Understanding Cultural Influences on Physical Therapy Practice in China: Foundations for a Culturally Responsive Care Model

Effective physical therapy extends beyond clinical proficiency and technical skills; it also requires healthcare professionals to possess strong communication abilities and a deep understanding of the cultural backgrounds of the individuals they serve. In China, where healthcare is delivered to a diverse population characterized by regional traditions, ethnic diversity, linguistic variations, and differing health beliefs, cultural awareness has become an essential component of patient-centered rehabilitation. Cultural values, personal beliefs, and implicit biases can significantly influence the therapeutic relationship, affecting both the quality of care provided by physical therapists and patients' perceptions, acceptance, and adherence to treatment interventions.
According to Cross (2022), culture encompasses the shared beliefs, values, customs, behaviors, and practices that distinguish a particular group or society. Within the Chinese healthcare context, cultural influences extend beyond ethnicity and include factors such as language, religion, age, socioeconomic status, educational attainment, gender roles, and traditional health beliefs. These elements shape patients' perceptions of illness, expectations of healthcare providers, and willingness to participate in rehabilitation programs. When healthcare professionals fail to recognize or respond appropriately to these cultural influences, misunderstandings may arise, potentially affecting treatment effectiveness, patient satisfaction, and overall clinical outcomes. Consequently, the development of cultural competence has become an indispensable attribute for physical therapists and other healthcare practitioners.
Cultural competence involves more than acknowledging cultural differences; it requires healthcare providers to develop the knowledge, attitudes, and skills necessary to deliver equitable, respectful, and individualized care. It also entails recognizing one's own biases and understanding how these may influence clinical judgment and professional interactions. Continuous education, self-reflection, and practical experience are essential in cultivating cultural competence among rehabilitation professionals. In line with China's ongoing healthcare reforms, which emphasize equitable access, patient-centered care, and high-quality rehabilitation services, healthcare institutions are increasingly encouraged to strengthen culturally responsive practices to meet the diverse needs of the population.
As physical therapy continues to evolve as an autonomous profession in China, the integration of cultural competence into clinical practice has become increasingly important in promoting inclusive and equitable healthcare delivery. A culturally responsive approach enables physical therapists to establish meaningful therapeutic relationships, facilitate effective communication, and develop individualized treatment plans that respect patients' cultural values and preferences. Such an approach not only contributes to improved rehabilitation outcomes but also enhances patient trust, treatment adherence, and overall satisfaction with healthcare services.
The present study seeks to contribute to the growing body of knowledge on the influence of cultural factors in physical therapy practice within the Chinese healthcare system. Specifically, it aims to develop a culturally responsive model of care that can serve as a practical framework for physical therapists in delivering patient-centered rehabilitation services. Although numerous studies across various healthcare disciplines have emphasized the importance of cultural competence and recommended its integration into professional education and clinical practice, empirical research focusing specifically on culturally responsive physical therapy models in China remains limited. This gap underscores the need for further investigation.
The researcher therefore considers this study timely and significant in addressing the cultural dimensions of physical therapy practice in China. The proposed culturally responsive model is expected to assist physical therapists in improving communication, clinical decision-making, and treatment planning while recognizing the diverse cultural characteristics of their patients. Likewise, patients are anticipated to benefit from rehabilitation services that are more respectful of their cultural beliefs, values, and expectations, thereby promoting greater participation in therapy and improved health outcomes. At the institutional level, the findings may contribute to enhanced patient satisfaction, reduced disparities in rehabilitation services, and the promotion of a more inclusive healthcare environment. Ultimately, this study seeks to advance culturally responsive rehabilitation practice in China by emphasizing the fundamental role of culture in influencing health behaviors, therapeutic relationships, and the overall effectiveness of physical therapy interventions

Cultural Competence, Physical Therapy, Culturally Responsive Care, Patient-Centered Care, Rehabilitation

1. Campinha-Bacote, J. (2020). The process of cultural competence in the delivery of healthcare services. Journal of Transcultural Nursing. [Google Scholar] [Crossref]

2. Centers for Disease Control and Prevention. (2020). Cultural competence in health and human services. https://npin.cdc.gov/pages/cultural-competence [Google Scholar] [Crossref]

3. Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications. [Google Scholar] [Crossref]

4. Cross, T. L. (2022). Towards a culturally competent system of care. Georgetown University Center for Child and Human Development. [Google Scholar] [Crossref]

5. Grandpierre, V., Milloy, V., Sikora, L., Fitzpatrick, E., Thomas, R., & Potter, B. (2018). Barriers and facilitators to cultural competence in rehabilitation services: A scoping review. BMC Health Services Research, 18(23), 1–14. [Google Scholar] [Crossref]

6. Hayward, L. M., & Li, L. (2015). Promoting and assessing cultural competence, professional identity, and advocacy in physical therapy students within a community of practice. Journal of Physical Therapy Education, 28(1), 23–26. [Google Scholar] [Crossref]

7. Hillard, M. J., Rathsack, C., Brannigan, P., & Sander, A. P. (2018). Exploring the cultural adaptability of entry-level physical therapist students during clinical education experiences. Journal of Allied Health, 37(3), 199–220. [Google Scholar] [Crossref]

8. Kraemer, T. J. (2021). Physical therapist students' perceptions regarding preparation for providing culturally congruent care: A qualitative case study. Journal of Physical Therapy Education, 15(1), 36–52. [Google Scholar] [Crossref]

9. Li, C., Abdulkerim, N., Jordan, C. A., & Son, G. E. (2020). Overcoming communication barriers to healthcare for culturally and linguistically diverse patients. North American Journal of Medical Sciences, 10(3), 103–109. [Google Scholar] [Crossref]

10. McKivigan, J. (2021). Cultural competence in physical therapy: A holistic approach to patient-centered rehabilitation. Journal of Physical Therapy Practice. [Google Scholar] [Crossref]

11. Palombaro, K. M., Dole, R. L., & Black, J. D. (2019). Curricular integration and measurement of cultural competency development among physical therapy students. Journal of the Scholarship of Teaching and Learning, 15(5), 82–96. [Google Scholar] [Crossref]

12. Panzarella, K. J. (2019). Beginning with the end in mind: Evaluating outcomes of cultural competence instruction in a Doctor of Physical Therapy program. Disability and Rehabilitation, 31(14), 1144–1152. [Google Scholar] [Crossref]

13. Purnell, L. (2018). Guide to culturally competent health care (4th ed.). F.A. Davis. [Google Scholar] [Crossref]

14. Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse patients. Focus, 18(1), 49–51. [Google Scholar] [Crossref]

15. Tervalon, M., & Murray-García, J. (2021). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117–125. [Google Scholar] [Crossref]

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