Jowkar Nima, Fjeldsø Nina, Nørgaard Lotte Stig, Sporrong Sofia Kälvemark, Jacobsen Ramune, Kaae Susanne
Social and Clinical Pharmacy, Department of Pharmacy, University of Copenhagen, 1165 Copenhagen, Denmark.
Department of Pharmacy, Uppsala University, 752 36 Uppsala, Sweden.
Pharmacy (Basel). 2020 Dec 18;8(4):241. doi: 10.3390/pharmacy8040241.
Several studies have shown that communication between patients and HCPs is still not optimal in integrating patients' perspectives on how best to manage their diseases and their medication. One such area where encounters between patients and professionals still needs to develop to better incorporate the patient's perspective is pharmacy practice. The aim of this study was therefore to explore and present new typologies and communication aspects of HCP-patient relationships since a comprehensive literature search in 1997 conducted by Sondell and Söderfeldt, and relate the findings to pharmacy practice. In total, 11 articles were identified by applying the techniques of a purposeful literature search. The articles covered aspects of: shifting and adapting roles during the encounter, techniques to ensure individualizing in the encounter, avoiding inappropriate routines, coping with internet-informed patients, achieving mutual goals, dealing with uncertainty including avoiding rigid preconceptions, using social conversation, incorporating patients' prior experiences, aligning language, adapting greetings and exploring the cultures and communication patterns of patients from other ethnic backgrounds. The variety of these communication aspects points to the immense complexity of communication as a practice discipline. This article has presented some of the literature that pharmacists can consult, in the endeavor of improving their communication practices.
多项研究表明，在整合患者对于如何最佳管理自身疾病及其用药的观点方面，患者与医疗保健专业人员（HCPs）之间的沟通仍未达到最佳状态。患者与专业人员之间的交流仍需改进以更好地纳入患者观点的一个领域是药学实践。因此，本研究的目的是探索并呈现自1997年桑德尔和索德费尔特进行全面文献检索以来HCP - 患者关系的新类型和沟通方面，并将研究结果与药学实践相关联。通过运用有目的的文献检索技术，总共确定了11篇文章。这些文章涵盖了以下方面：在诊疗过程中角色的转变与适应、确保诊疗过程个性化的技巧、避免不适当的常规做法、应对从互联网获取信息的患者、实现共同目标、处理不确定性（包括避免刻板的先入之见）、运用社交对话、纳入患者的既往经历、调整语言、调整问候方式以及探索来自其他种族背景患者的文化和沟通模式。这些沟通方面的多样性表明沟通作为一门实践学科具有极大的复杂性。本文呈现了一些药师在努力改善其沟通实践时可以参考的文献。
