Physician-patient relationship: Difference between revisions
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===Hearing the patient's story=== | ===Hearing the patient's story=== | ||
Although physicians frequently ( | Although physicians frequently (3/4s of interviews) interrupt patients before the patient finishes listing their concerns.<ref name="pmid9918487">{{cite journal |author=Marvel MK, Epstein RM, Flowers K, Beckman HB |title=Soliciting the patient's agenda: have we improved? |journal=JAMA |volume=281 |issue=3 |pages=283–7 |year=1999 |pmid=9918487 |doi=}}</ref><ref name="pmid6486600">{{cite journal |author=Beckman HB, Frankel RM |title=The effect of physician behavior on the collection of data |journal=Ann. Intern. Med. |volume=101 |issue=5 |pages=692–6 |year=1984 |pmid=6486600 |doi=}}</ref> It is not clear that this interruption is bad.<ref name="pmid15836531">{{cite journal |author=Dyche L, Swiderski D |title=The effect of physician solicitation approaches on ability to identify patient concerns |journal=Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine |volume=20 |issue=3 |pages=267–70 |year=2005 |pmid=15836531 |doi=10.1111/j.1525-1497.2005.40266.x}}</ref><ref name="isbn1-56053-603-9">{{cite book |author=Thomas Mordekhai Laurence |title=Extreme Clinic -- An Outpatient Doctor's Guide to the Perfect 7 Minute Visit |publisher=Hanley & Belfus |location=Philadelphia |year=2004 |pages= |isbn=1-56053-603-9 |oclc= |doi=}}</ref> Not asking for the patient's concerns at all may lead to more concerns arising late in the interview.<ref name="pmid9918487"/> | ||
After the patient finishing stating their chief concern, responding with "Is there ''something'' else you want to address in the visit today?" rather than "Is there ''anything'' else you want to address in the visit today?" may decrease patients' unmet concerns.<ref name="pmid17674111">{{cite journal |author=Heritage J, Robinson JD, Elliott MN, Beckett M, Wilkes M |title=Reducing patients' unmet concerns in primary care: the difference one word can make |journal=Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine |volume=22 |issue=10 |pages=1429–33 |year=2007 |pmid=17674111 |doi=10.1007/s11606-007-0279-0}}</ref> | After the patient finishing stating their chief concern, responding with "Is there ''something'' else you want to address in the visit today?" rather than "Is there ''anything'' else you want to address in the visit today?" may decrease patients' unmet concerns.<ref name="pmid17674111">{{cite journal |author=Heritage J, Robinson JD, Elliott MN, Beckett M, Wilkes M |title=Reducing patients' unmet concerns in primary care: the difference one word can make |journal=Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine |volume=22 |issue=10 |pages=1429–33 |year=2007 |pmid=17674111 |doi=10.1007/s11606-007-0279-0}}</ref> | ||
Revision as of 14:07, 8 November 2007
The physician-patient relationship is defined as the "interactions between physician and patient".[1]
The medical interview
Being an empathetic listener is helpful.[2]
Greeting the patient
One study of videotaped physician-patient encounters concluded that "physicians should be encouraged to shake hands with patients but remain sensitive to nonverbal cues that might indicate whether patients are open to this behavior. Given the diversity of opinion regarding the use of names, coupled with national patient safety recommendations concerning patient identification, we suggest that physicians initially use patients' first and last names and introduce themselves using their own first and last names."[3]
Hearing the patient's story
Although physicians frequently (3/4s of interviews) interrupt patients before the patient finishes listing their concerns.[4][5] It is not clear that this interruption is bad.[6][7] Not asking for the patient's concerns at all may lead to more concerns arising late in the interview.[4]
After the patient finishing stating their chief concern, responding with "Is there something else you want to address in the visit today?" rather than "Is there anything else you want to address in the visit today?" may decrease patients' unmet concerns.[8]
References
- ↑ National Library of Medicine. Physician-Patient Relations. Retrieved on 2007-10-22.
- ↑ Epstein RM, Hadee T, Carroll J, Meldrum SC, Lardner J, Shields CG (2007). ""Could this Be Something Serious?" : Reassurance, Uncertainty, and Empathy in Response to Patients' Expressions of Worry". DOI:10.1007/s11606-007-0416-9. PMID 17972141. Research Blogging.
- ↑ Makoul G, Zick A, Green M (2007). "An evidence-based perspective on greetings in medical encounters". Arch. Intern. Med. 167 (11): 1172–6. DOI:10.1001/archinte.167.11.1172. PMID 17563026. Research Blogging.
- ↑ 4.0 4.1 Marvel MK, Epstein RM, Flowers K, Beckman HB (1999). "Soliciting the patient's agenda: have we improved?". JAMA 281 (3): 283–7. PMID 9918487. [e]
- ↑ Beckman HB, Frankel RM (1984). "The effect of physician behavior on the collection of data". Ann. Intern. Med. 101 (5): 692–6. PMID 6486600. [e]
- ↑ Dyche L, Swiderski D (2005). "The effect of physician solicitation approaches on ability to identify patient concerns". Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine 20 (3): 267–70. DOI:10.1111/j.1525-1497.2005.40266.x. PMID 15836531. Research Blogging.
- ↑ Thomas Mordekhai Laurence (2004). Extreme Clinic -- An Outpatient Doctor's Guide to the Perfect 7 Minute Visit. Philadelphia: Hanley & Belfus. ISBN 1-56053-603-9.
- ↑ Heritage J, Robinson JD, Elliott MN, Beckett M, Wilkes M (2007). "Reducing patients' unmet concerns in primary care: the difference one word can make". Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine 22 (10): 1429–33. DOI:10.1007/s11606-007-0279-0. PMID 17674111. Research Blogging.