How to do doctor-patient communication

Question 1: How to do a good job of doctor-patient communication Language as a tool for people to express their meaning, exchange feelings, and transfer information, has a very important and irreplaceable role in communicating doctor-patient relationship. Some statistics show that: in the doctor-patient disputes, 65% is due to service problems caused and induced. And 35% of this is due to medical personnel to speak improperly. The survey found the following performance: 1. not civilized cold words individual medical personnel lack of necessary humanistic qualities and ideological character cultivation, professionalism training and development is not enough, speak raw, cold, hard, top. People commented that it is: "hard to see the face, hard to hear the words." Make people uncomfortable and difficult to accept, and even resentment and anger, causing conflicts. 2. borderline layman's words are not modest and not cautious, not familiar, not clear, not the professional issues do not pretend to understand, boastful, subjective speculation, so as to reveal the cracks, leaving behind the trouble. 3. reckless *** words do not take into account the patient's feelings and emotions, regardless of the time, place, intentionally or unintentionally said with *** sex words, *** words, *** words, *** words, *** words, *** words, *** words, *** words, *** words, *** words, *** words, *** words, *** words, *** words, *** words, *** words, *** words. The patient may feel unhappy or suffer from a bad reaction. Make the patient feel unpleasant or hurt, or in the patient is not rational, not calm when the words, harsh words back to vent their anger, leading to the expansion and intensification of the conflict, the formation of disputes. 4. irresponsible talk words speak casually, no cover. Casually discuss the medical behavior of other medical personnel, other departments or hospitals, or even intentionally disparaging. This may lay the groundwork for conflicts and disputes between doctors and patients.5. Leave no room for overstatement, absolute words lack of discursive thinking and rigorous style, speak without leaving any room for error, to say the words, so that it can not be undone, resulting in a passive.6. Should say no apology for the words of the medical activities of the inappropriate place, the timely apology for the apology is not apologized for, so that the small dissatisfaction can not be resolved, but instead of the matter to be made big.7. Should say no explanation of the words that the To the patient to explain, explain, explain, channeling words do not say, so as to bring trouble, affecting the work. Speaking with the patient to pay attention to those aspects of it? 1. First of all, the attitude of speaking to be sincere, courteous, generous. The patient should be concerned about the heart of sympathy, respect for the patient's personality and privacy, always take into account the patient's inner feelings. So that the patient in the psychological sense to produce a sense of cordiality, trust, and the sense of harmony. 2. According to different conditions, different levels of patients, case-by-case treatment. Language strive to be concise and accurate, easy to understand, clear words. The expression should be appropriate, the tone of voice should be calm, the speed of speech should be moderate, have a sense of rhythm and logic. 3. When it comes to diagnosis, treatment, surgery, healing and other medical issues, we should leave room for manoeuvre, be careful and careful, think twice and then think twice. Every word should stand up to scrutiny and examination. There should not be the slightest sloppiness. What needs to be explained and accounted for to the patient must be made clear and accounted for clearly. Patients must be fully informed and make their own choices before surgery and treatment. The consultation, the referral, must be clear. 4. Some words can be said by the patient, other people can say, but we medical staff can not say. Some words should be politely said, to change the words. If there is no good treatment for a patient, you can't say, "No one can cure you, there is no good way!" You can say, "There is no good solution for your disease now, we do our best." 5. For drunkenness, mental and psychological abnormalities, restless patients or patients who are not satisfied with the results of treatment, speak to grasp the word steady. Stability to control agitation, quiet braking. Do not say to provoke the role of words, rash words. 6 for medical activities in the limitations, relative and inevitable defects, to explain to the patient in a timely manner, especially the patient itself is a medical staff or their relatives in the medical staff, pay more attention to their communication, to obtain their understanding and support, to avoid the phenomenon of "prickly". 7 for the medical activities in the limitations, relative and inevitable defects, to explain to the patient in a timely manner. 7. Apologize to the patient in time for the improper or error in medical activities. Such as venous puncture before the timely to the patient that the blood vessels are not good, don't be nervous, I will try my best. Once the first needle is unsuccessful, sincerely say "sorry", the patient will understand. 8. The patient will understand. 8. individual patient's over-excited, out of shape, insolence (reason), words do not tit for tat, do not add fuel to the fire. To be calm and rational, not only righteousness, but also just outside the soft, inside the square outside the circle. 9. As far as possible to introduce the patient's knowledge of the disease, the introduction of my professional and technical situation, the level of hospitals, so that the patient's own condition and diagnosis and treatment, there is an understanding of the aftermath of a proper psychological preparation and expectations. 10. To establish the patient is first of all a person's concept, to rectify the disease do not see the person, the disease is not a person's concept of the person.

