1, directional propagation.
In the process of medical activities, take the initiative to find the signs of possible problems, take such family members as the key communication objects, and communicate according to their specific requirements after making an appointment. For example, in the morning shift, in addition to handing over the medical work, the signs of family dissatisfaction found on duty that day should be handed over as a routine content, so that the next class of medical staff can do a good job of communication in a targeted manner.
2. Exchange object communication.
When it is difficult for doctors to communicate with patients' families, another doctor or director should communicate with patients; When the doctor can't communicate with the patient's family, change to a patient's family with a higher level of knowledge and let this family convince other family members.
3. Collective communication.
For patients with more similar diseases, the hospital can call family members to communicate in the form of training courses to explain the cause, treatment and prevention of the disease. This kind of communication can not only save time, but also promote mutual understanding between patients, make patients become voluntary propagandists and reduce the work pressure of medical staff.
4. Written communication.
In order to make up for the lack of language communication, the hospital implemented written communication, and printed some standard questions in words for the convenience of patients' families. For example, because there is no escort in the neonatal ward, family members know nothing about the treatment and living conditions of sick children. In addition to limited visits, the medical staff also compiled a small manual about the feeding, washing, nursing and treatment of the baby in the ward for one day, as well as the knowledge of follow-up and feeding care after discharge, and distributed it to the families of each hospitalized baby to achieve the purpose of communication.
5. Coordinate and unify communication.
When the lower-level doctors are uncertain about the explanation of a disease, they should ask the higher-level doctors first, and then communicate according to the unified opinion; When the diagnosis is unclear or the condition is aggravated, the medical staff should discuss internally before communicating, and then the superior doctor communicates with his family members after unified understanding.
6. Physical control communication.
For some diseases, oral and written communication is difficult, which can be supplemented by physical or video communication. For example, for the family members of children with asexual heart disease, doctors can explain the heart model in combination with drawing, so that the family members can vividly understand where the disease appears and how to carry out surgical repair. Another example is orthopedic patients, whose family members don't know where the bone disease is, so orthopedic surgeons take out human bones and explain them to patients in common language.
Causes of disharmony between doctors and patients;
There is no good communication between doctors and patients. Most medical staff and patients believe that communication between doctors and patients is generally or basically lacking. To some extent, this shows that there is a lack of basic trust between doctors and patients, and medical staff have not fulfilled their good obligation of informing and caring, which is attributed to the decrease of trust between the two sides. Both patients and medical staff think that the doctor-patient relationship is not harmonious to varying degrees.
1, China's current medical security system and related laws and regulations have not kept pace with the market economy in time. The government's investment in hospitals is seriously insufficient, and the hospital's self-financing system urges patients to bear too much medical expenses. At the same time, in the process of expensive medical treatment, the polarization between the rich and the poor and contradictions in society have intensified.
2. The lack of communication between doctors and patients and the increase of medical disputes are important factors for the disharmony between doctors and patients. The lack of primary medical resources and level often leads to misdiagnosis, which makes patients concentrate in the top three hospitals in big cities for reliable diagnosis and treatment. Doctors' overwork prevented them from improving their communication with patients. At the same time, the medical education system does not give students intensive training in doctor-patient communication skills, which makes doctors lack good communication skills.
3. The lack of humanistic care in the medical process aggravates the disharmony between doctors and patients. Treating diseases and saving lives is one, but some doctors only pay attention to "diseases" and not people. Similarly, the rights and interests of doctors have not been adequately protected. Sometimes doctors don't even have a place and time to rest, and there is no empathy between them. Patients often don't understand the doctor's diagnosis and treatment, and even violent medical injuries occur.
4. The direct reason that affects the doctor-patient relationship is that the channels for patients' complaints and rights protection are not smooth. Although China implemented the new Regulations on Handling Medical Accidents as early as a few years ago, after the occurrence of medical accidents, the cost of accident identification alone is as high as several thousand yuan, and the cost of safeguarding patients' rights and interests is too high.
5. Lack of trust between doctors and patients is an important reason for the contradiction between doctors and patients. The news media lacks detailed reports, which leads to the lack of trust and understanding between doctors and patients and the inability to put themselves in others' shoes. Some medical staff do not put themselves in the patient's shoes, but think more about medical institutions and their own interests. Moreover, some patients also lack understanding of medical staff and medical complexity.