Medical Education Center, School of Medicine, Pontificia Universidad Católica de Chile.
Curr Opin Psychiatry. 2013 Sep;26(5):453-7. doi: 10.1097/YCO.0b013e328363be50.
This article revises the main conclusions from recent reviews and research, about the different dimensions that shape the patient-physician relationship, delineating specific areas of intervention that would reinforce the quality of this interaction.
The selected articles reflect the permanent interest that exists about this topic. Within the most promissory findings significant associations were found from statistical as well as clinical standpoints. These associated verbal and non-verbal communication skills, as well as the empathizing ability of the physician, with clinical results of the patients, were measured with subjective parameters (e.g. patient satisfaction) and especially objective ones (e.g. physiological markers). Nevertheless, the results are still not robust and cannot be translatable.
The implications of these studies are at a conceptual and instrumental level. A better precision of the dimensions and variables that define the patient-physician relationship will permit the design of educational strategies and training that will empower the physician for an interaction with his patients of greater technical and relational efficiency.
本文修订了最近的综述和研究中的主要结论，这些结论涉及塑造医患关系的不同维度，划定了加强这种互动质量的具体干预领域。
所选文章反映了人们对这一主题的持久兴趣。在最有前途的发现中，从统计学和临床的角度都发现了显著的相关性。这些相关的言语和非言语沟通技巧，以及医生的同理心能力，与患者的临床结果相关，这些结果是通过主观参数（例如患者满意度）和客观参数（例如生理标志物）来衡量的。然而，这些结果仍然不够稳健，无法推广。
这些研究的意义在于概念和工具层面。更好地确定定义医患关系的维度和变量，可以设计出教育策略和培训，使医生能够更好地与患者进行更高效的技术和关系互动。