Question 2: how to do a good job of doctor-patient communication Medical staff, the establishment of a harmonious doctor-patient relationship? In the hospital and the patient's market consciousness gradually awakened, the patient as a consumer awareness of today, harmonious doctor-patient relationship, strengthen doctor-patient communication has become the medical industry urgently need to solve the problem. The current situation of doctor-patient communication in the public demand for better care and enjoy more rights, the doctor-patient relationship has long been the majority of hospitals to pay attention to the issue, but most of the medical staff still have the following confusions: patients come to the hospital in the end want to get what kind of service? How to do a good job of doctor-patient communication? Why is it that when doctors think they are full of compassion and do their best for patients, patients are full of complaints? What are the problems? How to solve these problems? How to improve patient satisfaction and reduce the risk of medical errors? The key point of these problems is that medical staff should first find the key points in doctor-patient communication, so that they can grasp as much as possible the patient's medical history in the next interview and information collection process, lift their psychological barriers, and ultimately make an accurate diagnosis of the disease and timely treatment. The key points of doctor-patient communication, a full understanding of the role in the past research and work practice, medical personnel are often given "white angel", "saving lives", "selfless dedication" and other lofty role consciousness, while the role of the patient is not to be taken for granted, and the patient is to be treated as a patient. and other noble role consciousness, while ignoring the basic role consciousness of medical personnel. Generally speaking, medical personnel should first have some basic role awareness, and then go to serve patients on this basis, in order to achieve good communication results. Medical personnel's role awareness is the premise and foundation of role-playing, which is the subjective condition for realizing role-playing. The clearer and more comprehensive the role awareness is, the more the role-playing can meet the social expectations. The process of medical personnel's role cognition is a process of role learning. In the cognitive process of the role of medical personnel, to solve two problems: one is the cognition of the role expectations of nurses, a correct understanding of the social role of nurses hope; the second is the cognition of the role of the concept of the role of the correct understanding of their own assumption of the role of what should be how to take action, wholeheartedly into the role of how to fulfill the role of their own role in the provision of the rights, obligations, and to follow the role of the norms of behavior. Second, efforts to enrich their own doctor's profession and other professions, compared with a more special importance. The patient due to the understanding of the medical knowledge is not much, the efficacy of certain drugs and toxic side effects do not understand, the necessity of some of the surgery and the risk of not understanding, their own lesions and their consequences do not know very well, and other reasons, it is very difficult to make the right choice and decision-making. From this point of view, in the doctor-patient relationship, the medical staff is in an active position, while the patient is more in a passive position. This requires medical personnel to technical excellence, full of enthusiasm for patients, regardless of personal gain or loss, only for the patient is responsible for, with a high degree of self-discipline, always adhere to the "prevention and treatment of disease, to save lives and help the injured, the implementation of humanitarianism, wholeheartedly for the people's health services," the principle of their own work. Third, the prerequisites of doctor-patient communication with the rapid development of China's social and economic development in recent years, the development of medical and health care has been further accelerated, but there is also a tendency of excessive marketization of hospitals, hospitals, the weakening of the role of the public welfare and the people's growing demand for health care services appeared in an unprecedented contradiction between the doctor and the patient relationship is gradually becoming tense. Therefore, strengthening the professional ethics education of medical personnel, promoting the role of public hospitals in the public interest, strengthening the supervision and inspection efforts to improve the level of hospital management, and strive to build a perfect social health care system and strengthen the legal awareness of citizens education is called the prerequisite for doctor-patient communication. Medical personnel doctor-patient communication basic quality requirements, a noble medical ethics as a medical personnel, first of all, we must have responsibility, compassion and love. This is the essence of being a human being, but also the medical staff of medical ethics, especially in today's pursuit of a people-oriented harmonious society, the patient as a loved one is by no means an empty word, is a concrete expression of professionalism. Second, the correct concept of medical personnel in the treatment of patients, not only the patient as a biological person, should also be regarded as a social person. In the face of serious, fast-changing and urgent disease patients, to cultivate a quality of rapid understanding of the cause of the patient's illness, analyze the condition, the use of superb technology to make accurate judgments. Third, vulgar and effective language art to establish a good doctor-patient relationship, not only to have exquisite medical care technology, but also need to focus on cultivating the language art of medical personnel. This requires medical personnel in communication with patients, a mastery of the art of listening, so that you can listen to the meaning of the patient's conversation to accurately understand the patient's intention and the truth; secondly, pay attention to the tone of voice, medical personnel with a warm attitude, civilized and courteous language to treat the patient in order to psychologically benign *** to the patient to produce, the establishment of ...... >>

