Kedokteran Keluarga
Relationship Building
Exploration and
Understanding
Rational Discussion
A. Relationship Building
• Be ready and willing to attend to the patient
• Listening carefully to the patient
• Attempting to understand the feelings and
thoughts conveyed
• Structuring, paraphrasing, reflecting of feeling
and summarising the patient’s statements
• 3 phases :
1. Problem definition and assessment
2. Therapeutic goal setting and implementation
3. Termination and evaluation
1. Problem definition and assessment
• Define a treatable problem among a wide
and complex variety of complaints
2. Therapeutic goal setting and
impelemantation
• Eliciting as clearly and specifically as possible
the patient’s expectation of improvement
• Doctor define a target symptom or specific
outcome = the patient expect to achieve
negotiation to modify unrealistic
expectation and to lead to mutually agreeable
goals
2. Therapeutic goal setting and
impelemantation