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Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
Published by Universitas Gadjah Mada
ISSN : 2613943X     EISSN : 26205572     DOI : https://doi.org/10.22146/rpcpe
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Public Health
The Review of Primary Care Practice and Education is a bilingual open access journal which provides scientific information on the field of ‘Primary Care’ and ‘Family Medicine’ in the form of research-based scientific articles, case reports, policy briefs and new findings from experts, civitas akademika and medical practitioners. This journal is an official journal of the College of Indonesian Primary Care Physicians in collaboration with the Department of Family and Community Medicine of the Faculty of Medicine, Universitas Gadjah Mada, with the inaugural publication in January, 2018. The limited number of scientific journals of primary care and family medicine in Indonesia encouraged the College of Indonesian Primary Care Physicians to create a journal which focuses on the primary care, family and community medical sciences, and to disseminate the information to academics, health practitioners, and the public. This journal contains scientific information on strengthening efforts of primary care, various health problems in primary care, principles of education and family medicine services, and the efforts to create a healthier and prosperous community in Indonesia and the world.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 131 Documents
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Culturally Sensitive Primary Care in Indonesia: How Should It Work? Nugraha, Ryan Rachmad; Claramita, Mora
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.112542

Abstract

The Need for a Culturally-Sensitive Primary CareAs globalization rises and populations grow, cultures intermingle, prompting us to understand culture in the way we interact with each other, and most importantly, in care and practice. This coins the term “culturally sensitive primary care,” or often referred to cultural competence or cultural humility, which is the ability of providers to understand and respond to patients’ cultural belief, values, and language needs. Embracing this culture is critical for improving patients’ outcomes and reducing health disparities. Studies have shown when care is tailored to patients' cultural context, it leads to better communication and therefore higher patient satisfaction and adherence to treatment, and even enhanced clinical outcomes1,2. Doctors who have been trained on culturally adapted communication were found to be associated with patients who were more satisfied, had better understanding of their condition, and showed improved health indicators, such as blood pressure and glucose. Conversely, when cultural understanding is not considered in interacting with patients, miscommunication may occur, such as misunderstanding due to language barriers or difference in health beliefs, which may result in distrust and poorer health outcomes3.Cultural sensitivity is especially important in primary care, particularly as primary care physicians (PCP) become the patients’ first point of contact within the health system. Patients’ health beliefs and behavior are driven by their culture, and thus failure to acknowledge this phenomenon might lead to missed critical information. For example, cultural practices may influence patients’ behavior and shift away patients from accessing appropriate care. A study proved that the higher Traditional Birth Attendants (TBAs) density in a given area is linked with higher odds of mothers not utilizing cascades of maternal services4. On the other hand, PCPs that are culturally adept may use it to their advantage to improve care. A meta-analysis showed that, across interventions targeting underrepresented adults, those with cultural relevance tailoring significantly improved medication adherence compared with non-tailored approaches5. 

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