Ranjan Piyush, Kumari Archana, Chakrawarty Avinash
Assistant Professor, Department of Medicine, All India Institute of Medical Sciences , New Delhi, India .
Assistant Professor, Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research , New Delhi, India .
J Clin Diagn Res. 2015 Mar;9(3):JE01-4. doi: 10.7860/JCDR/2015/12072.5712. Epub 2015 Mar 1.
The process of curing a patient requires a holistic approach which involves considerations beyond treating a disease. It warrants several skills in a doctor along with technical expertise. Studies have shown that good communication skill in a doctor improve patient's compliance and overall satisfaction. There are certain basic principles of practicing good communication. Patient listening, empathy, and paying attention to the paraverbal and non verbal components of the communication are the important ones that are frequently neglected. Proper information about the nature, course and prognosis of the disease is important. Besides, patients and attendants should always be explained about the necessity and yield of expensive investigations and risks/benefits involved in invasive procedures. One should be extremely cautious while managing difficult encounters and breaking bad news. Formal training of the doctors in improving communication skills is necessary and has proven to improve overall outcome. The authors recommend inclusion of formal training in communication skills in medical curriculum and training of practising doctors in the form of CMEs and CPEs.
治愈患者的过程需要一种整体方法,这涉及到治疗疾病之外的诸多考量。这需要医生具备多种技能以及专业技术知识。研究表明,医生良好的沟通技巧能提高患者的依从性和总体满意度。践行良好沟通有一些基本原则。患者倾听、同理心以及关注沟通中的副语言和非语言成分是经常被忽视的重要原则。关于疾病的性质、病程和预后的恰当信息很重要。此外,应始终向患者及其家属解释昂贵检查的必要性和结果以及侵入性操作所涉及的风险/益处。在处理困难情况和告知坏消息时应极其谨慎。对医生进行改善沟通技巧的正规培训是必要的,且已证明能改善总体治疗效果。作者建议在医学课程中纳入沟通技巧的正规培训,并以继续医学教育(CME)和继续职业教育(CPE)的形式对执业医生进行培训。