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Considering the cultural characteristics of foreign patients and physicians as a factor in healthcare safety and quality

https://doi.org/10.15829/1728-8800-2025-4659

EDN: UTTEIO

Abstract

This paper addresses the issue of foreign nationals' participation in providing care in various forms — from foreign patients to physicians who arrived in Russia as migrant workers. The article highlights the cultural specificity of doctor- patient interactions using the example of the Islamic Republic of Iran, with a focus on cardiovascular pathology. This applied medical anthropological study highlights key aspects of legislation, social structure, values, and communication stereotypes that are crucial for understanding the cultural specifics of another country and can have a significant impact on healthcare provision. Such aspects exist in any culture and in any country. Taking these factors into account will improve the quality of care provided to migrant patients and more effectively engage migrant physicians in practice, thereby enhancing not only the quality but also the safety of healthcare services.

About the Authors

E. O. Taratukhin
Pirogov Russian National Research Medical University
Russian Federation

Ostrovityanova str., 1, building 6, Moscow, 117513



I. V. Shakhabov
Pirogov Russian National Research Medical University
Russian Federation

Ostrovityanova str., 1, building 6, Moscow, 117513



I. A. Trifonova
Pirogov Russian National Research Medical University
Russian Federation

Ostrovityanova str., 1, building 6, Moscow, 117513



References

1. Taratukhin EO, Kudinova MA, Shnaider YaE, Shaydyuk OYu. The components of clinical interaction ethics. Russian Journal of Cardiology. 2022;27(9):5203. (In Russ.) doi:10.15829/1560-4071-2022-5203.

2. Omovvat Z, Elahi N, Sayadi N, Ghanbari S. The Persian validation of the Coronary Disease Education Questionnaire short version for education of patients undergoing cardiac rehabilitation. ARYA Atherosclerosis journal. 2022;18(2):1-7. doi:10.48305/arya.v18i0.2183.

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4. Sharif- Nia H, Marôco J, Jackson AC, et al. Evaluation of the psychometric properties of the cardiac distress inventory in Iranian patients with heart disease. Sci Rep. 2025;15(1):17011. doi:10.1038/s41598-025-02092-x.

5. Tabesh F, Maleki F, Nouri F, et al. Association of whole and refined grains food consumption with coronary artery disease in a multi- center, case-control study of Iranian adults: Iran Premature Coronary Artery Disease (IPAD). Nutr Metab Cardiovasc Dis. 2025;35(7):103866. doi:10.1016/j.numecd.2025.103866.

6. Mirshahi A, Khanikapour- Kencha A, Bakitas M, et al. Cultural adaptation of ENABLE (Educate, Nurture, Advise, Before Life Ends) an early palliative care model for Iranian patients with heart failure and their caregivers: a qualitative study protocol. Arch Public Health. 2025;83(1):17. doi:10.1186/s13690-025-01505-7.

7. Khosravi M, Shojaei P, Kavosi Z, et al. Patient- Centered Care in Chronic Diseases Among Iranian Patients: The Acceptability of Paternalism as a Distinctive Feature. J Eval Clin Pract. 2025; 31(3):e70073. doi:10.1111/jep.70073.

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9. Rodionova YuV, Chasovskikh GA, Taratukhin EO. Role of spirituality and religiosity in clinical practice: problem conceptualization. Russian Journal of Cardiology. 2020;25(9):4041. doi:10.15829/1560-4071-2020-4041.

10.


  • The issue of foreign nationals' participation in healt­hcare provision (as physicians and as patients) re­quires attention from a cultural and medical-­anthro­pological perspective.
  • The culture of Muslim countries, as exemplified by Iran, has a significant number of characteristics that can impact all stages of care, from collecting me­di­cal history to maintaining adherence to pres­crip­tions.
  • Doctors need to be trained in culturally specific com­munication skills with patients, and migrant doc­tors need to be trained in the cultural charac­te­ris­tics of Russian residents. Knowledge of languages or direct translation of speech into and out of a fo­reign language is not enough.

Review

For citations:


Taratukhin E.O., Shakhabov I.V., Trifonova I.A. Considering the cultural characteristics of foreign patients and physicians as a factor in healthcare safety and quality. Cardiovascular Therapy and Prevention. 2025;24(4S):4659. (In Russ.) https://doi.org/10.15829/1728-8800-2025-4659. EDN: UTTEIO

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)