全科医学：03全科医学中医患关系与沟通（英文课件）.pptVIP

When the interview comes to a close… Check whether all problems have been discussed and leave some time for their discussion 确认是否遗漏问题并预留讨论时间 When time is up – communicate it directly instead of constantly checking the time or “suggesting” that you have to go (e.g. By gathering the notes impatiently) 直接告知患者咨询结束，避免以不耐烦的行为或语言驱离患者 Try to summarize the interview 对问询内容作小结 Finish the conversation stressing your interest in the interviewee and in what has been said 结束谈话时强调对患者本人及谈话内容的兴趣 You can ask the patient to evaluate the conversation 尝试让患者对访谈内容进行评估 Say good-bye, get up and thank the interviewee for coming. 礼貌告别 Recommendation Recommendation(Communication and Diagnosis) “Patients who feel at ease and who are encouraged to talk freely are more likely to disclose the real reason for consulting!!”让患者保持舒适、放松状态 Recommendation(Communication and Diagnosis) “Advice reassurance and support from the doctor can have a significant effect on recovery (The placebo effect)!!”为患者提供安慰与支持 Take home message Both patient and doctor could participate in discussion and planning for treatments. Increase health knowledge and understanding among patients. Treat patients in a humanistic and adult manner Communication with some particular patients Children Old people Poor prognosis Terminal patient In conclusion, I hope doctor-patient relationship will be better in the future…… Talcott Parsons（帕森斯），美国社会学家，结构功能主义的代表人物，提出社会行动理论学说与结构功能分析学说，曾是50~60年代西方社会学中占主导地位的理论和方法论。该表格是对医、患角色的帕森斯结构功能分析。 * * * * * * General Practice Doctor-patient relationship Introduction Nowadays, the relationship between doctors and patients is becoming worse and worse. What make the doctor-patient relationship become so strained An increasing number of patients complain that doctors always have bad manner, that it’s difficult to approach them（医生难接 近） and that medical expense is too high to stand（医疗费用高昂）. As a result, there have been many medical disputes（医疗纠纷）. Types of