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| doctor patient communication pdf: Doctor-patient Interaction Walburga Von Raffler-Engel, 1989-01-01 This volume covers many of the ways of speaking that create problems between doctor and patient. The questions under consideration in the present book are the following: How is the doctor-patient interaction structured in a particular culture? What takes place during the process? What causes misunderstandings, lack of cooperation and even total non-compliance? What is the outcome of the interaction and how does the patient benefit from it? Finally, and this is the ultimate purpose of this book: How can the interaction be improved so that an optimum outcome is assured for the patient with maximum satisfaction to the physician? |
| doctor patient communication pdf: Clinical Communication in Medicine Jo Brown, Lorraine Noble, Alexia Papageorgiou, Jane Kidd, 2016-01-19 Highly Commended at the British Medical Association Book Awards 2016 Clinical Communication in Medicine brings together the theories, models and evidence that underpin effective healthcare communication in one accessible volume. Endorsed and developed by members of the UK Council of Clinical Communication in Undergraduate Medical Education, it traces the subject to its primary disciplinary origins, looking at how it is practised, taught and learned today, as well as considering future directions. Focusing on three key areas – the doctor-patient relationship, core components of clinical communication, and effective teaching and assessment – Clinical Communication in Medicine enhances the understanding of effective communication. It links theory to teaching, so principles and practice are clearly understood. Clinical Communication in Medicine is a new and definitive guide for professionals involved in the education of medical undergraduate students and postgraduate trainees, as well as experienced and junior clinicians, researchers, teachers, students, and policy makers. |
| doctor patient communication pdf: Teaching and Learning Communication Skills in Medicine Suzanne Kurtz, Juliet Draper, Jonathan Silverman, 2017-12-21 This book and its companion, Skills for Communicating with Patients, Second Edition, provide a comprehensive approach to improving communication in medicine. Fully updated and revised, and greatly expanded, this new edition examines how to construct a skills curricular at all levels of medical education and across specialties, documents the individuals skills that form the core content of communication skills teaching programmes, and explores in depth the specific teaching, learning and assessment methods that are currently used within medical education. Since their publication, the first edition of this book and its companionSkills for Communicating with Patients, have become standards texts in teaching communication skills throughout the world, 'the first entirely evidence-based textbooks on medical interviewing. It is essential reading for course organizers, those who teach or model communication skills, and program administrators. |
| doctor patient communication pdf: Doctors Talking with Patients/Patients Talking with Doctors Debra Roter, Judith A. Hall, 2006-08-30 The verbal and nonverbal exchanges that take place between doctor and patient affect both participants, and can result in a range of positive or negative psychological reactions-including comfort, alarm, irritation, or resolve. This updated edition of a widely popular book sets out specific principles and recommendations for improving doctor-patient communications. It describes the process of communication, analyzes social and psychological factors that color doctor-patient exchanges, and details changes that can benefit both parties. Medical visits are often less effective and satisfying than they would be if doctors and patients better understood the communication most needed for attainment of mutual health goals. The verbal and nonverbal exchanges that take place between doctor and patient affect both participants, and can result in a range of positive or negative psychological reactions-including comfort, alarm, irritation, or resolve. Talk, on both verbal and non-verbal levels, is shown by extensive research to have far-reaching impact. This updated edition of a widely popular book helps us understand this vital issue, and facilitate communications that will mean more effective medical care and happier, healthier consumers. Roter and Hall set out specific principles and recommendations for improving doctor-patient relationships. They describe the process of communication, analyze social and psychological factors that color doctor-patient exchanges, and detail changes that can benefit both parties. Here are needed encouragement and principles of action vital to doctors and patients alike. far-reaching impact. |
| doctor patient communication pdf: Effective Medical Communication Subhash Chandra Parija, Balachandra V. Adkoli, 2020-06-16 Effective communication is at the heart of medical profession, whether it is patient-doctor communication, interpersonal communication, or communication with the scientific and research community. However, medical professionals are not adequately trained in these skills, and when it comes to presentations, the message is often lost due to inadequate preparation, ineffective slides, and a generally unconvincing performance by the presenter. This book addresses all aspects of the communication skills required by individuals entering medical school as well as professionals farther up the career ladder. Each chapter offers a quote or a statement that captures the essence of the text. Adopting a unique approach known an A, B, C, D and E (Assess Need, Brief, Contextualize, Describe and Evaluate) the book includes abundant illustrations, real-world case scenarios, anecdotes, tables, graphs and cartoons, as well as practical information, and tips on communicating effectively. As such it is a valuable resource for new and experienced clinicians, educators and researchers wanting to improve their communications skills. |
| doctor patient communication pdf: Communication in Medical Care John Heritage, Douglas W. Maynard, 2006-07-06 This 2006 volume provides a comprehensive discussion of communication between doctors and patients in primary care consultations. It brings together a team of leading contributors from the fields of linguistics, sociology and medicine to describe each phase of the primary care consultation, identifying the distinctive tasks, goals and activities that make up each phase of primary care as social interaction. Using conversation analysis techniques, the authors analyze the sequential unfolding of a visit, and describe the dilemmas and conflicts faced by physicians and patients as they work through each of these activities. The result is a view of the medical encounter that takes the perspective of both physicians and patients in a way that is both rigorous and humane. Clear and comprehensive, this book will be essential reading for students and researchers in sociolinguistics, communication studies, sociology, and medicine. |
| doctor patient communication pdf: The New Consultation David Pendleton, Theo Schofield, Peter Tate, Peter Havelock, 2003-04-24 The Consultation, published almost 20 years ago by the same authors, has been completely rewritten. The New Consultation will be an essential aid for all doctors and their educators to increase the effectiveness of their consultations and to help to make them more patient-centred. It includes theoretical background as well as practical help for both consulters and teachers. The consultation is 'the central act of medicine': the meeting between the patient and the doctor. The first part of the book takes the reader from the context of the consultation in society and with the medical profession, to the intimacy of the consulting room, and then delves into its processes. The reader is invited to share the individual perspectives of doctor and patient and to consider what will lead to positive outcomes. The last chapter of the first section puts all these factors together and provides a coherent, evidence-based description of the processes needed for an effective consultation for the patient, the doctor, and society. The second part of the book takes the reader into the practicalities of learning and teaching effective consultations. It starts with a brief description of the evidence for effective teaching and outlines the authors' experience of teaching in this way with over 1,000 doctors. Realizing that many doctors organize their own self-directed learning, the authors have included a chapter that enables individuals to develop their own consulting technique. Help is offered for teachers of the consultation in both undergraduate and postgraduate settings. The consultation is now assessed by a number of the royal medical colleges to measure competence and there is a chapter on these issues. The last chapter discusses the difficulties that many doctors still have in conducting patient-centred consultations and makes some suggestions for effective implementation of skills. |
| doctor patient communication pdf: Doctor-patient Communication David Pendleton, John Hasler, 1983 |
| doctor patient communication pdf: Vital Conversations Dennis Rosen, 2014-09-23 “Engaging . . . provides patients tools they can use to improve dialogue with their doctors and, ultimately, improve their ultimate medical outcomes.”—The Times of Israel The health-care system in the United States is by far the most expensive in the world, yet its outcomes are decidedly mediocre in comparison with those of other countries. Poor communication between doctors and patients, Dennis Rosen argues, is at the heart of this disparity, a pervasive problem that damages the well-being of the patient and the integrity of the health-care system and society. Drawing upon research in biomedicine, sociology, and anthropology and integrating personal stories from his medical practice in three different countries (and as a patient), Rosen shows how important good communication between physicians and patients is to high-quality—and less-expensive—care. Without it, treatment adherence and preventive services decline, and the rates of medical complications, hospital readmissions, and unnecessary testing and procedures rise. Rosen illustrates the consequences of these problems from both the caregiver and patient perspectives and explores the socioeconomic and cultural factors that cause important information to be literally lost in translation. He concludes with a prescriptive chapter aimed at building the cultural competencies and communication skills necessary for higher-quality, less-expensive care, making it more satisfying for all involved. “An excellent source of ideas on how to enhance treatment.”—Joseph Shrand, Instructor of Psychiatry at Harvard Medical School “[Dr. Rosen] delivers much of his advice through anecdotes that take readers on a journey through a career filled with both positive and negative instances of doctor-patient communication.”—Health Affairs |
