A Survey of Doctors’ Awareness of the Role of Communication Skills in Developing a Caring Doctor-Patient Relationship

2017 ◽  
Vol 8 (4) ◽  
pp. 451 ◽  
Author(s):  
P. Abhijit Deshpande
Keyword(s):  
Communication Skills ◽  
Patient Relationship ◽  
Doctor Patient Relationship

scholarly journals A Qualitative Study on the Importance and Value of Doctor-Patient Relationship in Iran: Physicians' Views

2018 ◽  
Vol 6 (10) ◽  
pp. 1895-1901 ◽  
Author(s):  
Ahmad Kalateh Sadati ◽  
Seyed Ziauddin Tabei ◽  
Kamran Bagheri Lankarani
Keyword(s):  
Content Analysis ◽  
Verbal Communication ◽  
Faculty Members ◽  
Patient Relationship ◽  
Medical Sciences ◽  
Doctor Patient Relationship ◽  
Group Discussions ◽  
Conventional Content Analysis

BACKGROUND: Doctor-patient relationship [DPR] refers to verbal and non-verbal communication between doctor and patient, which is of great importance in consultation sessions. AIM: Therefore, the present study attempts to explore the importance and value of DPR in Iran. MATERIAL AND METHODS: The method used in the study was conventional content analysis. The data were collected from 21 faculty members (FMs) of Shiraz University of Medical Sciences (SUMS), Shiraz, Iran, who participated in three focus group discussions (FGDs). Transcribed data were analysed using Conventional Content Analysis (CCA) which identified condensed meaning units, subthemes, and themes. RESULTS: Four themes were extracted from 198 meaning units, 87 condensed meaning units, and 17 subthemes. These included gateway [the role of DPR]; nonlinearity [the nature of DPR]; distortion (quality of DPR in the context); and dysfunctional system (weakness in health system). Generally, results showed DPR to be the gateway to consultations based on non-verbal communication and doctor empathy. The study showed distorted DPR which was due to the dysfunctionality of the health care system. CONCLUSION: As indicated DPR plays an important role in medical contexts, but if distorted it leads to an unsuccessful outcome. Therefore, to promote DPR, it is necessary to reinforce its structure. Thus, the infrastructure has to be modified and developed at all levels.

The Doctor-Patient Relationship: Systematic Training in Effective Communication Skills

1984 ◽  
Vol 8 (2) ◽  
pp. 87-92
Author(s):  
Cherry McPherson ◽  
Larry A. Sachs ◽  
Walter Knopp ◽  
Frederic Wolf
Keyword(s):  
Communication Skills ◽  
Effective Communication ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Systematic Training

scholarly journals Effectiveness of clinical scenario dramas to teach doctor-patient relationship and communication skills

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yinan Jiang ◽  
Lili Shi ◽  
Jinya Cao ◽  
Liming Zhu ◽  
Yue Sha ◽  
...  
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Patient Communication ◽  
Clinical Scenario ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Clinical Communication ◽  
Doctor Patient Communication ◽  
Self Confidence ◽  
Chinese Medical Students

Abstract Background The doctor-patient relationship in China has deteriorated in recent years, and poor doctor-patient communication is one of the main reasons. How to effectively carry out doctor-patient communication training originated from the West among Chinese medical students still to be studied. In the past decade, Peking Union Medical College has adopted clinical scenario drama to teach doctor-patient relationship and clinical communication skills. The aim of this study was to introduce clinical scenario dramas and evaluate its effectiveness in promoting doctor-patient relationships and clinical communication skills through students’ self-perceptions in Chinese medical students. Methods This study was a retrospective, self-controlled study and conducted from March 2009 to October 2018. Doctor-patient relationship and communication skills training were administered to all sixth-year medical students, which involved lectures and various clinical scenario dramas. The program totaled 24 h, of which each class session was 3 h, with 8 sessions in total. All students were requested to complete an anonymous 5 likert self-rating survey including self-confidence in using communication skills and self-perceived learning attitude and ability before and at the end of the course. In addition, they were requested to evaluate the curriculum after completion of the course. Results Clinical scenario dramas helped students improve their self-confidence in clinical communication skills except for psychosomatic history taking (p < 0.05). The interests for participation in clinical scenario dramas were higher compared to attending lectures (4.39 ± 0.610 Vs 4.07 ± 0.831, p<0.01). Study participants were highly satisfied in the course setting, teaching instructors and content (4.61 ± 0.546, 4.65 ± 0.535, 4.63 ± 0.534). The self-evaluation results demonstrated that clinical scenario dramas improved the learning ability of medical students (p < 0.05). Conclusion The use of clinical scenario dramas was helpful in teaching doctor-patient communication skills.

