Fiorini Fulvio, Granata Antonio
UOC Nefrologia e Dialisi, Ospedale Santa Maria della Misericordia, AULSS5 Polesana, Rovigo.
UOC Nefrologia e Dialisi, Ospedale San Giovanni di Dio, Azienda Sanitaria, Agrigento.
G Ital Nefrol. 2019 Apr;36(2).
The Doctor-Patient relationship is of fundamental importance in the field of care and continues to undergo profound transformations. In ancient times the doctor was "authoritarian": the patient was considered a passive element, incapable of understanding, knowing and acting for his own health. The doctor then became a "paternalistic" figure and it is only recently that the patient has become a responsible subject who interacts with the doctor in the definition and evaluation of every health intervention. The patient needs to be actively involved and informed, participating in the therapeutic process and in monitoring the positive and negative effects of the treatment. The doctor needs to communicate in a way that is simple and appropriate in order to avoid misunderstandings, which are very common as patients and doctors can often attribute different meanings to certain words. Doctors need to be aware that such a possibility exists and verify that the patient has understood the real meaning of his words. As good communication between doctors and patients is a strategic factor in care, communication courses should be included in any Medical Degree course.
医患关系在医疗领域至关重要，且仍在经历深刻变革。在古代，医生是“专制的”：患者被视为被动因素，无法理解、知晓并为自身健康采取行动。后来医生成为了“家长式”人物，直到最近患者才成为一个负责的主体，在每项医疗干预的定义和评估中与医生进行互动。患者需要积极参与并了解情况，参与治疗过程以及监测治疗的正负效果。医生需要以简单且恰当的方式进行沟通，以避免误解，因为患者和医生常常会赋予某些词语不同的含义，误解非常普遍。医生需要意识到存在这种可能性，并核实患者是否理解了其话语的真正含义。由于医患之间的良好沟通是医疗中的一个战略因素，任何医学学位课程都应包含沟通课程。