| doctor patient communication pdf: The Doctor's Communication Handbook Peter Tate, 2007 An established key text for all doctors, this edition is completely up-to-date in regards to recent major changes in GP training and assessment. |
| doctor patient communication pdf: Clinical Communication Skills for Medicine Margaret Lloyd, Robert Bor, Lorraine M Noble, 2018-01-10 Clinical Communication Skills for Medicine is an essential guide to the core skills for effective patient-centered communication. In the twenty years since this book was first published the teaching of these skills has developed and evolved. Today's doctors fully appreciate the importance of communicating successfully and sensitively with people receiving health care and those close to them. This practical guide to developing communication skills will be of value to students throughout their careers. The order of the chapters reflects this development, from core skills to those required to respond effectively and compassionately in challenging situations. The text includes case examples, guidelines and opportunities to encourage the reader to stop and think. The contents of the book cover: - The fundamental elements of clinical communication, including skills for effectively gathering and sharing information, discussing sensitive topics and breaking bad news. - Shared decision making, reflecting the rapid changes in expectations of medical care and skills for supporting patients in making decisions which are right for them. - Communicating with a patient's family, children and young people, patients from different cultural backgrounds, communicating via an interpreter and communicating with patients who have a hearing impairment. - Diversity in communication, including examples of communicating with patients who have a learning disability, transgender patients, and older adult patients. - Communicating about medical error, emphasising the importance of doctors being honest in the face of difficult situations. - This is a practical guide to learning and developing communication skills throughout medical training. - The chapters range from the development of basic skills to those dealing with challenging and difficult situations. |
| doctor patient communication pdf: The Relevance of Social Science for Medicine L. Eisenberg, A. Kleinman, 2012-12-06 The central purpose of this book is to demonstrate the relevance of social science concepts, and the data derived from empirical research in those sciences, to problems in the clinical practice of medicine. As physicians, we believe that the biomedical sciences have made - and will continue to make - important con tributions to better health. At the same time, we are no less fIrmly persuaded that a comprehensive understanding of health and illness, an understanding which is necessary for effective preventive and therapeutic measures, requires equal attention to the social and cultural determinants of the health status of human populations. The authors who agreed to collaborate with us in the writ ing of this book were chosen on the basis of their experience in designing and executing research on health and health services and in teaching social science concepts and methods which are applicable to medical practice. We have not attempted to solicit contributions to cover the entire range of the social sciences as they apply to medicine. Rather, we have selected key ap proaches to illustrate the more salient areas. These include: social epidemiology, health services research, social network analysis, cultural studies of illness behavior, along with chapters on the social labeling of deviance, patterns of therapeutic communication, and economic and political analyses of macro-social factors which influence health outcomes as well as services. |
| doctor patient communication pdf: Unequal Treatment Institute of Medicine, Board on Health Sciences Policy, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, 2009-02-06 Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color. |
| doctor patient communication pdf: The Doctor's Communication Handbook, 8th Edition Peter Tate, Francesca Frame, 2019-07-17 Of previous editions: '... breaks new ground in its readability ... It is concise, wise, and firmly pragmatic'. British Medical Journal 'Since it was first published in 1994, Peter Tate’s The Doctor’s Communication Handbook has been essential reading to improve GP registrars’ communication skills'. Practical Diabetes International This bestselling title has established itself as the ultimate guide to patient communication for all doctors, whatever their experience and wherever they practice. Highly respected by many and acclaimed for its light, conversational tone, this completely updated and expanded eighth edition remains a key text for doctors at all levels and in all settings, particularly candidates sitting for the Membership of the Royal College of General Practitioners. Key features: Unique and accessible approach to this vital and frequently poorly practiced aspect of medicine Addresses the change in practice where traditional doctor consultations are increasingly being done by other health professionals, including nurse practitioners and paramedics Reflects the dissolution of the primary/secondary care boundary, and the increasing importance of shared responsibility for patient communication in clinical and social care Covers the new types of consultation including telephone triage and virtual consultation and the associated risks and benefits Retains all the features praised in previous editions − brevity, readability and humour As patients become participants, doctors are increasingly adjusting to new roles and forms of communication − from orators and governors to confidants and interpreters. The Doctor's Communication Handbook continues to provide an invaluable 'one stop shop' to help students, practicing doctors, nurses and other healthcare practitioners value and improve their skills in this area. |
| doctor patient communication pdf: Skills for Communicating with Patients Jonathan Silverman, Suzanne M. Kurtz, Juliet Draper, 1998 This text and its companion, Teaching and Learning Communication Skills in Medicine, provide a comprehensive approach to improving communication in medicine. Exploring in detail the specific skills of doctor-patient communication, the book provides evidence of the improvements that these skills can make in health outcomes and everday clinical practice. |
| doctor patient communication pdf: Dying in America Institute of Medicine, Committee on Approaching Death: Addressing Key End-of-Life Issues, 2015-03-19 For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life. |
| doctor patient communication pdf: The Medical Interview Mack Jr. Lipkin, J.G. Carroll, R.M. Frankel, Samuel M. Putnam, Aaron Lazare, A. Keller, T. Klein, P.K. Williams, 2012-12-06 Primary care medicine is the new frontier in medicine. Every nation in the world has recognized the necessity to deliver personal and primary care to its people. This includes first-contact care, care based in a posi tive and caring personal relationship, care by a single healthcare pro vider for the majority of the patient's problems, coordination of all care by the patient's personal provider, advocacy for the patient by the pro vider, the provision of preventive care and psychosocial care, as well as care for episodes of acute and chronic illness. These facets of care work most effectively when they are embedded in a coherent integrated approach. The support for primary care derives from several significant trends. First, technologically based care costs have rocketed beyond reason or availability, occurring in the face of exploding populations and diminish ing real resources in many parts of the world, even in the wealthier nations. Simultaneously, the primary care disciplines-general internal medicine and pediatrics and family medicine-have matured significantly. |
| doctor patient communication pdf: Patients and Healers in the Context of Culture Arthur Kleinman, 2023-04-28 From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1980. From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered |
| doctor patient communication pdf: Communication in Surgical Practice Sarah J. White, John Cartmill, 2016 The archetype of a surgeon is one who feels communication is touchy feely or merely grunts and throws things, when, in fact, surgery is reliant on the highest standards of communication. Communication forms a central part of clinical work for surgeons. However, it has only been in the past several years that the uniqueness and complexity of this aspect of surgeon competence has gained currency in research and education. This volume brings together new research from key international academics, who contribute a range of linguistic, sociological, and professional views on communication in surgical practice. The primary aim is to provide an insight into the complexity of surgeon communication, covering a variety of communicative activities required in the everyday work of surgeons. Through the selection of authors from a variety of interactive sociolinguistic disciplines as well as the contribution of clinicians, this book is able to encapsulate a broad range of topics in, and methodologies currently used to understand, communication in surgical practice. The intended audience for this book includes surgeons, surgical colleges, medical educators, communication researchers and educators, linguists, sociologists, and others with an interest in surgical and medical communication. |
