doctor patient raltionship imc2008

7/27/2019 Doctor Patient Raltionship IMC2008

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Improving Doctor Patient Relationship

Dr. Ashraf A . AmirBSc,MBBS,SBFM,ABFM

Consultant Family Medicine - IMC


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Do you feel a bit frustrated when

your patient don't follow yourrecommendations ?


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Poor Doctor Patient relationship ..


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Facts :

Doctors do more talking than listening.

72% of the doctors interruptedthe patients openingstatement after an average of23 seconds.

Patients who were allowed to state their concerns

without interruption used only an average of6 moreseconds.

(JAMA)


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Facts :

Doctors often ignore the patientsemotional health.

when patients dropped emotional clues or talkedopenly about emotions, the doctor seldom

acknowledged their feelings. Instead the conversation

was directed back to technical talk.


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Facts :

Doctors underestimate the amount ofinformation patients want and

overestimate how much they actuallygive.

Study of 20-minute office visits, doctors spent about

1minute per visit informing patients, but believed theywere spending 9 minutes per visit doing so.


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Facts :

Doctors who cant communicate aremore likely to end up in court.

An analysis of 45 malpractice cases found that

many of the doctors being sued delivered informationpoorly and devalued the patients views.


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Facts :

Some doctors view patients asan unreliablenarrator.

Patients do not care how much you know

until they know how much you care.

Patients who feel at ease and who are

encouraged to talk freely are more likely to

disclose the real reason for consultation.


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Good Doctor Patient relationship:

Developing rapport to enable the patient tofeel understood, valued and supported.

Encouraging an environment that maximizesaccurate and efficient information gathering,planning & and explanation


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Involving the patient so that he/sheunderstands and is comfortable with the

process of the consultation.

Increasing both the physicians and thepatients satisfaction with the consultation.

Developing and maintaining a continuingrelationship of trust & respect over time.



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Insure patient compliance on treatment .

Placebo effect.



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Honesty .

Confidentiality .

Trust .

Mutual respect .

Doctor Patient relationship built on:


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Facts :

skills

Goodrelation

Compliance

Doctor

Patient


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Patients are humans with sensitive needs.

Poor communication causes a lot ofmedico-legaland ethical problems.

Patients want to play active role.

Patients become more doctors dependents.

Identify patients' problems more accurately

Do Doctors need communication ?


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Good communicator has:

MIND

EAR

HEART

Empathic

Receptive

Open


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Smile.

Open posture .

Forward lean.

Eye contact.

Touch.

Non verbal communication :


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Allow enough time.( elderly patients )

Avoid distractions .

Sit face to face.

Maintain eye contact

Listen.

Bio- psycho- social model. (holistic approach)

Communication tips :


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Open ended questions.

Speakslowly, clearly

Use short, simple words and sentences.

Address idea ,concern and expectation (ICE).

Effect of the problem on patient.



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Stick to one topic at a time .

Simplify and write down your instructions .

Use charts, models and pictures.

Frequently summarize the most important

points.



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Search for hidden agendas.

Shared understanding.

Opportunity to ask questions.

Empower patient in monitoring their disease.

Red flags.



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Did I listen?

Did I use their beliefs when I started explaining?

Did I share options for management?

Did I share in decision-making?

Did I attempt to see what patient understood?

Question to ask your self after consultation?


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Did I make an acceptable working diagnosis?

Did I develop the relationship? .

Question to ask your self after consultation?


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Yes .

Perfect consultation

Perfect relationship.


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Take home massage .

Trust in Doctors is high, yet not blind .


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Thank You .
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doctor patient raltionship imc2008

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