Obstet Gynecol. 2011 May;117(5):1254-7. doi: 10.1097/AOG.0b013e31821d7d98.
Perhaps the greatest contemporary challenge in implementing the principles of effective communication lies in our current health care environment that demands increasing physician productivity and less time with each patient. Effective patient-physician communication with the use of patient-centered interviewing, caring communication skills, and shared decision making will help. The use of physician extenders and, in select situations, e-mail communication with established patients also can be beneficial.
也许在实施有效沟通原则方面，当代最大的挑战在于我们当前的医疗保健环境，它要求医生提高工作效率，减少与每位患者的沟通时间。有效的医患沟通，包括使用以患者为中心的访谈技巧、关怀沟通技巧和共同决策，将有所帮助。在某些情况下，使用医生的助手以及与已建立的患者进行电子邮件沟通也可能是有益的。