| doctor patient communication pdf: The Dynamic Consultation Marisa Cordella, 2004-01-01 This book introduces a unique model of medical discourse that identifies the forms of talk voices that doctors and patients use during the consultation, and studies the dynamic interaction as it unfolds particularly in follow-up visits. Natural recordings, semi-structured interviews, questionnaires and ethnographic observations provide the data for the research, which was carried out in an Outpatient Clinic in Santiago, Chile. Using an interactional sociolinguistic approach, analysis of the data identifies doctorpatient communication as a micro-performance of broader socio-cultural realities, in which social status, power, knowledge and personal beliefs and values all find expression in the consultative setting. Importantly, while both doctor and patient voices are shown to contribute to an essentially asymmetrical exchange, the study also identifies the holistic and empathic Fellow Human voice, which places doctors and patients on a more equal footing. In connection with this voice, the Spanish concept of simpatía is also discussed.While the model in this study was developed within a specific socio-cultural framework, it is hoped that it will be adapted and modified more widely and contribute to a better understanding between doctors and their patients. |
| doctor patient communication pdf: EBOOK: Communication Skills For Adult Nurses Abayomi McEwen, Sarah Kraszewski, 2010-09-16 This book is a real gem - useful not only for nurses, but for all healthcare professionals, students and educators wanting to develop their communication skills. One is reminded that it is not always about 'what' is said, but 'how' it is said. This book will be a great resource for those advocating interprofessional working, while keeping the patient's perspective in the reader's mind throughout. Dr Susanne Lindqvist, Senior Lecturer in Interprofessional Education, University of East Anglia, Norwich, UK. This book is slim line and concise but covers a lot of vital points that all nurses and students of nursing should be aware of. It is well laid out with activities, case studies and vignettes to illustrate key issues... I thoroughly recommend this book to nursing students and those who work with people in any context. Jo Parham, third year adult nursing student at the University of the West of England. From a Nursing Student perspective this book is excellent. It deals with every aspect of communication from the fundamental skills, through the use of technology, challenging situations, communication in teams, to the legal and ethical aspects of communication. Conor Hamilton, Nursing student. Queens University, Belfast. An essential guide for all nurses!! With an emphasis on practical application, this lively and accessible guide will help nurses to hone and develop their communication skills. Full of examples from both a patient and a nurse perspective, the book covers: Barriers to communication Communication in teams The patient's perspective Making good use of email and phone Managing difficult conversations How good communication underpins the essence of care Examples of both good and poor practice, taken from the real-life experiences of the authors, are included to encourage reflection and integration of theory and practice. The book includes common scenarios, activity points and suggestions for practice, to give nurses the tools to continue to develop and apply effective communication skills. Communication Skills for Adult Nurses will support both student nurses learning their craft and also offer a suitable handy reference for qualified nurses undertaking continuing professional development, or acting as mentors. Contributors: Bernard Anderson, Jayne Crow, Graham Harris, Vivian Jellis, Mary Northrop, Paula Sobiechowska, Jill Toocaram |
| doctor patient communication pdf: Communicating with Medical Patients Moira A. Stewart, Debra Roter, 1989-06 Designed to synthesize a growing international and interdisciplinary body of experience, this volume provides a mandate and a charge to medicine to fundamentally transform the traditional clinical method and the social relations it fosters between doctor and patient and between student and teacher. The contributors challenge the medical establishment to change their clinical method from that of a disease-centred to a patient-centred one. Four sections deal with issues related to the doctor's own transformation, the medical interview, teaching and learning, and validation. |
| doctor patient communication pdf: Talking with Patients, Volume 2 Eric J. Cassell, 1985-03-27 Spoken language is the most important diagnostic and therapeutic tool in medicine, and, according to Dr. Cassell, we must be as precise with it as a surgeon with a scalpel. In these two volumes, he analyzes doctor-patient communication and shows how doctors can use language for the maximum benefit of their patients. Throughout, Dr. Cassell stresses that patients are complex, changing, psychological, social and physical beings whose illnesses are well represented by their own communication. He proposes that both listening and speaking are arts that can be learned best when they are based on the way that spoken language functions in medicine. Accordingly, Volume I focuses on the workings of spoken language in the clinical setting. It analyzes such important aspects of speech as paralanguage (non-word phenomenon like pause, pitch, and speech rate), how patients describe themselves and their illnesses, the logic of conversation, and the levels of meanings of words. Volume II is a practical, detailed, how to guide that demonstrates the process of history taking and how the doctor can learn the most from the information that the patient has to offer. His arguments are amply illustrated in both volumes by transcripts of real interactions between patients and their doctors. |
| doctor patient communication pdf: Out of My Mind Sharon M. Draper, 2024-10-08 From a multiple Coretta Scott King Award-winning author comes the story of a brilliant girl that no one knows about because she cannot speak or write. If there is one book teens and parents (and everyone else) should read this year, Out of My Mind should be it.O--Denver Post. |
| doctor patient communication pdf: When doctors and patients talk Martin Fischer, Gill Ereaut, 2012 |
| doctor patient communication pdf: What Patients Say, What Doctors Hear Danielle Ofri, MD, 2017-02-07 Can refocusing conversations between doctors and their patients lead to better health? Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to “make their case” to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements. Add in stereotypes, unconscious bias, conflicting agendas, and fear of lawsuits and the risk of misdiagnosis and medical errors multiplies dangerously. Though the gulf between what patients say and what doctors hear is often wide, Dr. Danielle Ofri proves that it doesn’t have to be. Through the powerfully resonant human stories that Dr. Ofri’s writing is renowned for, she explores the high-stakes world of doctor-patient communication that we all must navigate. Reporting on the latest research studies and interviewing scholars, doctors, and patients, Dr. Ofri reveals how better communication can lead to better health for all of us. |
| doctor patient communication pdf: Claiming Power in Doctor-Patient Talk Nancy Ainsworth-Vaughn, 1998-06-25 Nancy Ainsworth-Vaughn studied stories, topic control, true questions, and rhetorical questions in 101 medical encounters in US private-practice settings. In exceptionally lucid and accessible style, Ainsworth-Vaughn explains how power was claimed by and co-constructed for both patients and doctors (previous studies have focused upon doctors' power). The discourse varied along a continuum from interview-like talk to conversational talk. Six chapters are organized around data and include extended examples of actual talk in detailed transcription; four of these data-oriented chapters focus upon dynamic, moment-to-moment use of speech activities in emerging discourse, such as doctors' and patients' stories that co-constructed selves, and a patient's sexual rhetorical questions. Two more chapters offer non-statistical quantitative data on the frequency of questioning and sudden topic changes in relation to gender, diagnosis, and other factors. Contributing to discourse theory, Ainsworth-Vaughn significantly modifies previous definitions for topic transitions and rhetorical questions and discovers the role of storytelling in diagnosis. The final chapter provides implications for physicians and medical educators. |
| doctor patient communication pdf: Psychosomatic Medicine Kurt Fritzsche, Susan H. McDaniel, Michael Wirsching, 2014-03-31 Psychosocial problems appear within a medical context worldwide, and are a major burden to health. Psychosomatic Medicine: An International Primer for the Primary Care Setting takes a uniquely global approach in laying the foundations of bio psychosocial basic care (such as recognizing psychosocial and psychosomatic problems, basic counseling and collaboration with mental health specialists) and provides relevant information about the most common mental and psychosomatic problems and disorders. The scope of the book is intercultural—it addresses global cultures, subcultures living in a single country and strengthening the care given by physicians working abroad. This clinically useful book outlines best practices for diagnosing the most common bio psychosocial problems and mastering the most common communication challenges (e.g. doctor-patient conversation, breaking bad news, dealing with difficult patients, family and health systems communication and collaboration). Every chapter integrates basic theoretical background and practical skills and includes trans-culturally sensitive material, important for work with patients from different cultures. Psychosomatic Medicine: An International Primer for the Primary Care Setting serves as an excellent resource for clinicians hoping to gain and develop knowledge and skills in psychosomatic medicine. |