Problem three: how to carry out effective communication between doctors and patients Tell the family of the condition of the real, not exaggerated and not hidden, real real, and then tell them your medical program, what are the advantages of what risks and so on the situation to tell them to ask for their views, do not make up their own mind, more communication, is not wrong!

Question 4: How to strengthen the ability of doctor-patient communication Communication is the connotation, is the literacy, is also an art, trained communication and untrained communication has a different effect. When communicating, the doctor's speech, demeanor, demeanor, dress will affect the effect of communication. Doctors should master two weapons, one is the scalpel, the other is the ability to communicate. In foreign countries, doctor-patient communication often starts from the early stage of medical education and continues throughout, even after graduation. In our country, there is a general lack of education in this area, students often appear after graduation, the lack of awareness and ability. Therefore, in the clinical work, in the emphasis on medical technology to improve at the same time, should pay more attention to the doctor's communication skills, collaborative ability, and the patient's affinity and other aspects of the ability to cultivate.

Strengthening doctor-patient communication requires medical staff to have good communication skills and techniques to achieve a skill, two mastery, three attention, four avoidance. A skill, that is, when communicating with patients or family members to respect each other, patiently listen to each other's complaints. Listen to the patient or family members to say a few words, try to let the patient and family members vent and confide in the patient's condition as much as possible to make accurate explanations. Two mastery, that is, master the condition, test results and treatment; master the patient's medical costs and patients, family members of the psychosocial situation. Three pay attention to, first, pay attention to the communication object's education, emotional state and the feeling of communication; second, pay attention to the communication object's cognitive level of the disease and the expectations of the exchange; third, pay attention to their own emotional response, learn to self-control. Four avoidance, that is, avoid the use of *** each other's mood tone, tone, statement; avoid suppressing each other's emotions, deliberately change each other's point of view; avoid excessive use of each other is not easy to understand the professional vocabulary; avoid forcing each other to accept the doctor's opinions and facts immediately. Only in the doctor and patient *** with the same, friendly participation can achieve the purpose of harmonious communication. Our hospital according to the actual situation, respectively, to take the room communication, preventive communication, written communication, hierarchical communication, centralized communication, indirect communication (family and friends communication, protective communication), direct communication and other effective ways to strengthen the doctor-patient communication.

Room visit communication

The physician in charge of the room visit, timely communication of the condition, preliminary diagnosis, treatment plan, further examination program, etc. with the patient or family members, so that the patient or family members to understand the condition of the patient or family members, the treatment plan to obtain the consent of the patient or family members.

