Download - Doctor-Patient Communication Skill
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Doctor-Patient Communication
Prof Dr. Chew Keng ShengFaculty of medicine and health sciences,
UNIVERSITI MALAYSIA SARAWAK
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Think!
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Avoid jargons
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1.Always keep the
patient/family members informed
“Ignorance breeds fear. Fear breeds hate.
Hate breeds violence.”
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Patients are often in vulnerable position
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80% Of medical students failed to
introduce themselves adequately and explain their intentions in a
study involving 50 students (Maguire & Rutter, 1976)
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Do we see our patients as numbers or “A CASE of..”? Do we label patients and put them as in “box”?
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2. Listen to the patient
“The biggest problem in communication is we do not listen
to understand. We listen to reply”
- Stephen R. Covey
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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.
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×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
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×Rogers and Todd (2000) – cancer specialists preferentially listened for and responded to certain disease cues over others
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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)
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History from patients contributes 60 –80% of the data for diagnosis (Hampton et al, 1975; Sandler 1980; Kassirer 1983; Peterson et al, 1992)
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× S = Setting: privacy, family× P = Perception: what they know, expectations× I = Information× K = Knowledge× E = Empathy× S = Summary
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Big Summary: What have you learned today?
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THANKS!A n y q u est i on s?You can find me at [email protected]