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The importance of doctor-patient communication in the doctor-patient relationship 1 At present, medical disputes have become the focus of social attention, and difficulties in hospitals and health administration often plague medical staff and seriously interfere with the normal work of hospitals. The root cause is not only a doctor-patient problem, but also a social problem. As we all know, medicine is the most complicated, precise and unknown science among all sciences. The medical service industry is risky. However, patients' lack of corresponding medical professional knowledge, high expectations for the cure of the disease, and limited ability and level of medical staff are all potential factors for the contradiction between doctors and patients. In this case, timely and effective communication between doctors and patients, deepening understanding, respect and trust, eliminating unnecessary misunderstandings and better establishing a harmonious doctor-patient relationship is particularly important. According to the complaint data of medical disputes received by our laboratory in recent years, 80% of medical disputes are related to poor or ineffective communication between doctors and patients, and less than 20% of cases are related to medical technology. This shows the importance of doctor-patient communication in the doctor-patient relationship. Now it is discussed from the following aspects.
Communication and effective communication.
Communication is the process of information exchange between people in social communication. Including ideas, values and emotions. If the information exchanged can be understood and accepted by both parties, then this kind of communication is effective.
The doctor-patient relationship is a special relationship of "life depends on life". Because patients lack medical professional knowledge, communication with Chinese medicine has become the main body of communication. In most disputes between doctors and patients, the communication between medical staff and patients is not in place and comprehensive, and the effect is not good. That is, the gap is unclear, incomprehensible, unacceptable and unacceptable.
For example, in the informed consent form of surgery, the medical staff may simply introduce the patient and make him think that it is a routine operation, which will lead to complications or illness transition and disputes.
2. The subject and significance of effective doctor-patient communication.
(1) Due to the differences in medical knowledge between doctors and patients, medical staff play a leading role in the communication between doctors and patients, that is, become the main body of communication.
(2) Effective doctor-patient communication can promote mutual understanding and trust, which is conducive to the diagnosis and treatment of diseases. For example, in the process of medical history collection, doctors should not only listen carefully and patiently to the patient's description of his illness, but also tell the patient how to cooperate with the necessary physical examination and examination in an easy-to-understand language, so as to achieve effective communication, and capture important and valuable information from the patient's description of his illness and find suspicious information or possibility, so as to consider the illness in detail and comprehensively and avoid misdiagnosis or missed diagnosis. Eliminate the hidden dangers of future disputes as much as possible, and lay the foundation for the next auxiliary examination and clear diagnosis, and also pave the way for deepening the understanding and trust between doctors and patients, reducing the contradiction between doctors and patients and building a harmonious doctor-patient relationship.
(3) Effective communication is conducive to the sound and rapid development of hospitals: at this stage, patients can not only choose the treatment plan provided by doctors, but also freely choose hospitals or medical staff. Therefore, to develop a hospital, it is necessary to establish a good doctor-patient relationship, improve medical quality and service level, establish a good image and win a good reputation. Attract more patients. Through the communication with the first-time patients, patients can feel the hospital's good service attitude, superb diagnosis and treatment level and rigorous academic attitude, thus establishing a good reputation among patients and society and attracting more medical patients.
(4) Effective communication between doctors and patients is the requirement of medical development: there are many unknown fields in medicine, and the development of medicine depends on the continuous exploration, summary and improvement of medical workers, as well as the support and cooperation of patients.
3. Effective communication skills
3. 1 and amiable attitude are the prerequisites for effective communication. Attitude is everyone's inner confession, which is easily influenced by many factors such as personal feelings. The amiable attitude reflects the humanistic quality and moral sentiment of medical staff, so as to sincerely face patients, respect their personality, sympathize with their sufferings, and let patients feel the care, attention and serious responsibility of the attending doctor for their diseases. In order to obtain valuable information, it is formulated.