| doctor patient communication pdf: The Intelligent Patient's Guide to the Doctor-Patient Relationship Barbara M. Korsch, Caroline Harding, 1998-11-05 Do you feel that your doctor doesn't pay attention to what you say? Does your doctor cut you off when you try to explain how you feel? Do you think your doctor could remember your name without referring to your chart? Does your doctor seem to be in such a hurry that you don't even get a chance to ask your most important questions? Do you spend more time waiting than actually talking to your doctor? Do you understand what your doctor says? At one time or another, we have all had these complaints. This book will teach you how to ask the right questions, understand the answers, and show you how to take more control of your visits to the doctor and your own health. This is the first book in which communication pioneer Barbara M. Korsch, M.D., reveals what she has learned about the doctor-patient relationship dilemma during almost half a century of investigation. In clear, simple language, Dr. Korsch answers most of our common questions: How do I know when I'm sick enough to go to the doctor? How do I know if it's serious enough to go to the emergency room? What do I do if I can't follow the advice my doctor gives me? She walks us through a typical visit to the doctor, showing us how to prepare ourselves so we don't forget the question that has been worrying us for weeks as soon as we walk through the doctor's door. She gives important tips on how to survive the dreaded hospital experience. And she offers insight into the doctor's side of the relationship, showing how doctors are trained to be task-oriented and how their natural human sympathy is discouraged throughout their careers. Finally, she offers patients useful strategies for humanizing the relationship. Korsch's helpful, commonsense recommendations are extensively illustrated with real-life doctor-patient conversations which she recorded on audio and video tape over the course of the last thirty years. She was one of the first medical professionals to emphasize the importance of teaching doctors how to talk to patients as part of their medical training. She serves as consultant and lecturer to medical schools, hospitals, and medical practices throughout the world to help the next generation of doctors communicate with their patients. Above all, after years of research, she has found abundant evidence that the relationship patients form with their doctors directly determines the quality of the care they receive. This is a vital book for anyone who is concerned about their health and who wants to take control of their medical care. So much depends upon asking the right questions and on finding a doctor who will listen to you. This book gives you the tools and the confidence to do just that. |
| doctor patient communication pdf: Physician Communication Terry L. Schraeder, 2019 Communication skills determine how the world perceives us - and how we perceive the world. Communication is at the heart of who we are and all that we do. As a clinician, your communication impacts how you take care of patients, work with colleagues, teach trainees, and engage audiences and the public. Communication encompasses all aspects of human skills, from listening and clearly articulating thoughts to an awareness of physical gestures, specific word choice, tone, and volume. Whether engaging with patients, peers, care teams, family members, residents, researchers, insurance agencies, management, or journalists, successful communication requires focusing on the importance of the relationship and the mission of each interaction. Today, due to the rise of digital technologies including electronic medical records, online forums, and video conferences, the content of information, the platform, and the audience are continuously changing and expanding for physicians. There is a great need in the physician community to learn how to facilitate the exchange of information, provide psychosocial support, partake in shared-decision making, translate complex information, and resolve controversies with sound science in a variety of settings. Addressing physicians at every level of training and practice, Physician Communication: Connecting with Patients, Peers, and the Public will enable providers to examine, analyse, and improve their skills in the art and science of communication. Divided into four sections: Face-to-face Communications; Digital Communications;Public Speaking; and Traditional Media, this book will help physicians navigate various situations using different methods and modes of communication. |
| doctor patient communication pdf: Fundamental Skills for Patient Care in Pharmacy Practice Colleen Doherty Lauster, Sneha Baxi Srivastava, 2013-03-25 Fundamental Skills for Patient Care in Pharmacy Practice enables students and new pharmacists to master the skills associated with clinical care in either the inpatient or outpatient setting. In accessible steps, this valuable resource provides the tools for gaining medication histories from patients and counseling them on the most effective and safe manner to take medications. Each chapter explores the background and practice of a critical skill, tools that aid in its development and mastery, and tips for success. Students and pharmacists will come away with the knowledge to identify drug-related problems and formulate plans for solutions to these problems. Fundamental Skills for Patient Care in Pharmacy Practice prepares future pharmacists to communicate effectively in verbal and written formats with health professionals and special patient populations as they prepare and present SOAP notes, patient cases, and discharge counseling. |
| doctor patient communication pdf: A Theory of Social Interaction Jonathan H. Turner, 1988 In developing the most comprehensive theory of social interaction among humans to date, the author has also constructed a general theory of micro dynamics for sociology and social psychology. He does so by reviewing existing theories of the past and present, synthesixing these concepts into abstract models and principles of social interaction. In contrast to Talcott Parsons and many others, the book argues that social interaction, rather than action and behaviour, is sociology's most basic unit of analysis. This unit is conceptualized as involving three processes: (1) motivational, or the process of mobilizating and energizing interactive behaviour, (2) interactional, or the process of mutual signaling and interpreting with symbols, and (3) structuring, or the process of repeating and organizing social interactions in time and place. For each of these three constituent processes, the relevant theories are analyzed and then synthesized into composite models and general laws. |
| doctor patient communication pdf: Communication Case Studies for Health Care Professionals, Second Edition Michael P. Pagano, 2014-12-03 Print+CourseSmart |
| doctor patient communication pdf: Distracted Doctoring Peter J. Papadakos, Stephen Bertman, 2017-07-31 Examining-room computers require doctors to record detailed data about their patients, yet reduce the time clinicians can spend listening attentively to the very people they are trying to help. This book presents original essays by distinguished experts in their fields, addressing this critical problem and making an urgent case for reform, because while electronic technology has revolutionized the practice of medicine, it also poses a unique challenge to health care. Smartphones in the hands of doctors and nurses have become dangerously seductive devices that can endanger their patients. Distracted Doctoring is written for anesthesiologists and surgeons, as well as general practitioners, nurses, and health care administrators and students. Chapters include Electronic Challenges to Patient Safety and Care; Distraction, Disengagement, and the Purpose of Medicine; and Managing Distractions through Advocacy, Education, and Change. |
| doctor patient communication pdf: When Doctors Become Patients Robert Klitzman, 2008 For many doctors, their role as powerful healer precludes thoughts of ever getting sick themselves. When they do, it initiates a profound shift of awareness-- not only in their sense of their selves, which is invariably bound up with the invincible doctor role, but in the way that they view their patients and the doctor-patient relationship. While some books have been written from first-person perspectives on doctors who get sick-- by Oliver Sacks among them-- and TV shows like House touch on the topic, never has there been a systematic, integrated look at what the experience is like for doctors who get sick, and what it can teach us about our current health care system and more broadly, the experience of becoming ill.The psychiatrist Robert Klitzman here weaves together gripping first-person accounts of the experience of doctors who fall ill and see the other side of the coin, as a patient. The accounts reveal how dramatic this transformation can be-- a spiritual journey for some, a radical change of identity for others, and for some a new way of looking at the risks and benefits of treatment options. For most however it forever changes the way they treat their own patients. These questions are important not just on a human interest level, but for what they teach us about medicine in America today. While medical technology advances, the health care system itself has become more complex and frustrating, and physician-patient trust is at an all-time low. The experiences offered here are unique resource that point the way to a more humane future. |
| doctor patient communication pdf: New Challenges in Communication with Cancer Patients Antonella Surbone, Matjaž Zwitter, Mirjana Rajer, Richard Stiefel, 2012-08-23 The relationship between oncologists and their cancer patients is rapidly evolving. Oncologists and other cancer professionals master new anticancer and supportive treatment options, while working under increasing economic pressure and time constraints, and are often unprepared to deal with all the challenges of their new position in a therapeutic relationship with cancer patients and families. Good communication is as essential as are modern laboratory tests and sophisticated diagnostics to achieve the best clinical results. This book updates the evolution of truth-telling and communication patterns worldwide and offers insights into the recent trends and emerging challenges in communication with cancer patients and families. New Challenges in Communication with Cancer Patients is an invaluable resource to medical professionals, educators and patients in establishing a strong and effective partnership built on trust and mutual understanding. |
| doctor patient communication pdf: How To Break Bad News Robert Buckman, 1992-08-08 For many health care professionals and social service providers, the hardest part of the job is breaking bad news. The news may be about a condition that is life-threatening (such as cancer or AIDS), disabling (such as multiple sclerosis or rheumatoid arthritis), or embarrassing (such as genital herpes). To date medical education has done little to train practitioners in coping with such situations. With this guide Robert Buckman and Yvonne Kason provide help. Using plain, intelligible language they outline the basic principles of breaking bad new and present a technique, or protocol, that can be easily learned. It draws on listening and interviewing skills that consider such factors as how much the patient knows and/or wants to know; how to identify the patient's agenda and understanding, and how to respond to his or her feelings about the information. They also discuss reactions of family and friends and of other members of the health care team. Based on Buckman's award-winning training videos and Kason's courses on interviewing skills for medical students, this volume is an indispensable aid for doctors, nurses, psychotherapists, social workers, and all those in related fields. |
