Doctor-patient communication
Consultation Styles
Ideal Patient
Permitted to:
Ideal Doctor
Apply a high degree of skill and knowledge
Act for the good of the patient
Remain objective and emotionally detached
Conflict of Interest
Interests of patient v society
Interests of patient v other patients
Problems of confidentiality
Physician control
Low
High
Default
Consumerist
Paternalist
Mutuality
Collection
of medical history
Physical examination
- Let the patients know what the doctor expected?
Diagnosis,
health problems
- Need for patient participation and cooperation
- Discussion of self-care and medication
After
treatment
Step 1: Start
Cases:
to
communication
- Body language
- Facial expressions
- Gesture
Verbal
communication
Step 3: Collection of
medical history
The
Open-ended
No
Let
- Medical history
- Open and closed issues
- Previous diagnosis
To
need
of information
- Explain to the patient directly or to his/her family member.
Step 6: Summary
Make a positive conclusion
Handshake
Pat on the shoulder
Greetings to the patients accompanies
Conclusion
listening
feeling
request
need