Glick Shimon
Moshe Prywes Center for Medical Education, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
Rambam Maimonides Med J. 2011 Apr 30;2(2):e0037. doi: 10.5041/RMMJ.10037. Print 2011 Apr.
In spite of the enormous progress of Western medicine during the past century there has not be a concomitant rise in the public's satisfaction with the medical profession. Much of the discontent relates to problems in physician-patient communication. The multiple advantages of good communication have been clearly demonstrated by numerous careful studies. While the past few decades have witnessed much more attention given to teaching communication skills in medical schools, there are a number of factors that create new problems in physician-patient communication and counteract the positive teaching efforts. The "hidden curriculum", the increased emphasis on technology, the greater time pressures, and the introduction of the computer in the interface between physician and patient present new challenges for the teaching of physician-patient communication.
尽管西医在过去一个世纪取得了巨大进步，但公众对医疗行业的满意度并未随之提高。许多不满都与医患沟通问题有关。大量细致的研究已清楚表明了良好沟通的诸多益处。虽然在过去几十年里，医学院校在教授沟通技巧方面受到了更多关注，但仍有一些因素给医患沟通带来了新问题，并抵消了积极的教学成果。“隐性课程”、对技术的日益重视、更大的时间压力以及计算机在医患界面中的引入，都给医患沟通教学带来了新挑战。
