Doctor patient communication literature review
12 Sitting in front of them may also reduce distractions. To a large degree, these are conscious choices that can be learned and customized by the physician to fit particular patients in phd thesis on english literature clinical situations. Author links open the author workspace. Many times, other physicians or health care providers have already communicated information to the patient, which can have the effect of coloring patient perceptions and perhaps even causing confusion when new information is introduced. Author links open the author workspace. Avoiding communication pitfalls ( Figure 2) and sharpening the basic communication skills previously suggested can help strengthen the patient-physician bond that many patients and physicians believe is lacking. At the appointment, Brown explained how she'd been feeling. Davina Ghersi BAppSc, MPH . Lighting in the waiting and exam areas should be bright and spread evenly throughout the room. When done well, such communication produces a therapeutic effect for the patient, as has been validated in controlled studies. ”. N. Follow-up surveys also indicated that more than 80 percent of participants demonstrated the "be proactive" skill while meeting with their physicians ( Patient Education and Counseling, 2012). Formal training programs have been created to enhance and measure specific communication skills. Many of these efforts, however, focus on medical schools and early postgraduate years and, therefore, remain isolated in academic settings. Bufka do we rely on technology too much essay adds that successfully integrating psychologists into health-care settings involves providing behavioral care beyond traditional mental health duties. 3 Physicians should prepare for an increasing number of older patients by developing a greater understanding of this population and how to enhance communication with them. 10 , 12 Don’t rush through doctor patient communication literature review your instructions to these patients. For such patients, establishing a lasting bond of trust with their physicians can be extremely difficult, and although all attempts to communicate should be made, unsettled feelings on both sides are to be expected. Researchers have found that patient compliance with treatment recommendations is greater doctor patient communication literature review following encounters in which the physician is face to face with the patient when offering information about the illness. It is important, therefore, to determine what a patient already understands—or misunderstands—at the outset. After the birth of her second child, Claudia Brown, a marketing specialist in Chicago, was feeling down. Before providing information, find out what a patient already knows about his or her condition. Sharon Walder BAppSc . 14 A small percentage of patients who have difficulty forming a trusting relationship with a physician may react to bad how to write a good application essay review news with distrust, anger, and blame. Most physicians quickly develop a sense for the various coping styles doctor patient communication literature review of patients, a range of human reactions that has been categorized in several specific clinical settings. Sit face doctor patient communication literature review to face. In other scenarios, patients will come to the physician with preconceived notions about a particular condition, perhaps based on lessthan-authoritative sources. Author links open the author workspace. In this article, the authors briefly review the why and how of effective patient-physician communication. Easy-to-read signs posted throughout the practice can also help to provide important information, since older individuals may be reluctant to ask seemingly obvious questions of the medical staff. Obviously, improvement in these types of outcomes is a core goal of long-term patient education aimed at managing chronic illnesses (eg, diabetes and asthma). Studies show most patients don't tend to bring up their CAM usage at medical appointments — a problem since some alternative therapies could interfere with conventional medicines. 40 While promising, the team-based approach is still quite new, says Polonsky. Martin H. ) For example, instead of just telling doctor patient communication literature review older patients to take their medication and get some exercise, you can give them doctor patient communication literature review a visit summary to take home that includes detailed instructions, such as “Take a pill when you first get up in the morning,” “Walk around the block in the morning,” and “Walk around the block in the afternoon. Author links open the author workspace. In addition, use large, easy-to-read print on all of your business cards, appointment cards, brochures and educational materials. One way to accomplish this is to provide an information sheet that summarizes the most important points of the visit and explains what the patient needs to do after he or she leaves your office. This simple act sends the message that what you have to say to doctor patient communication literature review your patients, and what they have to say to you, is important. They begin by reviewing current data on the benefits of effective communication in the clinical context of physicians caring for patients. Author links open the author workspace. Author links open the author workspace. In one project, she and her colleagues trained patients to talk with their physicians about their use of complementary and alternative medicine (CAM). 13 Speak slowly, clearly research paper on the great gatsby and loudly. Some older patients have vision and hearing loss, and reading your lips may be crucial for them to receive the information correctly. Paul Glare MBBS, FRACP, MA Appl Eth (Healthcare) . Sharon M. Worried she might doctor patient communication literature review have postpartum depression, she called her primary-care physician. In the United States, people over the age of 65 visit their doctor an average of eight times per year, compared to the general population’s average of five visits per year. Good lighting will help the patient’s ability to read printed material, see facial expressions and read lips. After the workshop, more than half of patients mentioned their CAM use within the next two physician visits — a positive sign, Ho says. Ho and her team conducted a workshop to help patients build four skills: preparing a list of questions before the appointment; being proactive by initiating the CAM conversation; disclosing all CAM use; and asking relevant questions. 28 Aging health care consumers will increase the demand for physicians’ services. Clayton MBBS, FRACP, FAChPM, PhD Opens the author workspace Opens the author workspace . Simple choices in words, information depth, speech patterns, body position, and facial expression can greatly affect the quality of one-to-one communication between the patient and physician. The authors then offer specific guidance on how to achieve effective communication in the patient-physician relationship. Sue Carrick RN, RM, MHS . The high perceived value of effective communication in disease prevention, health maintenance, and quality-of-life, in fact, may be precisely why managed care companies have now outsourced these communication-intensive responsibilities to disease management vendors. The rate at which an older person learns is often much slower than that of a younger person. For instance, a nephrologist may talk about the patient “getting better” based on improving renal function tests, while a cardiologist is focused on the patient's severe, irreversible cardiomyopathy. Make things easy to read. Phyllis N. Tattersall MB BChir, MSc, FRACP, MD Show more Patient-physician communication is an integral part of clinical practice. Ho has also explored the feasibility and effectiveness of training patients to communicate more effectively with their physicians. Karen Hancock BSCPsych(Hons), PhD . Rebecca Hagerty BA, G Dip Sc (Psych), PhD . David Currow MPH, FRACP, MD . Author links open the author workspace. Thus, the communication skills of the busy physician often remain poorly help writing introduction research paper developed, and the need for established physicians to become better communicators continues. The doctor was dismissive, telling her she was just tired and quickly sending her on her way. It phd thesis in tourism management is also an acknowledgment of the critical nature of direct human communication and support in achieving good medical outcomes. Speak clearly and loudly enough for them to hear you, but do not shout. Examples of how direct contact influences medical outcomes are studies that have documented the way in which disease management programs can lower health-related costs, 23- 25 reduce emergency department visits, 26 control chronic disease, 27 and increase patient satisfaction. The doctor was concerned about her symptoms but unavailable to see her that day, so she urged Brown to see her partner, a man she'd never met. Parker RN, BHSc, MPH . Author links open the author workspace. In such cases, for instance, phd thesis on river hydrobiology a psychologist may help patients with compliance or help them develop strategies to maintain a healthy weight. Author links open the author workspace. Patients vary, not only in their willingness and ability to absorb information, but in their reactions to physician communications. Reduce all glare and avoid sitting older patients in shadows. Josephine M. Therefore, the rate doctor patient communication literature review at which you provide information can greatly affect how much your older patients can take in, learn and commit to memory. (See an example. Author links open the author workspace. Such is an indictment of the limited capabilities of individual physicians to provide such long-term and consistent communications. Author links open the author workspace. Butow MClin Psych, MPH, PhD . He's just beginning to see such collaborations in diabetes care, where teams may include certified diabetes educators and nutritionists along with physicians and nurses.