| doctor patient communication pdf: Good Practice Student's Book Marie McCullagh, Ros Wright, 2008-03-20 Good Practice focuses on the language and communication skills that doctors need to make consultations more effective using five elements of good communication: verbal communication, active listening, voice management, non-verbal communication and cultural awareness. The course teaches learners how to sensitively handle a range of situations such as taking a patient history and breaking bad news, as well as preparing doctors for dealing with different types of patients. Good Practice demonstrates the impact of good communication on the doctor-patient relationship and enables students to become confident and effective practitioners in English. |
| doctor patient communication pdf: Talking with Your Doctor , 2000 |
| doctor patient communication pdf: Adult Literacy in America Irwin S. Kirsch, 1993 The National Adult Literacy Survey profiled the literacy of U.S. adults based on their performance on tasks reflecting materials and demands of daily life. Data were gathered through interviews with a random sample of 13,600 people over 16, a survey of 1,000 adults in each of 12 states, and interviews with 1,100 prison inmates, making a total of 26,000 adults surveyed. Participants completed a series of literacy tasks and received proficiency scores on three scales measuring prose, document, and quantitative literacy. They were categorized in five levels. Major findings were as follows: (1) 40-44 million adults were at the lowest level, of whom 25% were immigrants, 62% did not complete high school, and 19% had visual difficulties; (2) 50 million at level 2 had difficulty with higher reading and problem-solving skills; (3) most at levels 1-2 rated their reading/writing as well or very well--they could meet most needs with limited skills; (4) 61 million were at level 3, 34-40 million at levels 4-5; (5) young adults were less proficient than those surveyed in 1985; (6) older adults were more likely to have limited skills; (7) many minorities and prison inmates were more likely to be at levels 1-2, due to fewer years of schooling or limited English proficiency; (8) higher levels correlated with being employed, working more weeks, and having higher wages; and (9) 41-44% of level 1 and 4-8% of levels 4-5 were in poverty. (Appendices include definitions and 31 data tables. Document includes 13 other tables and 26 figures.) (SK) |
| doctor-patient communication pdf: Doctor-patient Interaction Walburga Von Raffler-Engel, 1989-01-01 This volume covers many of the ways of speaking that create problems between doctor and patient. The questions under consideration in the present book are the following: How is the doctor-patient interaction structured in a particular culture? What takes place during the process? What causes misunderstandings, lack of cooperation and even total non-compliance? What is the outcome of the interaction and how does the patient benefit from it? Finally, and this is the ultimate purpose of this book: How can the interaction be improved so that an optimum outcome is assured for the patient with maximum satisfaction to the physician? |
| doctor-patient communication pdf: Clinical Communication in Medicine Jo Brown, Lorraine Noble, Alexia Papageorgiou, Jane Kidd, 2016-01-19 Highly Commended at the British Medical Association Book Awards 2016 Clinical Communication in Medicine brings together the theories, models and evidence that underpin effective healthcare communication in one accessible volume. Endorsed and developed by members of the UK Council of Clinical Communication in Undergraduate Medical Education, it traces the subject to its primary disciplinary origins, looking at how it is practised, taught and learned today, as well as considering future directions. Focusing on three key areas – the doctor-patient relationship, core components of clinical communication, and effective teaching and assessment – Clinical Communication in Medicine enhances the understanding of effective communication. It links theory to teaching, so principles and practice are clearly understood. Clinical Communication in Medicine is a new and definitive guide for professionals involved in the education of medical undergraduate students and postgraduate trainees, as well as experienced and junior clinicians, researchers, teachers, students, and policy makers. |
| doctor-patient communication pdf: Teaching and Learning Communication Skills in Medicine Suzanne Kurtz, Juliet Draper, Jonathan Silverman, 2017-12-21 This book and its companion, Skills for Communicating with Patients, Second Edition, provide a comprehensive approach to improving communication in medicine. Fully updated and revised, and greatly expanded, this new edition examines how to construct a skills curricular at all levels of medical education and across specialties, documents the individuals skills that form the core content of communication skills teaching programmes, and explores in depth the specific teaching, learning and assessment methods that are currently used within medical education. Since their publication, the first edition of this book and its companionSkills for Communicating with Patients, have become standards texts in teaching communication skills throughout the world, 'the first entirely evidence-based textbooks on medical interviewing. It is essential reading for course organizers, those who teach or model communication skills, and program administrators. |
| doctor-patient communication pdf: Effective Medical Communication Subhash Chandra Parija, Balachandra V. Adkoli, 2020-06-16 Effective communication is at the heart of medical profession, whether it is patient-doctor communication, interpersonal communication, or communication with the scientific and research community. However, medical professionals are not adequately trained in these skills, and when it comes to presentations, the message is often lost due to inadequate preparation, ineffective slides, and a generally unconvincing performance by the presenter. This book addresses all aspects of the communication skills required by individuals entering medical school as well as professionals farther up the career ladder. Each chapter offers a quote or a statement that captures the essence of the text. Adopting a unique approach known an A, B, C, D and E (Assess Need, Brief, Contextualize, Describe and Evaluate) the book includes abundant illustrations, real-world case scenarios, anecdotes, tables, graphs and cartoons, as well as practical information, and tips on communicating effectively. As such it is a valuable resource for new and experienced clinicians, educators and researchers wanting to improve their communications skills. |
| doctor-patient communication pdf: Doctor-patient Communication David Pendleton, John Hasler, 1983 |
| doctor-patient communication pdf: Communication in Medical Care John Heritage, Douglas W. Maynard, 2006-07-06 This 2006 volume provides a comprehensive discussion of communication between doctors and patients in primary care consultations. It brings together a team of leading contributors from the fields of linguistics, sociology and medicine to describe each phase of the primary care consultation, identifying the distinctive tasks, goals and activities that make up each phase of primary care as social interaction. Using conversation analysis techniques, the authors analyze the sequential unfolding of a visit, and describe the dilemmas and conflicts faced by physicians and patients as they work through each of these activities. The result is a view of the medical encounter that takes the perspective of both physicians and patients in a way that is both rigorous and humane. Clear and comprehensive, this book will be essential reading for students and researchers in sociolinguistics, communication studies, sociology, and medicine. |
| doctor-patient communication pdf: The New Consultation David Pendleton, Theo Schofield, Peter Tate, Peter Havelock, 2003-04-24 The Consultation, published almost 20 years ago by the same authors, has been completely rewritten. The New Consultation will be an essential aid for all doctors and their educators to increase the effectiveness of their consultations and to help to make them more patient-centred. It includes theoretical background as well as practical help for both consulters and teachers. The consultation is 'the central act of medicine': the meeting between the patient and the doctor. The first part of the book takes the reader from the context of the consultation in society and with the medical profession, to the intimacy of the consulting room, and then delves into its processes. The reader is invited to share the individual perspectives of doctor and patient and to consider what will lead to positive outcomes. The last chapter of the first section puts all these factors together and provides a coherent, evidence-based description of the processes needed for an effective consultation for the patient, the doctor, and society. The second part of the book takes the reader into the practicalities of learning and teaching effective consultations. It starts with a brief description of the evidence for effective teaching and outlines the authors' experience of teaching in this way with over 1,000 doctors. Realizing that many doctors organize their own self-directed learning, the authors have included a chapter that enables individuals to develop their own consulting technique. Help is offered for teachers of the consultation in both undergraduate and postgraduate settings. The consultation is now assessed by a number of the royal medical colleges to measure competence and there is a chapter on these issues. The last chapter discusses the difficulties that many doctors still have in conducting patient-centred consultations and makes some suggestions for effective implementation of skills. |