3.2 Beautiful and pleasant language is a good medicine for effective communication. The main sources of fully gaining patients' trust and collecting relevant disease information are to eliminate patients' panic about their own diseases in time through patients' descriptions of diseases, to stabilize patients' nervousness through humorous or easy-to-understand language and to join guidance in time. Of course, when listening, you should devote yourself wholeheartedly, and don't interrupt the patient's narrative for no reason. Secondly, pay attention to the art of conversation, pay attention to methods and skills, be considerate, respect and care for individual life. Explain the related problems in disease treatment with kind and peaceful language and considerate mentality, so as to improve the communication quality and achieve the purpose of effective communication.
4. Principles to be grasped in effective communication
4. 1 principle of rationality and legality The doctor-patient relationship is also a legal relationship. When communicating with patients, we should strictly abide by laws and regulations and earnestly abide by medical ethics. Clarify the rights and obligations of patients according to law. Try to help solve the reasonable and legal problems raised by patients, and patiently explain the illegal things to patients to gain understanding.
4.2 The principle of good faith is that both doctors and patients are equal. They hold a sincere attitude in communication, sincerely consider the patients, do their best to alleviate their pain, reassure patients, and are willing to communicate heart to heart, so as to cooperate with treatment and realize effective communication.
4.3 The principle of empathy can put yourself in the patient's shoes whenever and wherever possible. When thinking and solving problems from the patient's point of view, the problems will be solved and communication will be more natural.
4.4 Timing principle In communication, special attention should be paid to cold treatment and silence in a gentle way when communication is difficult or patients or their relatives are emotional, so as to give patients and their families a certain time to adjust their emotions and clear their minds, so as to avoid conflicts and affect the communication effect.
In a word, effective communication between doctors and patients is very important in diagnosis and treatment. As a medical worker, we should constantly sum up experience in our work, be good at treating each other with sincerity, and resolve the contradictions in doctor-patient communication with profound medical knowledge, skillful professional skills and superb language control ability. In order to close the doctor-patient relationship, deepen patients' trust in hospitals and medical staff, build a harmonious society and win a good reputation, it plays a role in promoting and helping.
References:
Sun Haitao. Strengthen the communication between doctors and patients and build a harmonious doctor-patient relationship [J]. Journal of North China Coal Medical College, 2009,11(1):105-106.
[2] Gu,,, Tong Ying. Application and effect of institutionalized doctor-patient communication in clinical practice [J]. China Health Resources, 2009, 12 (2): 77-78.
[3] Yu Enyan, Zhu Shifa. On doctor-patient communication [J]. China Hospital Management, 24, 2008 (10): 683-684.
[4] governance, Jin. On the role of strengthening doctor-patient communication in medical work [J]. People's Military Medical College, 2009, 52 (1):1.
Importance of doctor-patient communication in doctor-patient relationship. Importance and necessity of communication education between medical students and doctors.
1. Cultivating medical students' communication ability between doctors and patients can reduce the occurrence of medical disputes. In recent years, medical disputes are on the rise year by year. The survey shows that 50.56% of medical disputes are caused by insufficient communication between doctors and patients, while only 17.56% are caused by low medical technology. [4] Therefore, strengthening doctor-patient communication, enabling doctors to understand patients' needs, providing psychological care for patients, answering doubts, and enabling patients to rationally understand medical activities, thus deepening the understanding and trust between doctors and patients, helping to establish a harmonious doctor-patient relationship and reducing the occurrence of medical disputes. At present, China's higher medical education pays more attention to the mastery of medical knowledge and skills training, but not to the cultivation of doctor-patient communication ability, which makes medical students lack communication ability, and medical disputes caused by medical students grow from scratch year by year. Therefore, it is necessary to strengthen the education of doctor-patient communication for medical students and constantly improve their communication ability to prevent medical disputes in their future careers.
