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    Communication Skills: DR Bob Klajo

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    Bob John
    The document discusses several studies on doctor-patient communication and its impact on patient satisfaction. One study found that 24% of patient visits resulted in dissatisfaction due to lack of warmth from the doctor, failure to address patient concerns, and unclear explanations. Another study found that a brief educational intervention to promote patient involvement positively impacted doctor-child rapport and the child's acquisition of medical information. The document then provides guidance on effective communication skills for doctors, including building rapport, gathering history, explaining diagnoses, and techniques for different patient types.

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    Communication Skills: DR Bob Klajo

    Uploaded by

    Bob John
    31 views10 pages
    The document discusses several studies on doctor-patient communication and its impact on patient satisfaction. One study found that 24% of patient visits resulted in dissatisfaction due to lack of warmth from the doctor, failure to address patient concerns, and unclear explanations. Another study found that a brief educational intervention to promote patient involvement positively impacted doctor-child rapport and the child's acquisition of medical information. The document then provides guidance on effective communication skills for doctors, including building rapport, gathering history, explaining diagnoses, and techniques for different patient types.

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    Communication skills

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    The document discusses several studies on doctor-patient communication and its impact on patient satisfaction. One study found that 24% of patient visits resulted in dissatisfaction due to lack of warmth from the doctor, failure to address patient concerns, and unclear explanations. Another study found that a brief educational intervention to promote patient involvement positively impacted doctor-child rapport and the child's acquisition of medical information. The document then provides guidance on effective communication skills for doctors, including building rapport, gathering history, explaining diagnoses, and techniques for different patient types.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    31 views10 pages

    Communication Skills: DR Bob Klajo

    Uploaded by

    Bob John
    The document discusses several studies on doctor-patient communication and its impact on patient satisfaction. One study found that 24% of patient visits resulted in dissatisfaction due to lack of warmth from the doctor, failure to address patient concerns, and unclear explanations. Another study found that a brief educational intervention to promote patient involvement positively impacted doctor-child rapport and the child's acquisition of medical information. The document then provides guidance on effective communication skills for doctors, including building rapport, gathering history, explaining diagnoses, and techniques for different patient types.

    Copyright:

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    of 10

    Communication skills

    Dr Bob Klajo
    Patient satisfaction:
    • 76% of the patient visits resulted in satisfaction on the part of
    the patient's mother; in 24% there was dissatisfaction

    • Causes of dissatisfaction
    - lack of warmth and friendliness on the part of the doctor
    - failure to take into account the patient's concerns and
    expectations from the medical visit
    - lack of clearcut explanation concerning diagnosis and
    causation of illness, and use of medical jargon

    Barbara M. Korsch, Ethel K. Gozzi, and Vida Francis


    GAPS IN DOCTOR-PATIENT COMMUNICATION: I. Doctor-Patient Interaction and Patient Satisfaction
    Pediatrics, Nov 1968; 42: 855 - 871.
    Patient involvement
    • A brief educational intervention to promote effective
    communication by including children in discussions of medical
    recommendations
    • The results suggest that a brief educational intervention
    administered during waiting room time can positively impact
    physician-child rapport and children's preference for an active
    role in health and their acquisition of medical information.

    Catherine C. Lewis, Robert H. Pantell, and Lee Sharp


    Increasing Patient Knowledge, Satisfaction, and Involvement: Randomized Trial of a Communication
    Intervention
    Pediatrics, Aug 1991; 88: 351 - 358.
    Communication tasks
    • Building relationship
    • Opening the discussion
    • Gather information
    • Understanding patient’s perspective
    • Sharing information
    • Reaching agreement
    • Providing closure
    Communication skills domain
    • Explaining diagnosis and treatment plan
    • Consent for procedure
    • Sensitive information
    • Bad news
    • Anxious patient/parent
    • History taking
    Approach
    • First impressions lasts
    • “Do no harm”
    • Personal approach, methods
    • Guided by experience gained from clinical
    teachers and patients

    The Hippocratic Oath – Hippocrates, Father of Medicine


    Introduction
    • Read referrals etc before the interview
    • Welcome the child, parents and/or siblings.
    Check that you got the right patient
    Determine adults’ relationship with child.
    • Introduce yourself
    Communication skills
    • Establish eye contact and rapport
    • Infants and toddlers may be most comfortable
    in parents’ arms/lap
    • Ensure environment as welcome and
    unthreatening as possible
    • Have toys available
    • Address questions to child whenever
    appropriate
    Obtaining history
    • Open questions vs closed questions
    • Direction to keep patients on track
    • Specific questions to test diagnostic
    hypotheses (e.g. exercise induced)
    • List of possible answers
    • ‘Sympathetic confrontation’

    Clinical examination, a systematic guide to physical diagnosis. – Talley and O’Connor


    Good luck!!!

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