Preventive communication

If you find a patient who may have problems or disputes, the main prevention-oriented approach will be taken as the focus of communication, targeted communication. In the shift handover, as an important content for the shift handover, so that the next shift of medical staff to do in mind, targeted communication with them, to eliminate the doubts of the affected party.

Written communication.

For patients who need special tests, treatments, major surgeries, patients or family members who don't cooperate or don't understand medical behaviors, or some special (such as the loss of speech) patients, the written form of communication is used.

Classified communication.

When the lower-level doctors are not sure of the explanation of a certain disease, first consult a higher-level physician or with a higher-level physician **** with the patient to communicate. The superior physician and the patient communication, often can achieve twice the result with half the effort. Responsible physician and the patient or family communication difficulties or the patient's family emotional, should change the communicator. That is, change to do other medical personnel or superior physician, department head to communicate with them.

Centralized communication.

When the diagnosis is not clear or the disease is deteriorating, before the communication, between physicians, between doctors and nurses, between nurses to discuss collectively, unified understanding of the higher level of physicians to explain to the family. Special major events (special patients, sudden batch injuries, accidents, etc.) timely report to the relevant departments, if necessary, by the doctors, nurses, experts, hospital leadership collective discussion and then communicate. Avoid mistrust and doubt of patients and families due to disagreement. In case of emergency, the highest title physician present to communicate.

Direct communication.

In the case of the patient's condition, psychological tolerance allows, direct communication with them.

Indirect communication

Considering the protection of the patient's privacy and protective medical measures, the communication can be done through protective communication or communication with relatives or principals to achieve the purpose of communication.

Question 5: How to carry out effective communication between doctors and patients People will be sick, sick need to seek medical treatment, see a doctor needs a patient, no patient doctor will be unemployed, then this is the interdependent relationship, only to find ways to get the relationship is positive, only mutual understanding and more communication is the solution to the problem.

Question 6: How to strengthen the doctor-patient communication, reduce the contradiction between doctors and patients Improve the communication skills of doctors and patients, reduce the contradiction between doctors and patients, and create a harmonious medical environment

The World Health Organization found that a survey, when the patient said the condition, an average of 18 seconds was interrupted by the doctor. When the patient wants to express their views on the treatment, the doctor has been preoccupied with the prescription ...... Hefei One Plus One ** hospital senior experts said, more than 90% of the doctor-patient disputes from the improper communication between the doctor and the patient, so each medical staff should master the skills of communication with the patient, to strengthen the humanistic attention to the patient's social and psychological needs and other aspects. Studies show that patients and the public are most dissatisfied with doctors, often their poor communication skills, rather than their professional skills. According to reports, some doctors tend to start from their own point of view in the diagnosis and treatment, rarely consider the patient's idea; even in the diagnosis and treatment of over-reliance on some high-tech instruments, but not willing to spend time to communicate with the patient.

In addition to communicating with patients, medical staff should also master communication skills. The communication between doctors and patients is professional, so the doctor should play a leading role in complaining about the patient's poor expression is wrong. Doctors must be sincere, approachable, and have the desire and motivation to help patients alleviate pain and promote recovery. It is not an exaggeration to say that communication skills are essential for doctors. The following focuses on communication skills:

1. Listening: This is one of the most important and basic skills, but unfortunately, it is often neglected by busy doctors. Doctors must listen to the patient's complaints as patiently, attentively and caringly as possible, and have a response, such as changing expressions and eyes, nodding for "um, um" sound, or simply insert a "I hear you clearly" and so on. Especially patients suffering from toothache, often worried that the doctor's treatment will be painful, especially the sound of the dental drill and dental instruments fear and doubt, the doctor needs to patiently explain, make it clear that now the regular hospital dental treatment has been from "painless treatment" to "comfortable treatment", to eliminate unnecessary fear. Eliminate unnecessary fear. Of course, the patient's account should not be too far from the topic, the doctor can politely remind the patient, please return to the subject. In short, listening is the most important step in developing a good relationship between doctor and patient. Diagnostic errors are often caused by doctors not listening enough.

