{"id":3987,"date":"2016-07-06T11:24:53","date_gmt":"2016-07-06T16:24:53","guid":{"rendered":"http:\/\/kbicblog.com\/blog\/academic-medicine\/?p=3987"},"modified":"2016-10-06T13:48:51","modified_gmt":"2016-10-06T18:48:51","slug":"tips-to-improve-your-communication-with-patients","status":"publish","type":"post","link":"https:\/\/kbicblog.com\/academic-medicine\/tips-to-improve-your-communication-with-patients\/","title":{"rendered":"Tips to Improve Your Communication with Patients"},"content":{"rendered":"

\"Tips<\/a>\u201cWe experienced an iatrogenic event that produced an untoward sequela, and while it is now quiescent, it may still recrudesce.\u201d<\/em><\/p>\n

No one likes to be given bad news, especially of disease.\u00a0 But first, you have to understand what it means.\u00a0 When it comes to communication of medical information, the\u00a0way\u00a0the message is delivered is often just as important as the information itself.\u00a0 Indeed, good communication is the backbone of every patient-provider relationship.<\/p>\n

The roots of poor health care provider communication run deep, stemming from the origins of medicine itself.\u00a0 The earliest doctors were religious authorities, an authoritarian position that required little explanation to those being treated.<\/p>\n

As medical science replaced mysticism, physicians aligned themselves with the elite of society, again placing themselves above their patients.\u00a0 Even when taking their Hippocratic oaths, doctors were only pledging to first do no harm, not explain their methods.\u00a0 Patients were expected to trust their physicians\u2019 good intentions and silently\u00a0accept their prescriptions for treatment.<\/p>\n

What patients expect today<\/h3>\n
\u00a0Today, everything has changed.\u00a0 Patients are no longer regarded as mere symptoms or diseases; they are unique personalities.\u00a0 Shared decision-making has replaced autocratic paternalism.\u00a0 The patient must be made aware of treatment options and give their consent before treatment can begin.\u00a0 It\u2019s ethical, and it\u2019s the law.<\/div>\n

Most would agree that the greatest equalizer in this paradigm shift to patient-centered care has been the internet.\u00a0 Patients now have access to the same information as physicians \u2014 and they let their physicians know it.\u00a0 Who hasn\u2019t been told by their patient, \u201cI think this is what I have, and this is how I think it should be treated\u201d?\u00a0 And that was the first visit.<\/p>\n

Doctors, be warned.\u00a0 Patients don\u2019t just want to be told what to do; they want an active role in deciding what\u2019s being done.\u00a0 And we are expected to provide the necessary information.<\/p>\n

The importance of good communication<\/h3>\n
\n

\u00a0A patient\u2019s ability to make the right choices depends on the availability of accurate information.\u00a0 Physicians have an obligation to not only supply that information, but to do so it a way that is clear and understandable. \u00a0Here are six time-honored techniques that may be of help.<\/p>\n<\/div>\n

1. Avoid medical jargon.<\/strong>\u00a0After almost a decade of medical training, it\u2019s natural for young physicians to let medical jargon roll off the tongue.\u00a0 But when talking to patients, medical terminology can seem like a foreign language.\u00a0 15% of patients age 25 years and older do not have a high school diploma.\u00a0 And what about those for whom English is not their primary language?\u00a0 To them, even terms like hypertension can sound like white noise.\u00a0 Be sure you avoid complex terms, break concepts down into smaller pieces of information, and keep it simple.<\/p>\n

2. Listen to your patients.<\/strong>\u00a0Doctors may do well to listen as much as they talk.\u00a0 A frequently cited study<\/a> showed physicians redirected the patients opening statements after a mean of 23 seconds.\u00a0 Don\u2019t be that physician.\u00a0 Patients have their own agenda, and listening to them may reveal deeper concerns, new problems, useful diagnostic information, and potential barriers to therapy.<\/p>\n

