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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.
Good Doctor Patient relationship:
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Insure patient compliance on treatment .
Placebo effect.
Good Doctor Patient relationship:
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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.
Communication tips :
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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.
Communication tips :
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Search for hidden agendas.
Shared understanding.
Opportunity to ask questions.
Empower patient in monitoring their disease.
Red flags.
Communication tips :
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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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