. The perceived cultural differences varied significantly by language group.

Conclusions
Nurses can use our new tool to understand the cultural differences of foreign patients and provide them with culturally competent nursing care.
ISSN
1472-6963
Language
English
URI
http://hdl.handle.net/10371/153121
DOI
https://doi.org/10.1186/s12913-019-3965-9
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College of Nursing (간호대학)Dept. of Nursing (간호학과)Journal Papers (저널논문_간호학과)
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