Armstrong Melissa J, Weisbrod Neal J, Bylund Carma L
Department of Neurology (MJA, NJW), University of Florida College of Medicine, Gainesville; Department of Medicine (NJW), Division of Palliative Care, University of Florida College of Medicine, Gainesville; College of Journalism and Communications (CLB), University of Florida, Gainesville; and Department of Medicine (CLB), University of Florida College of Medicine, Gainesville.
Neurol Clin Pract. 2021 Dec;11(6):e896-e900. doi: 10.1212/CPJ.0000000000001091.
Increasing research supports that effective clinician communication with patients and families leads to improved patient outcomes, higher patient satisfaction, and improved clinician experiences. As a result, patient- and family-centered communication is the focus of a 2020 American Academy of Neurology quality measure and part of neurology residency training milestones. Clinicians across training levels can implement strategies for improving patient- and family-centered communication, including optimizing the communication environment, using verbal and nonverbal skills, focusing on the patient's agenda, practicing active listening, demonstrating respect and empathy, individualizing encounters to patient and family needs, and providing clear explanations. These skills can be tailored for specialized encounters (e.g., when wearing masks, telemedicine) and for electronic communication. By purposefully identifying and incorporating key communication skills in everyday practice, clinicians have the opportunity to improve patient care and satisfaction and their own experiences in neurology clinical practice.
越来越多的研究支持,临床医生与患者及其家属进行有效的沟通可带来更好的患者治疗效果、更高的患者满意度以及更好的临床医生体验。因此,以患者和家属为中心的沟通是2020年美国神经病学学会质量指标的重点,也是神经病学住院医师培训里程碑的一部分。不同培训水平的临床医生都可以实施改善以患者和家属为中心的沟通的策略,包括优化沟通环境、运用语言和非语言技巧、关注患者的议程、进行积极倾听、表现出尊重和同理心、根据患者及其家属的需求量身定制诊疗过程,以及提供清晰的解释。这些技能可针对特殊诊疗情况(如戴口罩时、远程医疗)和电子通信进行调整。通过在日常实践中有目的地识别并融入关键沟通技能,临床医生有机会改善患者护理和满意度以及他们自己在神经病学临床实践中的体验。