Can we talk? The search for common ground in the doctor-patient relationship.

Communication is an essential component of providing quality care. Proper communication incorporates the use of plain language and culturally sensitive information in oral, written, and nonverbal communication to patients. Plain language explains medical concepts and conditions in understandable terms without "talking down" to patients or coming across as erudite or condescending. Timing and delivery are also important. Patients are less likely to retain information under stressful circumstances. Bad news should be delivered compassionately and disclosed according to the patient's knowledge and understanding of the situation. Physicians need to individualize their communication to patients based on patients' needs and desires. Online communication to patients needs to clearly focus on medical issues, separating personal and professional content.