scholarly journals Doctor-patient relationship: effectiveness of an intervention training module on knowledge and attitude of resident doctors

2019 ◽  
Vol 6 (8) ◽  
pp. 3634
Author(s):  
Kalidas D. Chavan ◽  
Purushottam A. Giri ◽  
Sachin S. Mumbre ◽  
Rajendra S. Bangal
Keyword(s):  
Communication Skills ◽  
Test Scores ◽  
Mutual Trust ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Significant Difference ◽  
Post Test ◽  
Knowledge And Attitude ◽  
Relationship Communication ◽  
Relationship Effectiveness

Background: The mutual trust between doctor and patient, an indispensable part of the healthcare, is weakening day by day. This has resulted in unwanted incidences of violence and attacks on doctors. Communication between doctors and patients is an integral part of the relationship and is one of the major determinants of mutual trust. Apart from the knowledge and skills required to treat a disease, communication skill is an indispensable part of a doctor’s professional life. The resident doctors do not get a chance to learn and implement the communication skills required for the doctor patient relationship.Methods: An interventional study was carried out amongst 377 resident doctors of first to third year, from randomly selected medical colleges of Maharashtra having postgraduate courses in clinical subjects and affiliated to Maharashtra University of Medical Sciences, Nashik, Maharashtra during the period of February 2017 to January 2019.Results: There was significant difference in the pre and post test scores for quantified knowledge in relation to training in communication skills (p<0.0001), and also significant difference in the pre and post test scores for quantified knowledge in relation to basic doctor patient relationship, suggesting that the intervention was effective in improving the communication skills.Conclusions: The study has shown that there was significant difference in the pre and post test scores for quantified knowledge in relation to being doctor, basics of communication skills, doctor patient relationship, communication in special situation, and training in communication skills.

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction

2021 ◽  
Author(s):  
Caixia Han ◽  
Qing Wu ◽  
Chenchen Liu ◽  
Pei Wang
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Patient Communication ◽  
Mediating Effect ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Doctor Patient Communication ◽  
Medical Environment ◽  
Patient’S Perception

Abstract Objective To explore the relationship among patient perception of doctors' empathy, doctor-patient communication, and doctor-patient relationship.Methods From November 2019 to April 2020, we used the CARE scale, the SEGUE framework and the PDRQ-15 scale to survey 3,039 patients from 14 provinces in China, ranging in age from 18 to 92 years old.Results 1. The age of the patient, the level and type of hospital, the length of consultation, and the presence or absence of verbal and physical conflict have significant differences in the scores of perceived empathy; 2. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and the doctor-patient relationship (r = 0.65 ~ 0.75, p < 0.001). 3. The patient's perception of doctor empathy can not only directly predict doctor-patient relationship (β = 0.75, p < 0.001), but also influence doctor-patient relationship through the mediating effect of doctor-patient communication (β = 0.56, p < 0.001). Besides, the scores of CARE can effectively explain the variation of each stage of doctor-patient communication skills (R2 = 0.28 ~ 0.37) and the satisfaction (52%) and approachability (54%) of the doctor-patient relationship scale.Conclusion The age of the patient, the type and level of the hospital, and the consultation time affected perceived empathy. Doctor-patient communication plays a partial mediating effect in the influence of empathy on the doctor-patient relationship.Practice implications: Medical institutes should improve the medical environment and carry out humanistic education and patient-centered communication skills training for doctors. These approaches will enhance patients' perceived empathy and therefore improve the doctor-patient relationship.

