First, for a foreigner, there is obviously the language factor, but that's a given wherever you go in a country where you don't master the language.
Whenever I went to a doctor for relatively minor things, they wanted to give me some pills. Generally, I got the impression that they just want to treat the symptoms rather than fixing the actual cause of the issue. Dental is so scary that I have never been there: people I know who went for minor things had to battle not to get their tooth removed for the most benin infection. Treatment of orthopedia also "looks" scary, although I don't have first hand experience with it: you see quite a lot of people, young people, with significant issues. I don't know the explanation for that (lifestyle being a huge factor obviously, it would need a real statistical study to actually know something there).
The only times where I was under the impression I had someone who knew what he was doing was when I went to a university hospital, but I don't have easy access to that anymore.
It is also extremely unpersonal, but I am willing to concede that's mostly cultural.