四川大学精神病学及精神卫生学英文 Doctor-Patient Communication.pdfVIP

Doctor-Patient Communication: An Introduction for Medical Students Teaching and Research office of Teaching and Research office of Psychiatry, West China medical school Psychiatry, West China medical school S.U. S.U. P D F c r e a t e d w i t h p d F a c t o r y t r i a l v e r s i o n Introduction l A special and changing relationship l The importance of talking l Why Don t Doctors Talk To Patients In Language They Can Understand? l Why the patient doesn t understand what the doctor is saying l Communication skills and strategies P D F c r e a t e d w i t h p d F a c t o r y t r i a l v e r s i o n A special relationship l sacred (and legally- and morally-bound) relationship l The basis: patient s ability to trust the doctor with their well-being, and even their lives. l In the past l Doctor s position: power and of benevolent superiority (as parent, decision-maker) l Patient s position: particular vulnerability, dependence (as children, decision-accepter) P D F c r e a t e d w i t h p d F a c t o r y t r i a l v e r s i o n What happened now? l Patient: l More doctor-dependent l But Less dependent on doctor l Doctor: l Economic pressure: cost-cutting strategies l Social pressure P D F c r e a t e d w i t h p d F a c t o r y t r i a l v e r s i o n A changing relationship l Doctor s position: medical service-supplier? l Patient s position: partners, equally participating in diagnosis and treatment