2. Cultivating medical students' communication ability between doctors and patients is conducive to the smooth progress of clinical practice. The last year of medical students' study is the time to leave school and enter the hospital for clinical practice. Clinical practice is a bridge between basic theory and clinical practice, which lays the foundation for medical students to become qualified doctors after graduation. [5] Therefore, clinical practice is an important stage of training medical talents. In the early stage of clinical practice, medical students are not skilled in physical examination and treatment methods, and patients are unwilling to accept their consultation and physical examination, let alone their actual operation, which will greatly reduce the learning opportunities of medical students and affect the quality of clinical practice. If medical students can actively communicate with patients, care for and help patients, and gain their trust and cooperation, it will be beneficial to obtain more clinical practice opportunities and improve the quality of clinical practice.
3. Cultivating medical students' doctor-patient communication ability is the need to improve medical quality. Medical information of patients can be obtained by collecting medical history, which plays a very important role in the diagnosis of diseases. The process of collecting medical history is the process of communication between doctors and patients. Only when doctors have good communication skills can they gain the trust and understanding of patients and obtain a correct, comprehensive and reliable medical history. In the process of disease treatment, doctors also rely on effective communication to understand patients' reaction to drugs and surgical treatment, which is helpful for doctors to improve the treatment plan and improve the treatment effect. As future doctors, medical students will play an important role in future medical work and improve the medical quality of hospitals. [6] Therefore, medical students should strengthen their understanding of the doctor-patient relationship during their school study and hospital practice, and strive to learn various doctor-patient communication skills to lay a foundation for improving medical quality in the future.
Second, the main measures to cultivate medical students' communication ability between doctors and patients
1. Set up the education course of doctor-patient communication. Medical colleges in Europe and America attach great importance to cultivating the doctor-patient relationship of medical students. Communication ability, spreading the knowledge and skills of doctor-patient communication to students by offering the education course of doctor-patient communication. [7] For example, most medical schools in the United States offer courses such as the art of doctor-patient communication and communication with patients. Many medical schools in Britain offer courses such as the ability of doctors to get along with patients, communication between doctors and patients, and how to tell patients bad news. However, the vast majority of medical colleges and universities in China have not yet set up courses on doctor-patient communication education, and only a few pilot colleges have set up courses on doctor-patient communication, and there are some problems such as the nature of most courses is optional and the number of class hours is relatively small. [8] Medical colleges that don't offer the education course of doctor-patient communication only involve the related content of doctor-patient communication in the courses of clinical skills, clinical introduction and medical ethics, and the teaching content is very limited, which can't meet the needs of medical students to communicate with patients after entering the hospital. Therefore, medical colleges and universities in China should learn from the mature teaching experience of European and American countries, adjust the original teaching plan, and set up the doctor-patient communication education course as a compulsory course to improve the communication ability of medical students.
2. Pre-internship education. Medical students lack understanding of the hospital before entering the hospital for clinical practice. Therefore, teachers need to educate them before practice, including medical laws and regulations, hospital rules and regulations, medical technology operation norms, professional ethics, doctor-patient communication skills, prevention and treatment of medical disputes, etc. Let medical students realize the current severe medical forms, enhance the awareness of communication between doctors and patients, regulate their behavior by law and prevent medical disputes.
