Aspects of Cross-cultural Experience Perceived by Foreigners Living in Japan When Using Its Healthcare Services

Abstract

Objective: To clarify aspects of cross-cultural experience perceived by foreigners living in Japan when using its healthcare services.

Methods: Four focus group interviews were conducted with a total of 22 foreigners living in Japan.

Results: When using <Japan’s medical service systems that are difficult to understand> with <difficulty in accurately expressing their own pathological conditions and needs>, foreign patients faced <insufficient communication with doctors> and <barriers to communication>, and realized that <individual patients’ cultural backgrounds are not sufficiently considered>. They also found it <difficult to exercise their right to refuse>. As they could not understand <rules or their reasons> in Japan’s systems, they adopted adaptive behaviors, such as <Bewilderment to tacit agreements>. While <developing a sense of security with nurses creating a family atmosphere>, they recognized that they could <not rely on nurses for the treatment of their diseases>.

Conclusion: The foreigners living in Japan faced barriers related to language, preconceptions due to differences in physical appearance, and insufficient understanding of different cultures, indicating that medical professionals should become aware of such a lack of attention to the cultural aspects of foreign patients.