Table 4 The results of the content analysis of open-ended responses on concerns regarding patient care by foreign national physicians.

From: Examining Japanese laypeople’s nationality preferences for physicians: a nationwide study

Theme, N (%)

Sub-theme, N (%)

Exemplar quotes

Language barriers, 723 (73.6)

Communication failure, 495 (50.4)

“I am concerned about whether they can understand Japanese sufficiently.”

Inadequate Japanese language ability, 228 (23.2)

“Miscommunication arising from (inadequate) language ability.”

Cultural incompatibility, 140 (14.3)

Differences in sense of values, 38 (3.9)

“Difficulty in communicating patients’ needs due to differences in sense of values.”

Lack of understanding of Japanese characteristics, 34 (3.5)

“How much can they understand the unique aspects of Japan and Japanese people?”

Differences in customs, 28 (2.9)

“I am concerned about whether they can adapt to Japanese customs.”

Cultural differences, 24 (2.4)

“I am concerned that cultural differences might hinder treatment.”

Concerns about whether they have the meticulousness unique to Japanese people, 12 (1.2)

“I am concerned about whether they lack meticulous consideration that is valued in Japanese culture.”

Lack of understanding of the Japanese healthcare system, 4 (0.4)

“(Lack of) understanding of Japanese healthcare system…”

Trustworthiness and safety, 108 (11.0)

Concerns about medical treatment abilities, 38 (3.9)

“I am concernd about their medical technique.”

Overall concerns, 13 (1.3)

“Vague concerns.”

Concerns about attitude, 12 (1.2)

“(I am concerned about) too business-like approach during examinations.”

Concerns about care that takes mental health into consideration, 11 (1.1)

“(I am concerned about their) mental care for patients and their families.”

Concerns about trustworthiness, 11 (1.1)

“I am concerned about their trustworthiness.”

Differences in treatment methods, 10 (1.0)

“(I am concerned about) their belief that overseas methods are always correct.”

Concerns about racial discrimination, 5 (0.5)

“I am concerned about racial discrimination.”

Concerns about safety and security, 4 (0.4)

“Safety concerns.”

Concerns about professionalism, 3 (0.3)

“(I am concerned about) violations of regulations.”

Concerns about privacy, 1 (0.1)

“(I am concerned about) privacy.”

Others, 11 (1.1)

Others, 11 (1.1)

N/A

  1. Percentages are calculated using the total number of codes generated for concerns (N = 982), not the number of respondents. Multiple codes could be assigned per respondent.