3. Cultivate medical students' communication ability between doctors and patients in clinical practice. In the clinical practice stage, medical students are in contact with patients every day, which is not only conducive to cultivating students' ability to diagnose and treat diseases, but also conducive to cultivating their communication skills between doctors and patients. Encourage students to go to wards more often, talk to patients more, help patients solve problems, and improve students' communication ability between doctors and patients in practice. When students encounter problems in the process of communicating with patients, they should consult more clinical teachers, let the teachers know about the communication between doctors and patients, give targeted guidance to students, help students build confidence in communicating with patients and enhance their communication ability. In addition, medical students should carefully observe how clinical teachers communicate with patients and learn teachers' communication skills. Common communication skills that medical students should master include: (1) Good appearance and manners. The good appearance and behavior of doctors can leave a good first impression on patients, which is conducive to the smooth communication between doctors and patients. If doctors are disheveled and in a hurry, they will leave a sloppy impression on patients and lose their trust. (2) Listen patiently. Doctors should listen to patients' complaints patiently and don't interrupt them casually. This is not only respect for patients, but also a comprehensive understanding of patients' condition, which is helpful for correct diagnosis. (3) explanation. The Law of People's Republic of China (PRC) on Medical Practitioners stipulates that patients have the right of informed consent to their diseases. Therefore, doctors should introduce the purpose, necessity and limitations of various examinations, the diagnosis of diseases, the advantages and disadvantages of various treatment schemes and the basis for selection, the effects and complications after treatment, the prognosis of diseases and medical expenses at an appropriate time, so as to obtain the understanding and consent of patients. (4) Improve language communication skills. When communicating with doctors and patients, doctors should use polite language, respect patients' personality and not hurt patients' self-esteem. When telling patients bad news, we should use protective words to prevent the exchange of information from causing adverse psychological stimulation to patients. In addition, doctors should use more easy-to-understand language when communicating, so that patients can understand it easily, and try to use less medical terminology that patients can't understand. (5) Use body language correctly. It is found that among the three factors that affect the effect of face-to-face communication, body language accounts for 55%, tone and intonation accounts for 38%, and language only accounts for 7%. [9] Therefore, body language should be used in language communication. For example, when a doctor communicates with a patient in an outpatient clinic, he smiles and gives the patient kind eyes and caring physical contact, so that the patient can feel the doctor's care and enhance the patient's trust in the doctor, which is conducive to smooth communication. (6) avoid conflicts. Some patients are in a bad mood and have a bad temper during their illness. As doctors, they should understand the pain of patients, learn to be tolerant and avoid conflicts.
4. Improve the quality of clinical teachers. Clinical teaching practice has proved that the words and actions of clinical teachers will exert a subtle influence on the cultivation of medical students' communication ability between doctors and patients. When guiding medical students to practice, the professionalism of clinical teachers and the positive communication with patients will naturally be passed on to students, which will have a direct and far-reaching impact on students' establishing a good doctor-patient communication model in future clinical work. Therefore, in order to improve medical students' communication ability between doctors and patients, a team of high-quality clinical teachers must be established. It can be established in the following ways: (1) Establish a clinical teacher qualification examination system, and employ clinicians with strong teaching ability, rich clinical experience and harmonious doctor-patient relationship as teachers. (2) To train the existing clinical teachers and improve their clinical teaching level by holding a special lecture on "Cultivating the communication ability between doctors and patients". (3) Strict teaching evaluation. According to the rules and regulations of teaching management, the vice president of teaching, experts in science and education and the teaching supervision team regularly check the teaching quality of clinical teachers to find and solve problems in teaching. In addition, the Department of Science and Education regularly holds medical students' symposiums, where medical students evaluate teachers' teaching, feedback the evaluation results to teachers, commend and reward outstanding teachers, and put forward rectification opinions for teachers with problems.
5. Evaluate medical students' communication ability between doctors and patients. In order to make medical students realize the importance of doctor-patient communication, students' professional knowledge and clinical operation skills should be assessed as well as their doctor-patient communication ability in medical examination. Many foreign medical colleges and universities mainly use the real clinical on-site inspection method. [10] In a real clinical environment, students are told the tasks that need to be completed, such as obtaining the informed consent of patients for a certain treatment, telling patients bad news and so on. After completing the task within the specified time, the teacher evaluates the students' communication ability according to the specially formulated evaluation criteria. Other assessment methods include theoretical examination, questionnaire survey and students' self-evaluation. In a word, the school should strengthen the communication ability between doctors and patients of medical students through various channels and make contributions to the cultivation of all-round medical talents.
