Faller H
Universität Würzburg, Klinikstr. 3, 97070, Würzburg, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012 Sep;55(9):1106-12. doi: 10.1007/s00103-012-1528-x.
As a result of increasing demands for more patient-centeredness in the German health care system, physician-patient communication has been subject to transformation. Physicians are being requested to take into account their patients' communicative needs, including information, shared decision making, and emotional support, more vigorously than they had been in the past. A cooperative model of the physician-patient relationship is considered most suitable for fulfilling these needs and for empowering patients to make informed decisions regarding their own health care. However, a large body of evidence exists-particularly regarding communication between cancer patients and their doctors-that shows that patients' needs are not adequately addressed or met. This potential for optimization is all the more important because targeting patients' needs during doctor-patient communication not only improves patients' satisfaction with the communication, quality of life, and well-being, but may also produce better treatment outcomes.
由于德国医疗保健系统对更加以患者为中心的需求不断增加，医患沟通正在经历变革。与过去相比，现在要求医生更积极地考虑患者的沟通需求，包括信息、共同决策和情感支持。医患关系的合作模式被认为最适合满足这些需求，并使患者能够就自己的医疗保健做出明智的决定。然而，有大量证据表明——尤其是关于癌症患者与其医生之间的沟通——患者的需求没有得到充分解决或满足。这种优化的潜力尤为重要，因为在医患沟通中关注患者需求不仅能提高患者对沟通的满意度、生活质量和幸福感，还可能产生更好的治疗效果。
