Talking about the Contents and Methods of Doctor-patient Communication

Talking about the Contents and Methods of Doctor-patient Communication

In recent years, disputes between doctors and patients have seriously troubled hospital managers at all levels. Most doctor-patient disputes are not responsibility or technical disputes, but cognitive disputes about the treatment and rehabilitation process caused by insufficient communication between doctors and patients. Doctor-patient communication is the communication between medical staff and patients, with medical staff as the main body and patients in a relatively passive position. Medical staff should take the initiative to assume the responsibility of regulating the relationship between the two sides. Only by fully understanding the contents of doctor-patient communication and mastering the strategies of doctor-patient communication can we successfully avoid the occurrence of doctor-patient disputes in medical practice and successfully complete the treatment and rehabilitation of patients.

1 Communication between doctors and patients

The object of doctor-patient communication is not a doctor, not a normal person in society, but a specific patient who has seen a doctor. The content of doctor-patient communication often has obvious professionalism, which can be roughly divided into conceptual communication, information communication and emotional communication.

1. 1 concept communication: Modern medical concept holds that both doctors and patients have their own reasonable and necessary rights. Because the rights of medical staff are protected by national laws and medical and health systems, and patients are in a passive position under the long-term traditional medical model, people always think that more attention should be paid to the rights of patients. Therefore, more and more patients are consciously or unconsciously using modern medical concepts to safeguard their legitimate rights and interests, and more and more hospitals and medical staff have also given positive and positive cooperation to patients' rights protection behavior. However, in the current practice of doctor-patient relationship, some patients' improper rights protection behavior is precisely the important reason for doctor-patient disputes. Therefore, how to make patients defend their rights correctly through conceptual communication is something that our medical managers must do now or for a long time to come.

1.2 Information communication: As inpatients, especially the first-time inpatients, they are very eager to know their illness information, that is, to listen to the doctor's assessment of their illness, such as the nature, severity, treatment plan, prognosis and matters needing attention, due to their lack of medical knowledge and strangeness to the hospital environment and medical staff. Through information communication between doctors and patients, doctors can quickly gain the trust of patients and better cooperate with doctors to do a good job in treatment.

1.3 Emotional communication: Medical staff should not only use skilled medical technology to solve patients' physical pain, but also communicate with patients in the deep heart with the social concept of being kind to others and people-oriented to meet their psychological needs. Only in this way can patients have a positive and trusting attitude towards hospitals and medical staff, so as to actively cooperate with treatment and finally complete the process of physical and mental rehabilitation. In fact, the content of communication between medical staff and patients, except their own professional characteristics, is basically the same as interpersonal communication in our social practice, mainly reflected in respect, trust, tolerance and encouragement. Practice has proved that for ordinary patients, especially some special patients such as women, children and the elderly, timely verbal encouragement or behavioral encouragement can make patients endure great pain and cooperate with medical staff to do a good job in treatment. Many patients sent banners, thank-you letters and plaques to medical staff after discharge, which is the best spiritual encouragement for medical staff.

2 Doctor-patient communication strategy

No matter what communication strategy is adopted, medical staff must follow ethical, interpersonal and professional norms. In medical practice, medical staff often communicate with patients through oral communication, written communication and physical communication.

2. 1 Language communication: According to the content and nature of doctor-patient communication, medical staff often use language strategies such as inquiry, diagnosis, instruction, communication, mitigation and explanation to communicate with patients. Usually, language is only a tool for personal thinking expression and social communication, but in the specific environment of a hospital, the language communication of medical staff is not only a communication function, but more importantly, choosing the correct communication strategy has therapeutic effect, but it may be pathogenic when the strategy is wrong. In the process of treating patients, strengthening the language communication between doctors and patients and adjusting the psychological state of patients can achieve the purpose of assisting, cooperating with drugs and surgical treatment. What's more, some mental diseases are difficult to be solved by drug treatment alone, and psychological treatment with language communication as the main means is needed. Therefore, when communicating with patients, medical staff should be rigorous and steady in language, relatively clear in speech, and pay attention to keeping privacy. According to different communication contents, we should adopt different communication strategies, including tone, voice, pronunciation and speech speed, and timely choose vague or clear, euphemistic or direct, humorous or ironic, lively or serious strategies to express the meaning of medical staff, so as to achieve the purpose of language communication.

2.2 Written communication: Written communication is another irreplaceable and indispensable form of doctor-patient communication. It refers to the record of illness, diagnosis, disposal opinions and rehabilitation process in written form in the clinical medical process, such as medical records, doctor's orders, prescriptions, auxiliary examinations, medical appraisal, etc. General written records are recorded, disposed and conclusive, and mainly play the role of archives, basis, law, research and evaluation. When writing written records, medical personnel should respect the facts, be accurate, objective, concise, clear and comprehensive, organize and standardize writing, punctuate correctly, and use sentences succinctly and properly. Fully consider the legitimate rights and interests that patients should enjoy, such as the right to life, body, informed consent, expenses, privacy, disease confidentiality and respect. In particular, written communication materials that need to be signed by patients or their families should be seriously considered and considered word by word.

2.3 Physical communication: People's feelings are rich and complicated, and sometimes it is difficult to fully express them in words. If you speak with body movements, you will fully express your thoughts and feelings more vividly, which is the expressive function of body communication; A person's facial expressions, eyes, hands and body posture can reflect his inner world. It is the silent expression of people's thoughts and feelings, which is the function of body communication in expressing psychology. Physical communication expresses things more intuitively and vividly through behaviors and actions. When communicating with doctors and patients, eyes can convey relevant information to each other most quickly, meticulously and clearly. Therefore, when making eye contact with patients, medical staff should meet the professional requirements of medical staff and give patients comfort and encouragement. In communication, medical staff should use good professional ethics and feelings, have a sincere attitude towards patients, and laugh sincerely, kindly, naturally and appropriately, so that patients can give up their doubts about doctors, eliminate their wariness and seek medical treatment happily, thus effectively treating diseases.

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