Communication Strategies Employed in Doctor-Patient Interactions within Selected Healthcare Facilities in Ekiti State, Nigeria

Authors

  • Samuel Oyeyemi Agbeleoba Department of English and Literary Studies, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria Author
  • Damilola Fafiyebi Department of English and Literary Studies, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria Author

Keywords:

Doctor-patient communication; Communication Accommodation Theory (CAT); Healthcare facilities; Language

Abstract

This study investigates the communication strategies employed in doctor-patient interactions within selected healthcare facilities in Ekiti State, Nigeria, utilizing Communication Accommodation Theory (CAT) as its theoretical framework. Effective doctor-patient communication is paramount for quality healthcare delivery, patient satisfaction, and adherence to treatment. However, in diverse contexts like Nigeria, various socio-cultural, linguistic, and systemic factors can impede these interactions. This research addresses a significant gap in localized studies by focusing on the Ekiti State University Teaching Hospital and four other secondary hospitals. Through a comprehensive literature review, the study identifies key communication challenges, including language barriers, cultural norms, varying health literacy levels, and time constraints. The application of CAT provides insights into how doctors and patients converge or diverge in their communication, and the implications of over- or under-accommodation on interaction outcomes. The findings are expected to inform the development of context-specific communication training programs for healthcare professionals, guide policy formulation, and ultimately contribute to improved patient care and health outcomes in Ekiti State. This article outlines the methodology for data collection and analysis, and discusses the potential implications of the findings for both practice and future research.

23 16

Author Biography

  • Damilola Fafiyebi, Department of English and Literary Studies, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria

    Department of English and Literary Studies

References

Adewole, D. A., & Adejumo, P. O. (2017). Patient satisfaction with healthcare services in Ekiti State, Nigeria. Journal of Public Health in Africa, 8(1), 654.

Adeyemo, D. A. (2009). Non-verbal communication in Nigerian medical encounters. African Journal of Medicine and Medical Sciences, 38(2), 155-160.

Ajuwon, A. J., & Brieger, W. R. (2005). Cultural beliefs and practices in health care seeking among the Yoruba of Nigeria. African Journal of Reproductive Health, 9(1), 103-112.

Balogun, J. A. (2006). Patient-centered care in Nigeria: Challenges and prospects. Journal of Health Care for the Poor and Underserved, 17(2), 345-358.

Bilbow, G. T. (1997). Communication accommodation theory: A review of the literature and its application to medical communication. Journal of Language and Social Psychology, 16(3), 263-282.

Engel, G. L. (1977). The need for a new medical model: A challenge for bio-medicine. Science, 196(4286), 129-136.

Ezeoke, C. (2012). Cultural competence in Nigerian healthcare: A review of challenges and strategies. Journal of Transcultural Nursing, 23(4), 380-387.

Giles, H. (1973). Accent mobility: A model and some data. Anthropological Linguistics, 15(2), 87-105.

Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academies Press.

Mead, N., & Bower, P. (2000). Inter-connectedness: A conceptual framework and review of the empirical literature. Social Science & Medicine, 51(7), 1087-1110.

Odebode, D. (2008). Language and communication in Nigerian healthcare: A sociolinguistic perspective. Journal of Language and Communication, 1(1), 45-58.

Olapade-Olaopa, E. O. (2007). Breaking bad news in Nigeria: A cultural perspective. Journal of Medical Ethics, 33(11), 670-673.

Ong, L. M. L., de Haes, J. C. J. M., Hoos, A. M., & Lammes, F. B. (1995). Doctor-patient communication: A review of the literature. Social Science & Medicine, 40(7), 903-918.

Owoeye, O. A. (2011). Time constraints and quality of doctor-patient interaction in Nigerian hospitals. Journal of Hospital Administration, 1(1), 1-8.

Oyewole, F. (2010). Trust in doctor-patient relationships in Nigeria: A qualitative study. Journal of Health Psychology, 15(7), 1023-1032.

Popoola, O. A., & Adeyemi, O. A. (2019). Communication and job involvement among public health workers in Ekiti State, Nigeria. Journal of Communication and Media Research, 11(1), 123-135.

Roter, D. L., & Hall, J. A. (2006). Doctors talking with patients/patients talking with doctors: Improving communication in medical encounters (2nd ed.). Praeger.

Schouten, B. C., & Meeuwesen, L. (2006). Cultural differences in medical communication: A review of the literature. Patient Education and Counseling, 64(1-3), 21-34.

Street, R. L., Jr. (2013). Health literacy and communication in cancer care: Setting a research agenda. Patient Education and Counseling, 90(3), 291-298.

Szasz, T. S., & Hollender, M. H. (1956). A contribution to the philosophy of medicine: The basic models of the doctor-patient relationship. Archives of Internal Medicine, 97(5), 585-592.

World Health Organization. (2010). The world health report: Health systems financing: The path to universal coverage. WHO Press.

Zolnierek, K. B., & DiMatteo, M. R. (2009). Physician communication and patient adherence to treatment: A meta-analysis. Medical Care, 47(8), 826-834.

Cover Image

Downloads

Published

2026-09-03

How to Cite

Communication Strategies Employed in Doctor-Patient Interactions within Selected Healthcare Facilities in Ekiti State, Nigeria. (2026). Journal of Advanced Multidisciplinary Studies (JAMS), 1(2), Page 286-297. https://jamsjournal.org/JAMS/article/view/communication-strategies-employed-in-doctor-patient-interactions

Similar Articles

1-10 of 96

You may also start an advanced similarity search for this article.