Protagonist-patient and servant-doctor: A medicine for the sick doctor-patient relationship

2017 ◽  
Vol 41 (S1) ◽  
pp. S683-S683 ◽  
Author(s):  
I. Ferraz ◽  
A. Guedes
Keyword(s):  
Current Model ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Relations ◽  
Emergency Assistance ◽  
Competing Interest ◽  
Human Care ◽  
Physician Patient ◽  
The Relationship

The doctor-patient relationship (DPR) is very ill; it is in need of emergency assistance. Although there have been change in this relationship, no current model is satisfying. In 1972, Robert Veatch defined some models of DPR. Likewise, Pierloot, in 1983, and Balint, in 1975 and ultimately, Mead and Bower, 2000 with the model of Person-center-care (PCC) medicine.ObjectiveEvaluate the different kinds of DPR described in the literature and propose an abduction-based model of the Servant DPR, in which patients are protagonists in their treatment.MethodsPubmed literature review of the last forty years with the keyword ‘physician-patient relations’.DiscussionWhile nursing care advanced in its professional efficacy through Watson's human care and through the leader servant model, the DPR models demonstrated that the doctors are lost in their posture, even feeling as abused heroes. Models that include the patient in decision-making and that value the patient as a person (PCC) promise a revolution in the medical realm. Nevertheless, the PCC model is not enough to heal the DPR itself, because the role of the doctor must be changed to adapt to the relationship, otherwise, the PCC by itself can increase the burden upon the doctor. Doctors with a role of remunerated servant (not slave), like any other professional who delivers a service with excellence, focusing in the main actor, the patient, can heal the DPR.ConclusionThe Servant DPR gives a positive counter transference, increasing the doctor's motivation and giving him back the sense of purpose in medicine, increasing the health system's effectiveness.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Narrative Literature and Cancer: Improving the Doctor-Patient Relationship

2012 ◽  
Vol 98 (6) ◽  
pp. e152-e154
Author(s):  
Enrico Aitini ◽  
Paola Bordi ◽  
Chiara Dell'Agnola ◽  
Elisa Fontana ◽  
Wanda Liguigli ◽  
...  
Keyword(s):  
Point Of View ◽  
Faculty Members ◽  
Patient Relationship ◽  
Classical Literature ◽  
Doctor Patient Relationship ◽  
Family Doctors ◽  
Postgraduate Students ◽  
Narrative Literature ◽  
Pain And Suffering

The role of classical literature on the subject of pain and suffering in cancer and other serious illnesses, not only from the point of view of patients but also of hospital personnel, family, friends and family doctors, has not been deeply exploited to favor the human and professional experience of young and not so young oncologists. This manuscript is the result of an effort made by postgraduate students and faculty members at the School of Oncology at Parma University to review the literature on this subject. The aim of our work is to convey the message that before teaching relationship techniques it is important to instill a culture focused on the doctor-patient relationship. Classical literature can make an important contribution to awareness in this area.

scholarly journals Praecox-Gefühl in Classical and Modern Researches

Psychiatry ◽  
2020 ◽  
Vol 18 (3) ◽  
pp. 58-64
Author(s):  
I. D. Gornushenkov ◽  
I. V. Pluzhnikov
Keyword(s):  
Mental Disorders ◽  
Interpersonal Communication ◽  
Diagnostic Technique ◽  
Diagnostic Tools ◽  
Diagnostic Process ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Scientific Publications ◽  
Intersubjective Experience

Background: The introduction of modern classifications of mental disorders has caused a number of significant changes in the diagnostic process. Recently, both domestic and foreign authors began to pay more attention to the analysis of the “weaknesses” of the operational approach in the diagnosis of mental disorders. One of the “lacunae” that arose due to its distribution, which is hardly discussed in modern classifications, is the problems of the role of intersubjective experience in the doctor–patient relationship and the diagnostic process. The diagnostic technique based on the Praecox-Gefühl phenomenon is one of the most striking examples of the utility of such an experience.The aim was to present and discuss modern and classic Praecox-Gefühl studies in the context of analyzing the role of intersubjective experience in psychiatric diagnosis.Material and method: Modern and classic scientific publications were selected by using the keywords “Praecox-Gefühl” or “Praecox-feeling” in the databases of Web of Science, PubMed and in the other sources.Conclusion: the professional use of intersubjective experience arising in a doctor–patient relationship can be one of the diagnostic tools for identifying schizophrenia, including the early stages of the disease. Modern psychological studies indirectly confirm this statement by revealing an impairment of functions that provide interpersonal communication among patients with schizophrenia.

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