Reasons for doctor-patient communication barriers

One is the materialization of the doctor-patient relationship leading to the doctor-patient aphasia. Physician-patient relationship of objectification refers to medical instruments, diagnostic and treatment equipment and other physical factors involved in the doctor-patient relationship, so that the physical tools instead of part of the doctor's labor, the doctor-patient relationship from a pure "human" relationship into a "human-objects-human" relationship, so that the doctor and the patient's emotional and ideological exchange by the operation and the relationship replaced by the operation. In this way, the emotional and ideological exchanges between doctors and patients are replaced by the relationship between operating and being operated. Due to the extensive use of various examination instruments, doctors do not have to resort to doctor-patient communication to understand some of the disease information, so as to make a diagnosis, so some doctors even the most basic skills of "diagnosis" is also more and more lazy to use. Some patients describe individual doctors as "three-sentence doctors", i.e. "what's wrong", "go for a check-up", "next! ". To a large extent, this blocked the door of communication between doctors and patients, leading to the phenomenon of doctor-patient "aphasia".

The second is the crisis of integrity caused by the doctor-patient trust. The patient's trust in the doctor, is the premise and foundation of the doctor-patient relationship can be established, while the patient's trust in the doctor is also a source of the doctor's sense of accomplishment. Doctors lose trust in patients for a variety of reasons. From the patient's point of view, it is the patient's relative ignorance of medical information, in the acceptance of medical services in a kind of incomplete information under the "uncertainty" mentality caused by. With the proliferation of exaggerated drug advertisements and medical information, patients' expectations of medicine have also increased, resulting in a bias in the understanding of both doctors and patients, leading to patients' distrust of doctors. From the doctor's point of view, some doctors have lost their medical ethics, asking for red packets from patients, accepting rebates on medicines, writing large prescriptions, not being serious and responsible in their work, speaking coldly, and having a bad service attitude, which causes dissatisfaction among patients. Coupled with the increase in medical disputes, doctors and patients were originally a pair of tacit agreement with the disease fighting comrades, now added a lot of distrust of the hostility.

Third, the lack of humanistic care so that doctors and patients aphasia. Doctor-patient communication has two main contents, one is medical information exchange, and the other is social-emotional communication. Medical information exchange is instructive and technical communication, social-emotional communication is emotional and enhance mutual understanding of the exchange. Physiological changes in the patient will inevitably bring about psychological and emotional changes, but also to the social life of the trouble, these manifestations are also an integral part of the meaning of "sick", therefore, the real doctor-patient communication can not be separated from the careful, patient, sincere emotional exchange. A medical philosopher once said: doctors, "sometimes, to cure; often, to help; always, to comfort". The more important value of doctor-patient communication is to reflect a humanistic care.

Fourth, the lack of communication art often leads to doctor-patient blindness. Ancient Greek famous medical doctor Hippocrates once said, there are two things can cure the disease, one is medicine, the second is language. All doctors must learn to communicate and deal with interpersonal skills, the lack of **** Ming (sympathy) should be seen as the same as the lack of technology is incapable of performance. "Tell", "language", "guide", "open" is the indispensable art of doctor-patient communication.

Fifth, the asymmetry of information leads to patient-physician disorder. Here the information asymmetry is caused by the doctor's observation of the condition and the patient's experience of the disease between completely different perspectives, the greatest significance of doctor-patient communication is that we can not only use ultrasound to check the patient's organs, but also to detect the patient's anxiety.