By | 2018-08-17
Effective Physician And Patient Interaction

Being a good physician means more than simply being a good clinician. Doctors in their day-to-day activities can provide leadership to their fellow workers and vision for the organisations in which they work for and also to the profession as a whole. However, still doctors are willing to contribute to improving the quality of services and to opine when things are wrong, patient care is likely to suffer in these situations. Relationships grounded on openness, trust and good communication will enable doctors to work in partnership with their patients to address the needs. To fulfil doctor role in the Doctor vs Patient Relationship, doctor must: Be polite, considerate and honest to their patients Consider every patient as an individual Honor patients’ privacy and right to secrecy Treat patients with dignity Give courage to patients in caring for themselves to improve and maintain health First minutes : Try not to be late… Concentrate fully and only at the patient Take care of the patients comfort, organize the environment, Pay attention to the physical distance, Introduce yourself. The Art of asking questions : General, open, refer to the interviewee’s general life situation or the presenting problem What brings you here? What can I do for you? What is your problem? Why are you here? (in the hospital) Could you tell me a bit more about … Narrowing down the questions (general to specific) Progression (relatively benign to personal) Direct questions Leading questions (indirect) Postponed questions (change of context, better moment) Projective questions (some people…”, description of interpersonal situation) Language : Patients who feel at ease and who are encouraged to talk freely are more likely to disclose the real reason for consultation. The doctors language must be matched to Patients’ intellectual level verbal skills, personal experience and also try to avoid the professional language and shortenings. Importance of effective communication: Listen to your patients, investigate, respect their views about their disease state, respond to their concerns Communicate with patients, in a way they can understand easily, the information they want to know about their health condition, its likely progression, and the treatment options available to them, including connected/related risks and uncertainties Answer to patients questions and keep them update about the move on of their care Make sure that your patients are updated about how information is shared within teams and among those who will be providing their care. While treating Children and young people: Treat them with respect and listen to their views and concerns Doctors must be safeguard, Protect the health, well-being of young people and children’s. Answer their questions to the best of your ability Provide information in a clear and crispy manner so that they can also understand. How to maintain the rapport? Verbal signals Yes”/ I understand”/Yhym” „ Could you tell me more about this?” Paraphrasing Silence Nonverbal signals: Body posture Tilt of the head Facial expression Gestures Eye expression Smiling Synchronisation Will builds the good confidence If things goes wrong: Being open and honest with patients, If a patient under your care has suffered harm, Doctor must act immediately to put matters right, if that is possible; Should offer an apology, explicate promptly to the patient, what was happened, how things happen wrong and also explain the likely short-term and long-term effects. Patients who complain about the treatment they have undergone have a right to expect a prompt, open, positive and reliable response including an clarity from the doctor, if appropriate, an apology. Maintaining trust and Confidentiality: Medical Practitioners must not use his or her professional position to pursue a improper emotional relationship with any patient(s) or someone who close to them. Medical Practitioners must not express to their patients about personal beliefs (including political, religious, moral beliefs). Medical Practitioners must be considerate to patients relatives, others close partners, be sensitive and responsive in providing adequate information and support to them, including after a patient has died. Patients have a right to expect that information about them will be held in confidence by their doctors. Physician must treat information about patients as confidential, including after a patient has died. Ending your professional relationship with a patient: In rare circumstances, the trust between doctor and a patient may break down, and doctor may find it necessary to end the professional relationship. For instance, this may happen if a patient has been violent, or has persistently acted inconsiderately. The Doctors should not end a relationship with a patient solely, because of a complaint by the patient (about doctors or fellow doctors), its of the resource implications to patient’s in the means of treatment or services that were offered to him. Before taking a decision to end a professional relationship with a patient, Doctor’s must be satisfied with their decision is fair and does not contravene, They must be prepared to justify their decision. Doctor’s should communicate to the patient of their decision / reasons for ending the professional relationship, if possible in written manner.