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19-10-2016 | Uitgave 5/2017

Quality of Life Research 5/2017

Investigating acculturation orientations of patients with an immigration background and doctors in Canada: implications for medical advice adherence

Quality of Life Research > Uitgave 5/2017
Amanda Whittal, Katja Hanke, Sonia Lippke



Increased immigration requires successful interaction of different cultures in various life domains, such as health. This study investigates acculturation orientation (AO) of immigrant patients and doctors native to the country, as a potential factor related to perceived medical advice adherence.

Data and methods

N = 171 immigrant patients (M = 54.38 years, SD = 17.94, range = 23–96, 74.3 % female) and their N = 12 doctors (M = 38.88 years, SD = 13.42, range = 27–66, 83 % female) from a hospital in Montreal, Canada, participated in a paper-based survey to assess AOs, patients’ perceived expectations of their doctor (regarding adopting the new culture or keeping their previous culture), doctors’ actual expectations, perceived quality of care and perceived adherence.


AO of patients significantly related to perceived adherence, via a path model involving perceptions of doctors’ expectations and perceived quality of care. Integration was positively related to perceived adherence, while Marginalization was negatively related to it. Doctors’ AOs were not significant.


Patient perceptions seem to be a significant factor to be considered when striving to improve immigrant medical advice adherence.

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