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and/or hospital (take responsibility).
and/or To find out what happened. Want assurance mistake won’t happen again. Physicians viewed more favorably under these
circumstances. Malpractice suits also result in: Higher malpractice insurance rates.
Higher Physicians relocating to other areas of the country. Physicians, especially in certain specialties,
leaving the field.
leaving How Do We Improve Patient-Provider
Communication and Reducing Nonadherence?
Communication Training physicians and medical students. Learn to enlist patient’s cooperation. Little things – take little time/effort but increase
perceptions of being supportive: Greeting
Addressing patient by name
Telling them where they can hang up clothing
Explaining what they are about to do, how it will feel and
why they are doing it.
Saying goodbye. Use supervised training of med students, etc.
while working with patients.
while Use of videotaping – can watch video and
point out good and bad behaviors, how to
improve, etc. (Note: Used in job interviewing
training Teach nonverbals - lean forward, increased
eye contact, etc.
eye Give opportunity to practice learned skills so
they will become habit.
they Can also develop training programs for
patients. List three questions before doctor’s visit.
Counsel patients on issues of prevention and health
promotion behaviors (lifestyle changes).
promotion Make changes in institutions.
Example: My dentist does the following: Set up next appt. and give patient reminder (movie
Send reminder in mail few days before appt.
Call to remind them a few days before.
Remind them of $$ penalty if they cancel appt.
Call patient if appointment is missed. Reduce wait time (and explain any delays).
Write down treatment recommendations.
Give medication info (pharmacies are much
better at doing this).
Provide pill calendars and containers to help
people remember when/if they took their
meds. Other Issues Practitioner should be seen as highly credible.
Tailor information to person’s needs.
Discuss advantages and disadvantages of
Enlist cooperation of other family members.
Follow up calls to see how patient is doing. Physician can probe for barriers to adherence
and discuss possible solutions.
Emphasize importance of adherence.
Acknowledge patient’s past efforts.
Make advice concrete.
Spend time in nonmedical conversation. What is a placebo?
placebo Placebo effects are enhanced when: physician shows faith in the treatment
Patient is preset to believe it will work.
Expectations are successfully communicated.
Trappings (setting) of medical treatment are in
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- Fall '11
- Health care provider, treatment regimens