The Importance of Doctor-patient Communication in Doctor-patient Relationship Abstract: With the change of medical model, patient-centered subjective consciousness has been widely recognized by the society, and patients hope to obtain equal participation rights and personality rights in the medical process. While seeking treatment, patients pay more attention to whether their own interests are respected. Doctor-patient communication is inevitable for medical students in clinical practice, and the importance of harmonious doctor-patient relationship is particularly prominent for the physiological and psychological particularity of gynecological patients.
Keywords: doctor-patient communication; Obstetrics and gynecology; Intern medical students; meaning
Among all the departments in the hospital, obstetrics and gynecology are the departments with high incidence of medical disputes. Because the population targeted by obstetrics and gynecology in the whole medical service process is women, it involves the examination and treatment of female reproductive system, which has its particularity. If it is not handled properly, medical disputes will easily occur. In recent years, among medical institutions at all levels, the incidence of medical disputes in obstetrics and gynecology ranks first, accounting for 7.2% ~ 29.5% [1] of urban medical disputes in China. A considerable part of these medical disputes are caused by lack of communication or improper communication between doctors and patients. A qualified doctor should not only have solid medical knowledge and rich clinical experience, but also have strong communication skills between doctors and patients, so that medical actions can be effectively and timely implemented and the best treatment effect can be achieved. Therefore, it is particularly important to educate and cultivate the communication between medical students and patients who enter obstetrics and gynecology practice.
1 requirements of modern medical education.
Due to the lack of attention to the doctor-patient relationship in China, the education of doctor-patient relationship has also been ignored in medical courses. Doctor-patient communication technology is one of the most basic requirements in medical education in the world. It is also the basis for medical students in obstetrics and gynecology to be competent for their posts and handle the relationship between doctors and patients in the future. With the continuous development of medical education, the communication education between doctors and patients increasingly highlights the importance of behavioral medicine education. In order to improve the communication ability between obstetricians and gynecologists and patients, improve the doctor-patient relationship and improve the quality of medical care, it is necessary to take the doctor-patient communication education as a basic medical course in colleges and universities, and at the same time adapt to the development of medical education.
2 Obstetrics and Gynecology Clinical Teaching on the status of intern doctor-patient communication education
At present, the contents of domestic internship are mostly professional skills, professional ethics, rules and regulations, introduction of internship units, etc. , but only the general training of internship students' communication skills between doctors and patients. Due to the particularity of physiology and psychology of obstetrics and gynecology, even the cultivation of doctor-patient communication ability of interns is arbitrary, and there is no curriculum and a complete training model.
Doctor-patient communication is of far greater significance to obstetrics and gynecology than other departments.
Obstetrics and gynecology involves patients' personal privacy, such as premarital behavior, induced abortion, sexually transmitted diseases and so on. , with the particularity and complexity of the work. In conversation and examination, patients often feel shy and fearful. If communication is not good, it will lead to misunderstanding and medical disputes. Therefore, to become an excellent gynecologist, we must master the ways, methods and skills of doctor-patient communication, achieve the effective purpose of communicating with patients, gain the trust of patients and their families, and promote the real harmony between doctors and patients.
Therefore, we interns should form good habits from the beginning of study and cultivate their communication skills between doctors and patients.
4 the necessity of improving medical quality
Medical students in obstetrics and gynecology need to communicate with patients in every link, such as collecting medical history. Only when doctors have good communication skills can they gain the understanding and trust of patients and obtain a comprehensive and reliable medical history. The treatment of diseases also depends on good communication between doctors and patients, so as to understand the patients' reaction to drugs and surgical treatment during the treatment and the later treatment effect. As future doctors, medical students will play an important role in medical work and improve medical quality [2]. Therefore, medical students in obstetrics and gynecology should strengthen their understanding of the doctor-patient relationship and study various doctor-patient communication skills during their internship in schools and hospitals, so as to lay a foundation for improving medical quality in the future.
We should strengthen the cultivation of interns' humanistic spirit and legal literacy.
