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Doctor-Patient Communication
Prof Dr. Chew Keng ShengFaculty of medicine and health sciences,
UNIVERSITI MALAYSIA SARAWAK
Think!
Avoid jargons
1.Always keep the
patient/family members informed
“Ignorance breeds fear. Fear breeds hate.
Hate breeds violence.”
Patients are often in vulnerable position
80% Of medical students failed to
introduce themselves adequately and explain their intentions in a
study involving 50 students (Maguire & Rutter, 1976)
Do we see our patients as numbers or “A CASE of..”? Do we label patients and put them as in “box”?
2. Listen to the patient
“The biggest problem in communication is we do not listen
to understand. We listen to reply”
- Stephen R. Covey
Patients often have more than one complaint.
The mean number of concerns patients have
range from 1.2 – 3.9 in both new and return visits.
×Levinson et al (2000) - patients often gave verbal and non-verbal cues throughout the interview but physicians only responded positively to the cues in 38% of surgery and 21% in primary care
×Rogers and Todd (2000) – cancer specialists preferentially listened for and responded to certain disease cues over others
18 secIs all it takes on average before a doctor interrupt the patient (Beckman & Frankel, 1984)
54%Of patients’ complaints were not addressed in clinical encounters (Stewart et al, 1979)
6 min Is all it takes on average to reach a diagnosis (Norman
2009)
History from patients contributes 60 –80% of the data for diagnosis (Hampton et al, 1975; Sandler 1980; Kassirer 1983; Peterson et al, 1992)
× S = Setting: privacy, family× P = Perception: what they know, expectations× I = Information× K = Knowledge× E = Empathy× S = Summary
Big Summary: What have you learned today?
THANKS!A n y q u est i on s?You can find me at [email protected]