Methods to improve the communication ability between doctors and patients
1. Greeting: When the patient walks into the consultation room within 1 meter, the doctor can take the initiative to greet him. Hello! Please sit down! ? . [f 1
Don't think this is a small problem, it has a deep meaning. For those who have just opened a clinic, the doctor gets up and greets the patient as soon as he enters the door. As a result, the patient nervously took two steps back. From the psychological point of view, the natural distance between people reflects the distance between hearts. When the mentality has not been adapted, the sudden approach of strangers often makes people feel uneasy. The doctor hurried forward to meet him, which reflected the confusion and unhurriedness of the doctor when he first debuted. The patient standing talking to the doctor reflects the patient's psychological tension-he is ready to leave at any time! Therefore, doctors must ask patients to sit down, so that both sides can calm down and have real, effective and in-depth communication between doctors and patients. four
Second, the first visit: For all diseases, we should ask the following four questions: What's wrong with you? How long have you been ill? What caused it in the first place? What treatment have you received? 1
Third, physical examination: Chinese medicine looks, smells, asks and feels; Western medicine sees, touches, buckles and listens. 1K\
Even if the patient's condition is clear at a glance through the initial diagnosis, don't easily omit the examination steps. From the doctor's point of view, since the condition is clear, it doesn't matter whether to do the examination or not, but from the patient's point of view, the examination process is the process of embodying the doctor's professional skills and professionalism, and the patient's trust is accumulated from this little gesture! Without examination, patients will think that doctors are rash and irresponsible, and even doubt the accuracy of doctors' diagnosis. QN
IV. Detailed consultation:
How is your appetite? Is there a boring phenomenon? Ooh! "
2. Bitter in the morning, dry throat in the middle of the night, thirsty? Do you want some water? Would you like a cold drink? Eager for a hot drink? #0V
Do you like thin food or dry food? 7bv%Hv
4. Does the hot and cold diet have a significant effect on the stomach? & amp
5. Do you feel uncomfortable when you are hungry? Discomfort after meals? 6. How did you sleep? How long can I fall asleep after going to bed? Is it easy to wake up from a dream? Did you wake up early? Can you sleep again after waking up? Are you unwilling to get up in the morning? RA" 1z
7. Are you addicted to sleep? Are you sleepy and tired? ! Do your waist and knees hurt? ! Do you often pee at night? ! Is it forgetfulness, tinnitus and alopecia? 8. How is the stool? Once a few days? Dry or thin? Is it difficult to solve it? u
9. How about urinating? Do you pee at night? Yellow or light? Do you have frequent urination, urgency and pain? 10, is the menstrual time normal? Is menstruation more or less? Is there a lump? Is it dark? Does the head side, chest rib and lower abdomen swell and ache? 1 1. Are you afraid of cold in winter? ! Are your feet warm when you sleep? ! jn2%T
12, red or light tongue? ! Is moss thin or thick? ! Yellow or white hair? ! yqH
What's your mood? Are you upset and irritable? Or depression and anxiety? 5B！ 5U
14, is there any regularity in the illness? For example: Is it worse or less in winter (summer)? Is it heavy or light after activity (rest)? Is it heavy or light during the day (at night)? t@！ j
15. What diseases have you had before? Any history of hospitalization or surgery? Any other discomfort? four
Verb (abbreviation of verb) to dispel doubts: Patients are generally most concerned about the following issues: Yn6K-
1. What caused this disease? $DN
2. What is the treatment method? z$6SU
3. What is the curative effect? How long can it be cured? -^oe
4. What's the charge? ml~T
The doctor should answer the above questions. #
Sixth, the treatment plan: or prescription medication, or acupuncture and massage. r
You should tell the patient why you choose the treatment plan. Namely: quick response, good curative effect, low risk, low cost, difficult recurrence and so on. 8v#m@h
Seven, medical taboos: that is, diet, rest, emotion, sleep, sex life and other precautions.
Eight, farewell: hello! This is my business card. If there is anything unclear, you can call me for advice at any time. Can you also write down your contact information so that the doctor can pay a return visit? Please go! DM:
Problems to be avoided in improving the communication ability between doctors and patients
Question 1: Pay attention to the part and ignore the whole.
After a malignant tumor patient's operation, the doctor told his family that the operation was successful and the family was very happy. However, more than a month later, the patient died, leading to disputes between doctors and patients. The patient said the operation was a success. How could the patient die? The doctor said that the operation was really successful, and the patient's death was a change in his condition. Is the patient's question meaningful? There must be. Did the doctor lie? No. What's wrong with that? No more communication, right? Is the operation really successful? This sentence is understandable. The doctor said? The operation was a success? The operation went smoothly without any accident. Tumor? It was removed. Is the family right? The operation was a success? It is understood that this disease can be cured. When doctors (especially surgeons) communicate with patients' families, they should pay attention not to treat lesion resection as a cure, but to grasp the prognosis of the disease.
Question 2: only talk about the scheme and ignore the effect.
Clinically, we will find that many patients have no therapeutic value, but doctors are still changing their treatment plans. In this regard, the family members of patients will misunderstand and think that there is hope for treatment. Disputes arise when things don't go well. Maybe the doctor will feel wronged because he tried his best. The doctor has a point. We are human beings, not gods. But doctors should understand that patients are people, not objects. If all these schemes fail, can patients and their families have no problems? Therefore, doctors should not forget two basic principles, one is whether it can alleviate the pain of patients, and the other is whether it is beneficial to prognosis. Without these two points, the more schemes, the deeper the contradiction between doctors and patients. Don't worry about your family, don't worry about spending money, use the best medicine? Promise.
Question 3: Afraid of taking risks and shirking responsibility.
For fear of disputes, some doctors often give patients a choice without saying yes or no. On the surface, shirking responsibility or respecting patients is irresponsible. For example, a consumable has many producing areas, and the price varies greatly. If the doctor does not give the patient a reasonable suggestion according to the actual situation, how should the patient choose? As long as the doctor really considers the problem from the patient's point of view, then with the doctor's experience and knowledge, he will definitely give the patient more reasonable advice. So, please don't be afraid to take responsibility and don't be irresponsible.
Doctors and patients seem to be two groups, but their purposes are highly unified. Enemy? It's all diseases. The traditional doctor-patient relationship is the relationship between service and being served, consumption and being consumed, and seeing a doctor and being seen. In fact, hospitals provide information for doctors, and patients also provide information for doctors; The hospital has served the patients, and the patients have achieved the value of doctors. Doctors and patients are interdependent, interdependent, mutually successful and mutually nourishing.
In today's China society, people's values need to be rebuilt, and so does the relationship between people. Among them, the doctor-patient relationship needs to be rebuilt, which is urgent.
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