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self-help. Emphasizes natural, low tech interventions. Acupuncture, massage, dance therapy, etc. Note that holistic trend encourages more
emotional contact between patient and
provider and more sharing of responsibility
(more Provider Behaviors that Contribute to Faulty
Communication Not listening Use of jargon
Use may be used to keep patient from asking too many
questions, or impress.
questions, Baby talk
Baby Due to under estimating patient’s ability to
understand. Nonperson treatment May be used intentionally to keep patient quiet
during treatment or unintentionally when patient
seen as object during the exam.
seen May provide emotional protection for provider. Stereotypes of patients Research shows that physicians give less information, are
less supportive, and demonstrate less proficient clinical
performance with Black and Latino patients than White
patients. Same with low income patients vs. higher income patients. Same race/ethnicity sometimes lead to higher patient
satisfaction. Also, similarity on other dimensions may be
more important – such as values, worldview, etc.
more Male physicians’ stereotypes of women
patients also found to influence interaction.
patients Also some gender differences in physicians.
Women Longer visits
Ask more questions
Make more positive comments
Show more nonverbal support (eg. smiling,
nodding) Physicians prefer healthier patients to sicker
ones. Physicians may give more cursory exams to
patients with mental health problems –
anxiety, Patients also contribute to faulty
communication. Neurotic patients present an exaggerated
picture of their symptoms – so physician can
not accurately diagnose.
not Anxiety makes it difficult to focus attention
and process incoming information and retain
it. Anxiety often high during physician visits. Some patients are unable to understand even
simple information about their case.
simple Lower education, language differences Older patients may experience a decline in
ability to discuss symptoms and understand
physician provided information.
physician Especially if illness is new and patient has not
experienced it before (not chronic).
experienced Patients and physicians may differ in what is
emphasized which may cause
misunderstandings. Patients put a lot of attention on pain and
interference with activities.
interference Physicians put emphasis on underlying
problem. Patients may be embarrassed about health
history and therefore not report important
information (smoke, used illegal drugs, had an
abortion). Patients may fear asking questions. Think physician does not want info since no
question was asked.
Think they will not get...
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This note was uploaded on 09/19/2013 for the course ITM 201 taught by Professor Kerryguilliams during the Fall '11 term at Saint Louis University-Main Campus.
- Fall '11