| doctor-patient communication pdf: Doctors Talking with Patients/Patients Talking with Doctors Debra Roter, Judith A. Hall, 2006-08-30 The verbal and nonverbal exchanges that take place between doctor and patient affect both participants, and can result in a range of positive or negative psychological reactions-including comfort, alarm, irritation, or resolve. This updated edition of a widely popular book sets out specific principles and recommendations for improving doctor-patient communications. It describes the process of communication, analyzes social and psychological factors that color doctor-patient exchanges, and details changes that can benefit both parties. Medical visits are often less effective and satisfying than they would be if doctors and patients better understood the communication most needed for attainment of mutual health goals. The verbal and nonverbal exchanges that take place between doctor and patient affect both participants, and can result in a range of positive or negative psychological reactions-including comfort, alarm, irritation, or resolve. Talk, on both verbal and non-verbal levels, is shown by extensive research to have far-reaching impact. This updated edition of a widely popular book helps us understand this vital issue, and facilitate communications that will mean more effective medical care and happier, healthier consumers. Roter and Hall set out specific principles and recommendations for improving doctor-patient relationships. They describe the process of communication, analyze social and psychological factors that color doctor-patient exchanges, and detail changes that can benefit both parties. Here are needed encouragement and principles of action vital to doctors and patients alike. far-reaching impact. |
| doctor-patient communication pdf: Vital Conversations Dennis Rosen, 2014-09-23 “Engaging . . . provides patients tools they can use to improve dialogue with their doctors and, ultimately, improve their ultimate medical outcomes.”—The Times of Israel The health-care system in the United States is by far the most expensive in the world, yet its outcomes are decidedly mediocre in comparison with those of other countries. Poor communication between doctors and patients, Dennis Rosen argues, is at the heart of this disparity, a pervasive problem that damages the well-being of the patient and the integrity of the health-care system and society. Drawing upon research in biomedicine, sociology, and anthropology and integrating personal stories from his medical practice in three different countries (and as a patient), Rosen shows how important good communication between physicians and patients is to high-quality—and less-expensive—care. Without it, treatment adherence and preventive services decline, and the rates of medical complications, hospital readmissions, and unnecessary testing and procedures rise. Rosen illustrates the consequences of these problems from both the caregiver and patient perspectives and explores the socioeconomic and cultural factors that cause important information to be literally lost in translation. He concludes with a prescriptive chapter aimed at building the cultural competencies and communication skills necessary for higher-quality, less-expensive care, making it more satisfying for all involved. “An excellent source of ideas on how to enhance treatment.”—Joseph Shrand, Instructor of Psychiatry at Harvard Medical School “[Dr. Rosen] delivers much of his advice through anecdotes that take readers on a journey through a career filled with both positive and negative instances of doctor-patient communication.”—Health Affairs |
| doctor-patient communication pdf: The Doctor's Communication Handbook Peter Tate, 2007 An established key text for all doctors, this edition is completely up-to-date in regards to recent major changes in GP training and assessment. |
| doctor-patient communication pdf: Teaching Professional Attitudes and Basic Clinical Skills to Medical Students Jochanan Benbassat, 2015-09-04 This concise, easy to read title is designed for clinical teachers looking to refine their approach to teaching professional attitudes and basic skills to medical students. Doctors differ in values, training and practice setting, and eventually they adopt diverse approaches to patient interviewing, data collection and problem-solving. As a result, medical students may encounter significant differences in the clinical methods of their tutors. For example, some doctors encourage patients’ narratives by using open-ended questions while others favor closed-questions; and hospital- and community-based doctors may disagree on the value of the physical examination. Medical students may be puzzled by these differences and by controversies about issues, such as doctor-patient relations and the approaches to clinical reasoning. This handy title is intended to help tutors address many of these issues, and to provide an approach not only to teaching patient interviewing and the physical examination but to teaching some clinically relevant topics of the behavioral and social sciences that are so vital to developing an effective, well-rounded physician. |
| doctor-patient communication pdf: The Relevance of Social Science for Medicine L. Eisenberg, A. Kleinman, 2012-12-06 The central purpose of this book is to demonstrate the relevance of social science concepts, and the data derived from empirical research in those sciences, to problems in the clinical practice of medicine. As physicians, we believe that the biomedical sciences have made - and will continue to make - important con tributions to better health. At the same time, we are no less fIrmly persuaded that a comprehensive understanding of health and illness, an understanding which is necessary for effective preventive and therapeutic measures, requires equal attention to the social and cultural determinants of the health status of human populations. The authors who agreed to collaborate with us in the writ ing of this book were chosen on the basis of their experience in designing and executing research on health and health services and in teaching social science concepts and methods which are applicable to medical practice. We have not attempted to solicit contributions to cover the entire range of the social sciences as they apply to medicine. Rather, we have selected key ap proaches to illustrate the more salient areas. These include: social epidemiology, health services research, social network analysis, cultural studies of illness behavior, along with chapters on the social labeling of deviance, patterns of therapeutic communication, and economic and political analyses of macro-social factors which influence health outcomes as well as services. |
| doctor-patient communication pdf: Clinical Communication Skills for Medicine Margaret Lloyd, Robert Bor, Lorraine M Noble, 2018-01-10 Clinical Communication Skills for Medicine is an essential guide to the core skills for effective patient-centered communication. In the twenty years since this book was first published the teaching of these skills has developed and evolved. Today's doctors fully appreciate the importance of communicating successfully and sensitively with people receiving health care and those close to them. This practical guide to developing communication skills will be of value to students throughout their careers. The order of the chapters reflects this development, from core skills to those required to respond effectively and compassionately in challenging situations. The text includes case examples, guidelines and opportunities to encourage the reader to stop and think. The contents of the book cover: - The fundamental elements of clinical communication, including skills for effectively gathering and sharing information, discussing sensitive topics and breaking bad news. - Shared decision making, reflecting the rapid changes in expectations of medical care and skills for supporting patients in making decisions which are right for them. - Communicating with a patient's family, children and young people, patients from different cultural backgrounds, communicating via an interpreter and communicating with patients who have a hearing impairment. - Diversity in communication, including examples of communicating with patients who have a learning disability, transgender patients, and older adult patients. - Communicating about medical error, emphasising the importance of doctors being honest in the face of difficult situations. - This is a practical guide to learning and developing communication skills throughout medical training. - The chapters range from the development of basic skills to those dealing with challenging and difficult situations. |
| doctor-patient communication pdf: The Doctor's Communication Handbook, 8th Edition Peter Tate, Francesca Frame, 2019-07-17 Of previous editions: '... breaks new ground in its readability ... It is concise, wise, and firmly pragmatic'. British Medical Journal 'Since it was first published in 1994, Peter Tate’s The Doctor’s Communication Handbook has been essential reading to improve GP registrars’ communication skills'. Practical Diabetes International This bestselling title has established itself as the ultimate guide to patient communication for all doctors, whatever their experience and wherever they practice. Highly respected by many and acclaimed for its light, conversational tone, this completely updated and expanded eighth edition remains a key text for doctors at all levels and in all settings, particularly candidates sitting for the Membership of the Royal College of General Practitioners. Key features: Unique and accessible approach to this vital and frequently poorly practiced aspect of medicine Addresses the change in practice where traditional doctor consultations are increasingly being done by other health professionals, including nurse practitioners and paramedics Reflects the dissolution of the primary/secondary care boundary, and the increasing importance of shared responsibility for patient communication in clinical and social care Covers the new types of consultation including telephone triage and virtual consultation and the associated risks and benefits Retains all the features praised in previous editions − brevity, readability and humour As patients become participants, doctors are increasingly adjusting to new roles and forms of communication − from orators and governors to confidants and interpreters. The Doctor's Communication Handbook continues to provide an invaluable 'one stop shop' to help students, practicing doctors, nurses and other healthcare practitioners value and improve their skills in this area. |