3. Slow down.\u00a0<\/strong>Physicians have a reputation for rushing into a room, asking a few superficial questions, performing a perfunctory exam, and hurrying out.\u00a0 To save time, they may provide an \u201cinformation dump\u201d, unloading all the information as quickly as possible.\u00a0 Such pressured practices do not foster good communication.\u00a0 Try slowing down.\u00a0 A simple tactic is to allow a pause, creating a strategic silence.\u00a0 This gives time for the patient to think and information to sink in.\u00a0 It can be especially important when delivering bad news.\u00a0 The mind needs time to reset and recover.<\/p>\n

4. Assure understanding.\u00a0<\/strong>It has been said that most of the information presented to patients is immediately forgotten, and nearly half of what is retained is incorrect.\u00a0 Doctors need to do a better job making sure patients understand \u2014 and remember \u2014 what is being said.\u00a0 Thus, you may wish to offer the most important information first, and bring up smaller issues later.\u00a0 Also, try to ask questions to assess patient understanding, repeat explanations as needed, and encourage patient questions.\u00a0 Offer a plan for follow-up.\u00a0 Consider using printed information and instructions.<\/p>\n

5. Be honest.\u00a0<\/strong>There are two reasons why doctors sometimes fail to completely disclose the truth: to protect patients from emotional suffering, or protect themselves from litigation.\u00a0 Neither is justifiable.\u00a0 We may be well intended in attempting to shield patients from grief, but not at the expense of omitting essential information. \u00a0Similarly, full disclosure, including admission of any medical error, is an evolving standard.\u00a0 Instead of increasing the chances of a lawsuit, full disclosure, including an apology, may actually decrease the chances and costs of litigation.\u00a0 Honesty is the best policy.<\/p>\n

6. Be empathic.\u00a0<\/strong>In the race to pass exams, see patients, stay abreast of guidelines, and get some sleep, doctors often forget why they went into medicine \u2014 to help patients feel better.\u00a0 As part of that goal, a patient\u2019s emotional health should not be overlooked.\u00a0 The tone with which you speak can lessen pain and reduce anxiety.\u00a0 Subtleties in demeanor \u2014 facial expression, body language, time spent, acknowledgment of patient feelings \u2014 convey concern and positive regard.\u00a0 In addition, noting a patient\u2019s emotional state may suggest depression or suicidal ideation.\u00a0 Genuine caring has a long-term impact that reaches far beyond the moment.\u00a0 Remember the adage: treat others how you would like to be treated.<\/p>\n

Benefits of good communication<\/h3>\n

A recent meta-analysis<\/a> suggests that offering both emotional and cognitive care, the two elements of communication, may produce a small but significant effect of patient outcomes.\u00a0 Just as importantly, sound communication has become the cornerstone of patient-centered care.\u00a0 It helps obtain an accurate history and physical, achieve patient adherence to therapy, and improve patient satisfaction: the Holy Grail of patient-centeredness.<\/p>\n

Perhaps most importantly, by communicating effectively, we build trust and cooperation between provider and patient, equal partners in the delivery of modern health care.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cWe experienced an iatrogenic event that produced an untoward sequela, and while it is now quiescent, it may still recrudesce.\u201d No one likes to be given bad news, especially of disease.\u00a0 But first, you have to understand what it means.\u00a0 When it comes to communication of medical information, the\u00a0way\u00a0the message …<\/p>\n","protected":false},"author":26,"featured_media":3988,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[928,579],"tags":[701,151,688,731,757,66,758,526,759,295,756],"class_list":["post-3987","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-education","category-management","tag-academic-medicine-experts","tag-academic-medicine-jobs","tag-academic-medicine-practice-news","tag-academic-medicine-search","tag-communication","tag-healthcare-industry","tag-improve-care","tag-kayebassman-international-corp","tag-patient-care","tag-physician","tag-tips-to-improve-your-communication-with-patients","column","threecol","has-thumbnail"],"yoast_head":"\nTips to Improve Your Communication with Patients | Academic Medicine<\/title>\n<meta name=\"description\" content=\"Tips to Improve Your Communication with Patients.\u00a0Indeed, good 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