2. Acceptance: the letter for the doctor, the patient should trust the doctor, accept the doctor, the patient or his family do not trust the doctor and accept the doctor's diagnosis and treatment is most likely to be disputes. The doctor should also accept the patient unconditionally, there can not be any refusal, disgust, dislike and impatience.

3. Affirmation: This refers to the affirmation of the authenticity of the patient's feelings, and must not be presumed to deny. For example, the patient complained that "my side of the tooth is always throbbing pain". The doctor must first confirm the authenticity of the patient's throbbing sensation and show understanding for the patient's discomfort and concern. As for the patient's idea, even if it is obviously pathological, do not take a negative attitude, and do not argue with the patient.

4. Encouragement: Appropriate appreciation and encouragement can narrow the distance between doctors and patients.

5. Choice: As the saying goes, all roads lead to Rome. Doctors may have a variety of treatment options, its advantages and disadvantages to tell the patient, the patient can be based on their own ideas, time schedules, economic situation, etc. to make different choices, the doctor in the therapeutic effect on the basis of full respect for the patient's choice. Of course, the doctor can not accommodate the patient's unreasonable or unrealistic demands, because the doctor can not accurately predict the "future".

To make the communication between doctors and patients more smooth and want to get more comprehensive information, doctors should mainly do the following aspects of work: (1) improve their own quality, increase the communication of knowledge and popularity; (2) according to the person to person, increase the flexibility of communication and sense of intimacy; (3) listen carefully, encourage the patient to actively provide information; (4) truth-seeking to ensure that the communication of information authenticity (5) to establish a good medical ethics, medical ethics, and the patient to ensure that the communication of information (5) to establish a good medical ethics, medical ethics and the patient to ensure that the communication of information (5) to establish a good medical ethics. ) to establish good medical ethics, consciously *** detrimental to the image of the medical institutions of the unhealthy wind, respect for the rights and interests of patients, starting from themselves, improve the language art of communication with patients, *** with the creation of a harmonious doctor-patient relationship.

Medical institutions should also be strict self-discipline, first of all, to lead a good team, to the unit in recent years, the occurrence of medical disputes carefully sorted out, from which to learn from experience, improve the measures and methods, to take a variety of forms to strengthen the laws and regulations of the staff and professional ethics education, we must really carry out the "patient-centered" activities in practice, to further improve the quality of medical care, improve service attitude, to improve the quality of medical care. To further improve the quality of medical care, improve service attitude. The second is to strengthen the communication and training of medical workers, and organize more lectures and seminars. Thirdly, *** relevant functional departments should create a good practice environment for hospitals to provide protection and support, medical units should take the initiative to communicate with the relevant departments to seek social understanding and support. Fourth, increase *** investment in health, increase advanced equipment, especially ...... >>

Question 7: What are the skills of doctor-patient communication Doctor-patient communication skills of one, two, three, four, five, six

A fundamental: honesty, respect, sympathy, patience;

Two skills: listening, that is, listen to the patient or family members to say a few words; introduction, that is, more to the patient or family members to say a few words;

Three grasp: Mastering the patient's condition, treatment and examination results; mastering the use of the patient's medical expenses; mastering the patient's psychosocial condition.

Four pay attention to: pay attention to the patient's emotional state; pay attention to the degree of education and the feeling of communication; pay attention to the patient's cognitive level of the disease and the expectations of the communication; pay attention to their own emotional response, learn to self-control.

Five avoidance: avoid forcing the patient to accept the facts in time; avoid using words and tone of voice that are easy to *** the patient's emotions; avoid using too much professional vocabulary that is not easy for the patient to understand; avoid changing the patient's point of view deliberately; avoid suppressing the patient's emotions.

Six approaches: prevention-oriented targeted communication, exchange of each other's communication, collective communication, written communication, harmonized communication and physical control communication.