| doctor-patient communication pdf: Argumentation between Doctors and Patients Frans H. van Eemeren, Bart Garssen, Nanon Labrie, 2021-02-15 Argumentation between Doctors and Patients discusses the use of argumentation in clinical settings. Starting from the pragma-dialectical theory of argumentation, it aims at providing an understanding of argumentative discourse in the context of doctor-patient interaction. It explains when and how interactions between doctors and patients can be reconstructed as argumentative, what it means for doctors and patients to reasonably resolve a difference of opinion, what it implies to strive simultaneously for reasonableness and effectiveness in clinical discourse, and when such efforts derail into fallaciousness. Argumentation between Doctors and Patients is of interest to all those who seek to improve their understanding of argumentation in a medical context – whether they are students, scholars of argumentation, or medical practitioners. Frans H. van Eemeren, Bart Garssen and Nanon Labrie are prominent argumentation theorists. In writing Argumentation between Doctors and Patients, they have benefited from the advice of an Advisory Board consisting of both medical practitioners and argumentation scholars. |
| doctor-patient communication pdf: Unequal Treatment Institute of Medicine, Board on Health Sciences Policy, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, 2009-02-06 Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color. |
| doctor-patient communication pdf: Skills for Communicating with Patients Jonathan Silverman, Suzanne M. Kurtz, Juliet Draper, 1998 This text and its companion, Teaching and Learning Communication Skills in Medicine, provide a comprehensive approach to improving communication in medicine. Exploring in detail the specific skills of doctor-patient communication, the book provides evidence of the improvements that these skills can make in health outcomes and everday clinical practice. |
| doctor-patient communication pdf: The Medical Interview Mack Jr. Lipkin, J.G. Carroll, R.M. Frankel, Samuel M. Putnam, Aaron Lazare, A. Keller, T. Klein, P.K. Williams, 2012-12-06 Primary care medicine is the new frontier in medicine. Every nation in the world has recognized the necessity to deliver personal and primary care to its people. This includes first-contact care, care based in a posi tive and caring personal relationship, care by a single healthcare pro vider for the majority of the patient's problems, coordination of all care by the patient's personal provider, advocacy for the patient by the pro vider, the provision of preventive care and psychosocial care, as well as care for episodes of acute and chronic illness. These facets of care work most effectively when they are embedded in a coherent integrated approach. The support for primary care derives from several significant trends. First, technologically based care costs have rocketed beyond reason or availability, occurring in the face of exploding populations and diminish ing real resources in many parts of the world, even in the wealthier nations. Simultaneously, the primary care disciplines-general internal medicine and pediatrics and family medicine-have matured significantly. |
| doctor-patient communication pdf: Talking with Patients, Volume 2 Eric J. Cassell, 1985-03-27 Spoken language is the most important diagnostic and therapeutic tool in medicine, and, according to Dr. Cassell, we must be as precise with it as a surgeon with a scalpel. In these two volumes, he analyzes doctor-patient communication and shows how doctors can use language for the maximum benefit of their patients. Throughout, Dr. Cassell stresses that patients are complex, changing, psychological, social and physical beings whose illnesses are well represented by their own communication. He proposes that both listening and speaking are arts that can be learned best when they are based on the way that spoken language functions in medicine. Accordingly, Volume I focuses on the workings of spoken language in the clinical setting. It analyzes such important aspects of speech as paralanguage (non-word phenomenon like pause, pitch, and speech rate), how patients describe themselves and their illnesses, the logic of conversation, and the levels of meanings of words. Volume II is a practical, detailed, how to guide that demonstrates the process of history taking and how the doctor can learn the most from the information that the patient has to offer. His arguments are amply illustrated in both volumes by transcripts of real interactions between patients and their doctors. |
| doctor-patient communication pdf: Patients and Healers in the Context of Culture Arthur Kleinman, 2023-04-28 From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1980. From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered |
| doctor-patient communication pdf: Dying in America Institute of Medicine, Committee on Approaching Death: Addressing Key End-of-Life Issues, 2015-03-19 For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life. |
| doctor-patient communication pdf: Communication in Surgical Practice Sarah J. White, John Cartmill, 2016 The archetype of a surgeon is one who feels communication is touchy feely or merely grunts and throws things, when, in fact, surgery is reliant on the highest standards of communication. Communication forms a central part of clinical work for surgeons. However, it has only been in the past several years that the uniqueness and complexity of this aspect of surgeon competence has gained currency in research and education. This volume brings together new research from key international academics, who contribute a range of linguistic, sociological, and professional views on communication in surgical practice. The primary aim is to provide an insight into the complexity of surgeon communication, covering a variety of communicative activities required in the everyday work of surgeons. Through the selection of authors from a variety of interactive sociolinguistic disciplines as well as the contribution of clinicians, this book is able to encapsulate a broad range of topics in, and methodologies currently used to understand, communication in surgical practice. The intended audience for this book includes surgeons, surgical colleges, medical educators, communication researchers and educators, linguists, sociologists, and others with an interest in surgical and medical communication. |
| doctor-patient communication pdf: Communicating with Medical Patients Moira A. Stewart, Debra Roter, 1989-06 Designed to synthesize a growing international and interdisciplinary body of experience, this volume provides a mandate and a charge to medicine to fundamentally transform the traditional clinical method and the social relations it fosters between doctor and patient and between student and teacher. The contributors challenge the medical establishment to change their clinical method from that of a disease-centred to a patient-centred one. Four sections deal with issues related to the doctor's own transformation, the medical interview, teaching and learning, and validation. |
| doctor-patient communication pdf: Difficult Conversations in Medicine Elisabeth Macdonald, 2004 In all branches of medicine, effective communication between health care professionals and patients, families and carers is essential to ensure first-class treatment. Increasing public awareness of health issues and the ready availability of health information have led the public to be more widely informed about common conditions and the treatments available. Patients therefore attend a medical consultation better informed so the need for improved communication skills is even greater. Skill is communication is a matter of personal ability which varies widely between individuals in the medical profession as in any other. In response, the aim of this book is to dispel the anxieties which contribute to poor communication. This book covers ethical and legal issues, planning difficult conversations, the patient's and doctor's perspectives, issues surrounding special groups such as children and the elderly, and coversations with patients from different cultural backgrounds. Outlines of possible clinical cases posing specific problems are included with guidance on how to handle them. |
| doctor-patient communication pdf: The Dynamic Consultation Marisa Cordella, 2004-01-01 This book introduces a unique model of medical discourse that identifies the forms of talk voices that doctors and patients use during the consultation, and studies the dynamic interaction as it unfolds particularly in follow-up visits. Natural recordings, semi-structured interviews, questionnaires and ethnographic observations provide the data for the research, which was carried out in an Outpatient Clinic in Santiago, Chile. Using an interactional sociolinguistic approach, analysis of the data identifies doctorpatient communication as a micro-performance of broader socio-cultural realities, in which social status, power, knowledge and personal beliefs and values all find expression in the consultative setting. Importantly, while both doctor and patient voices are shown to contribute to an essentially asymmetrical exchange, the study also identifies the holistic and empathic Fellow Human voice, which places doctors and patients on a more equal footing. In connection with this voice, the Spanish concept of simpatía is also discussed.While the model in this study was developed within a specific socio-cultural framework, it is hoped that it will be adapted and modified more widely and contribute to a better understanding between doctors and their patients. |
| doctor-patient communication pdf: Ask a Manager Alison Green, 2018-05-01 'I'm a HUGE fan of Alison Green's Ask a Manager column. This book is even better' Robert Sutton, author of The No Asshole Rule and The Asshole Survival Guide 'Ask A Manager is the book I wish I'd had in my desk drawer when I was starting out (or even, let's be honest, fifteen years in)' - Sarah Knight, New York Times bestselling author of The Life-Changing Magic of Not Giving a F*ck A witty, practical guide to navigating 200 difficult professional conversations Ten years as a workplace advice columnist has taught Alison Green that people avoid awkward conversations in the office because they don't know what to say. Thankfully, Alison does. In this incredibly helpful book, she takes on the tough discussions you may need to have during your career. You'll learn what to say when: · colleagues push their work on you - then take credit for it · you accidentally trash-talk someone in an email and hit 'reply all' · you're being micromanaged - or not being managed at all · your boss seems unhappy with your work · you got too drunk at the Christmas party With sharp, sage advice and candid letters from real-life readers, Ask a Manager will help you successfully navigate the stormy seas of office life. |
