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W770500103 abstract "1. STRUCTURAL ELEMENTS OF DOCTOR - PATIENT COMMUNICATION AND APPLIED MODELS IN HEALTH COMMUNICATIONRegarded from the perspective of the doctor, the doctor - patient communication aims clarify the diagnosis. To arrive at a more accurate diagnosis as a proper treatment of the patient's positive response (Treatment compliance), analyzes and laboratory investigations are not only enough, but also the way in which the doctor has the ability directly communicate with the patient and maintain the communication relationship. The doctor, even from the very first meeting with his patient is placed in a position discuss how patient develops his/her professional activity, personal life, describe his condition, his problems facing the suffering that accuses. For this reason, but not only for this, the doctor-patient communication doesn't have a rigid, fixed form, but it changes during the process of communication. Specialists, especially psychologists, draw attention the changing nature of communication as patient access different states, attitudes and behaviors or the vary social or intimate area under review to make a case history between doctor and the patient a conversation as an interview will be hosted, which then must turn into a free, uncontrolled open and honest story the patient (disease clinical narration).1The case history is, from the medical point of view, all information obtained about the history of a disease and the circumstances that preceded it2. The communication between the doctor and patient should not be limited obtaining relevant information establish a diagnosis but it should focus on equal terms, on building a safe, trust environment that the patient is able perform. The doctor has at hand3 at least two ways achieve the case history in terms of verbal and nonverbal communication4, query and systematic and detailed observation of signs and symptoms.The physician should ask the patient questions an empathie manner and avoid administrative query. Empathy targets an intellectual understanding of patient's experiences while sympathy is identification with the patient at an emotional level. Empathy indicates the ability immerse yourself in the other's subjective world, participate in the experience as far as verbal and nonverbal allow (...) capture the personal significance of the words spoken each other rather than meet their intellectual content (alto-centric sensitivity) (...) and remaining perfectly independent at an emotional level5. Empathy becomes a very important element in communication with a negative charge, which is why the doctor-patient communication occupies about the same position with the ability6 and according The Kalamazoo Consensus Statement as essential elements must be included ...allowing the patient complete an opening statement, eliciting concerns and establishing a rapport with the patient; using open and closed - ended questions gather and clarify information, along with different listening techniques solicit information; identifying and responding the patient's personal situation, beliefs, and values; using language the patient can understand explain the diagnosis and treatment plan; checking for patient understanding; encouraging patients participate in decision and exploring the patient's willingness and ability follow the care plan; and asking for other concerns the patient might have and discussing follow-up activities expected of the patient, before closing the visit.7 All these essential elements of doctor-patient communication, with each performed act of communication, according participants in the act of communication and communication context, they come into contact with a number of variables8: doctor's characteristics (age, sex, personality type, ethnicity, communication skills) patient's characteristics (age, sex, education, income, health insurance, health status, personality and communication skills with the doctor), environmental features (health insurance system, health services). …" @default.
W770500103 created "2016-06-24" @default.
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W770500103 date "2013-10-01" @default.
W770500103 modified "2023-09-22" @default.
W770500103 title "Interrogative Strategies of Doctor - Patient Communication" @default.
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