Question 8: How to communicate between doctors and patients.PPT Tell your family the truth about your condition, do not exaggerate and do not hide, true and true, and then tell them about your medical program, what are the advantages and what are the risks and so on the situation to tell them to ask for their opinions, do not make up your own mind, and more communication, is not wrong!

Question 9: The methods and means of doctor-patient communication. Doctor-patient communication principles 1. People-oriented this disease-causing factors more involved in the emotional, environmental and social, the need to consider the patient's personal factors. 2. Reflect the care and respect. 2. The basis of honesty and trust. 3. "Treat each other with the right eye". (e.g., it is not appropriate to welcome a guest but not look him or her in the eye.) 3. Equality 4. Holistic principles are complex and diverse, and difficult to quantify many factors. Laboratory indicators reflect the microcosm, but the macrocosm should not be ignored. 5. Compassion requires humanistic care even though the disease is commonplace. 6. Confidentiality "informed consent" is handled; the patient's privacy is protected. 7. Feedback is given to verify that the information was collected correctly; it shows that the patient is listening and paying attention. 8. ***Participation (interaction) studies have shown that the process of medical care can Improve the patient's ability to heal himself or herself and help to eliminate disease-causing factors. ***Participate in choosing the most appropriate treatment program. Patient needs to cooperate with medication refills, etc. II. Verbal Communication Skills Prerequisites: Basic principles must be involved. Need a broad knowledge, another reading literature (to understand many of the human condition). 1. More listening and less talking: conducive to communication and harmony how to listen: 1) express concentration - body language (important information when the appropriate change of posture; leaning against the chair hand in the pocket, etc. for the inappropriate) - eye ( (generally 60% to 70% of the time to look at the best; in the patient's anger and sadness is not suitable for long-term gaze) 2) repeat, feedback: verify the information; show focus. 3) empathetic listening → sensitivity → sympathy (listen to the strings) 4) encourage and guide the patient to speak: to guide the significance of the disease to the information on the significance of the disease. 2. Calling needs to be appropriate 3. Appropriate praise (specific; in line with the occasion) 4. concise 5. open-ended Open-ended questions 6. Taboo (without explanation that is required to do a certain test, etc.) III. Non-verbal communication skills 1. First impression (instrumentation. First impression (appearance, physique, dress, hairstyle, etc.) should be cordial and friendly; to be more stable (sitting in the clinic is not suitable for fashion and heavy make-up); trustworthiness ("initial credibility") 2. manners: reflecting the cultivation of the clinic Christine neat and tidy, etc. 3. 60% to 70% of the eye contact 4. Facial expression (smile for the world language) and the patient with the same happiness and sadness. (Say intuitively: 7% speech, 38% voice, 55% facial expression and movement.) 5. 5. Voice expression Low and clear (in order to ensure that the patient to hear under the premise of low, in order to gain the trust and respect) 6. Body posture walk elegantly and steadily, can walk quickly but the pace can not be chaotic; patting the back of the hand to appease, or (for young people) patting the back, but do not apply excessive intimacy; sit with a distance of 0.5 ~ 1.2M private area. IV. Doctor-patient communication process (outpatient clinic as an example) 1. Before the beginning of the conversation: push the door in the beginning: to understand the first impression, understanding of the patient. 2. Sit down, address, greetings, appropriate self-introduction, may not show signs of the initial credibility of the show. 3. Introduction to the conversation: open-ended questioning, appropriate feedback to restate the process of correcting the patient's view of the causality of the disease. 4. Disease communication 5. Records: appropriate communication, not only buried in the record. 6. Diagnosis and Treatment Conversation: open-ended questioning, appropriate feedback, correcting the patient's view of the cause and effect of the disease in the process. 4. Environment and technical communication medical staff in the process of service to accept the consultation appropriately. The environment of the clinic is peaceful. The advanced equipment, technical support.

Question 10: How to carry out effective patient communication If the doctor can first do "sincere, patient, careful" to the patient, then all the problems are solved.