5. 1 First, train medical students to establish medical humanistic spirit-patient-centered. Educating students to treat patients as people in a complete society is not only for treating diseases, but also for cultivating medical students' medical humanistic spirit of great virtue and great love. To cultivate medical students, we should have sincere sympathy, put ourselves in the patient's shoes with noble medical ethics, treat patients like relatives, and reduce the hidden dangers of doctor-patient conflicts from our own reasons [3].
5.2 Strengthen medical ethics education for medical students, cultivate their good medical work style and lofty medical ethics, and establish the revolutionary humanitarian spirit of serving the people wholeheartedly and saving lives, so that medical students can master medical knowledge and skills, pay attention to the cultivation of medical ethics, and become capable, professional, honest and worthy of the name.
5.3 It is necessary for a qualified doctor to strengthen legal education for interns. Patients have the right to know, privacy and choice, while medical staff have the obligation to inform and protect the legitimate rights and interests of patients. Due to the lack of legal awareness, medical staff can't inform patients of delivery mode, illness and surgical complications in time. At the same time, the lack of proper protection of privacy rights such as medical history, marriage and childbearing history can easily lead to disputes between doctors and patients.
Medical interns should not only learn the Law on Medical Practitioners and the Regulations on Handling Medical Accidents, but also learn the Criminal Law, the Civil Law and other relevant laws and regulations.
Using communication skills to improve medical students' communication ability between doctors and patients
6. 1 Active listening is the most basic and effective principle and skill of doctor-patient communication [4]. Doctors can understand each other and choose appropriate communication channels and solutions only if they sincerely care about patients and listen carefully to other people's languages. By listening to patients, patients will get great psychological satisfaction and warmth, gradually trust doctors, and begin to accept doctors and cooperate with treatment.
6.2 Language communication skills In the process of communication, medical students should use more daily spoken English and less terminology and abbreviations, so that patients can truly understand the information conveyed by doctors and help patients make appropriate choices [5]. Intern medical students should pay attention to the following aspects: (1) When addressing patients, they should use proper appellation, instead of bed number; Doctor-patient communication requires clear, accurate, concise and clear language expression, avoiding improper use of words, confused thinking, unfocused focus and so on; We should give full consideration to each other's ability to accept and understand, express it in easy-to-understand language, and try to avoid using technical terms.
6.3 Non-verbal communication skills In the process of communication between doctors and patients, a large number of signals are transmitted by non-verbal means, including body movements, language factors and information of spatial objects. The object of obstetrics and gynecology contact is female patients, so it is sensitive to capture this information. Therefore, we should pay special attention to the expression of nonverbal information, such as paying attention to facial expressions, maintaining eye contact, maintaining a gentle tone, and grasping appropriate interpersonal distance. Give patients a good first impression. At the same time, doctors should also pay attention to capture patients' nonverbal signals, such as patients' anxiety or pain, and express appropriate relationships [6].
6.4 Teacher-student communication meeting At the end of the internship, the director of the department will call all the teachers and students to hold a teacher-student communication meeting, and take the form of an independent speech, inviting each intern medical student to speak, including topics such as communication between doctors and patients, communication between doctors and nurses, communication between doctors and patients' families, and talking about common problems in communication, obstacles encountered in communication, effective sharing by using communication skills, etc. Talk about feelings, make suggestions and issue anonymous questionnaires. Providing an anonymous communication platform is beneficial for medical students to express their true feelings, and the director of the department sorts out and summarizes good suggestions according to the records, so that the practice teaching can be sustainable and improved.
In a word, the ability of doctor-patient communication is a basic skill that interns must master. Its improvement is a complex and long-term work, which requires the efforts of schools, hospitals and interns themselves, and needs continuous learning, summary and improvement in practice. Mastering good doctor-patient communication skills and establishing good doctor-patient relationship are of great significance for dealing with the increasing number of medical disputes and safeguarding the interests of both doctors and patients.
References:
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