| doctor-patient communication pdf: Communicating Quality and Safety in Health Care Rick Iedema, Donella Piper, Marie Manidis, 2015-08-11 Written by prominent and internationally renowned scholars, Communicating Quality and Safety in Healthcare engages healthcare trainees from across medicine, nursing and allied health services in a comprehensive and probing discussion of the communication demands that confront today's healthcare teams. |
| doctor-patient communication pdf: Psychosomatic Medicine Kurt Fritzsche, Susan H. McDaniel, Michael Wirsching, 2014-03-31 Psychosocial problems appear within a medical context worldwide, and are a major burden to health. Psychosomatic Medicine: An International Primer for the Primary Care Setting takes a uniquely global approach in laying the foundations of bio psychosocial basic care (such as recognizing psychosocial and psychosomatic problems, basic counseling and collaboration with mental health specialists) and provides relevant information about the most common mental and psychosomatic problems and disorders. The scope of the book is intercultural—it addresses global cultures, subcultures living in a single country and strengthening the care given by physicians working abroad. This clinically useful book outlines best practices for diagnosing the most common bio psychosocial problems and mastering the most common communication challenges (e.g. doctor-patient conversation, breaking bad news, dealing with difficult patients, family and health systems communication and collaboration). Every chapter integrates basic theoretical background and practical skills and includes trans-culturally sensitive material, important for work with patients from different cultures. Psychosomatic Medicine: An International Primer for the Primary Care Setting serves as an excellent resource for clinicians hoping to gain and develop knowledge and skills in psychosomatic medicine. |
| doctor-patient communication pdf: When doctors and patients talk Martin Fischer, Gill Ereaut, 2012 |
| doctor-patient communication pdf: Claiming Power in Doctor-Patient Talk Nancy Ainsworth-Vaughn, 1998-06-25 Nancy Ainsworth-Vaughn studied stories, topic control, true questions, and rhetorical questions in 101 medical encounters in US private-practice settings. In exceptionally lucid and accessible style, Ainsworth-Vaughn explains how power was claimed by and co-constructed for both patients and doctors (previous studies have focused upon doctors' power). The discourse varied along a continuum from interview-like talk to conversational talk. Six chapters are organized around data and include extended examples of actual talk in detailed transcription; four of these data-oriented chapters focus upon dynamic, moment-to-moment use of speech activities in emerging discourse, such as doctors' and patients' stories that co-constructed selves, and a patient's sexual rhetorical questions. Two more chapters offer non-statistical quantitative data on the frequency of questioning and sudden topic changes in relation to gender, diagnosis, and other factors. Contributing to discourse theory, Ainsworth-Vaughn significantly modifies previous definitions for topic transitions and rhetorical questions and discovers the role of storytelling in diagnosis. The final chapter provides implications for physicians and medical educators. |
| doctor-patient communication pdf: The Intelligent Patient's Guide to the Doctor-Patient Relationship Barbara M. Korsch, Caroline Harding, 1998-11-05 Do you feel that your doctor doesn't pay attention to what you say? Does your doctor cut you off when you try to explain how you feel? Do you think your doctor could remember your name without referring to your chart? Does your doctor seem to be in such a hurry that you don't even get a chance to ask your most important questions? Do you spend more time waiting than actually talking to your doctor? Do you understand what your doctor says? At one time or another, we have all had these complaints. This book will teach you how to ask the right questions, understand the answers, and show you how to take more control of your visits to the doctor and your own health. This is the first book in which communication pioneer Barbara M. Korsch, M.D., reveals what she has learned about the doctor-patient relationship dilemma during almost half a century of investigation. In clear, simple language, Dr. Korsch answers most of our common questions: How do I know when I'm sick enough to go to the doctor? How do I know if it's serious enough to go to the emergency room? What do I do if I can't follow the advice my doctor gives me? She walks us through a typical visit to the doctor, showing us how to prepare ourselves so we don't forget the question that has been worrying us for weeks as soon as we walk through the doctor's door. She gives important tips on how to survive the dreaded hospital experience. And she offers insight into the doctor's side of the relationship, showing how doctors are trained to be task-oriented and how their natural human sympathy is discouraged throughout their careers. Finally, she offers patients useful strategies for humanizing the relationship. Korsch's helpful, commonsense recommendations are extensively illustrated with real-life doctor-patient conversations which she recorded on audio and video tape over the course of the last thirty years. She was one of the first medical professionals to emphasize the importance of teaching doctors how to talk to patients as part of their medical training. She serves as consultant and lecturer to medical schools, hospitals, and medical practices throughout the world to help the next generation of doctors communicate with their patients. Above all, after years of research, she has found abundant evidence that the relationship patients form with their doctors directly determines the quality of the care they receive. This is a vital book for anyone who is concerned about their health and who wants to take control of their medical care. So much depends upon asking the right questions and on finding a doctor who will listen to you. This book gives you the tools and the confidence to do just that. |
| doctor-patient communication pdf: When Doctors Become Patients Robert Klitzman, 2008 For many doctors, their role as powerful healer precludes thoughts of ever getting sick themselves. When they do, it initiates a profound shift of awareness-- not only in their sense of their selves, which is invariably bound up with the invincible doctor role, but in the way that they view their patients and the doctor-patient relationship. While some books have been written from first-person perspectives on doctors who get sick-- by Oliver Sacks among them-- and TV shows like House touch on the topic, never has there been a systematic, integrated look at what the experience is like for doctors who get sick, and what it can teach us about our current health care system and more broadly, the experience of becoming ill.The psychiatrist Robert Klitzman here weaves together gripping first-person accounts of the experience of doctors who fall ill and see the other side of the coin, as a patient. The accounts reveal how dramatic this transformation can be-- a spiritual journey for some, a radical change of identity for others, and for some a new way of looking at the risks and benefits of treatment options. For most however it forever changes the way they treat their own patients. These questions are important not just on a human interest level, but for what they teach us about medicine in America today. While medical technology advances, the health care system itself has become more complex and frustrating, and physician-patient trust is at an all-time low. The experiences offered here are unique resource that point the way to a more humane future. |
| doctor-patient communication pdf: A Theory of Social Interaction Jonathan H. Turner, 1988 In developing the most comprehensive theory of social interaction among humans to date, the author has also constructed a general theory of micro dynamics for sociology and social psychology. He does so by reviewing existing theories of the past and present, synthesixing these concepts into abstract models and principles of social interaction. In contrast to Talcott Parsons and many others, the book argues that social interaction, rather than action and behaviour, is sociology's most basic unit of analysis. This unit is conceptualized as involving three processes: (1) motivational, or the process of mobilizating and energizing interactive behaviour, (2) interactional, or the process of mutual signaling and interpreting with symbols, and (3) structuring, or the process of repeating and organizing social interactions in time and place. For each of these three constituent processes, the relevant theories are analyzed and then synthesized into composite models and general laws. |
| doctor-patient communication pdf: Fundamental Skills for Patient Care in Pharmacy Practice Colleen Doherty Lauster, Sneha Baxi Srivastava, 2013-03-25 Fundamental Skills for Patient Care in Pharmacy Practice enables students and new pharmacists to master the skills associated with clinical care in either the inpatient or outpatient setting. In accessible steps, this valuable resource provides the tools for gaining medication histories from patients and counseling them on the most effective and safe manner to take medications. Each chapter explores the background and practice of a critical skill, tools that aid in its development and mastery, and tips for success. Students and pharmacists will come away with the knowledge to identify drug-related problems and formulate plans for solutions to these problems. Fundamental Skills for Patient Care in Pharmacy Practice prepares future pharmacists to communicate effectively in verbal and written formats with health professionals and special patient populations as they prepare and present SOAP notes, patient cases, and discharge counseling. |
| doctor-patient communication pdf: Self-Compassion Kristin Neff, 2011-07-07 Kristin Neff PhD, is a professor in human development whose 10 years' of research forms the basis of her timely and highly readable book. Self Compassion offers a powerful solution for combating the current malaise of depression, anxiety and self criticism that comes with living in a pressured and competitive culture. Through tried and tested exercises and audio downloads, readers learn the 3 core components that will help replace negative and destructive measures of self worth and success with a kinder and non judgemental approach in order to bring about profound life change and deeper happiness. Self Compassion recognises that we all have weaknesses and limitations, but in accepting this we can discover new ways to achieve improved self confidence, contentment and reach our highest potential. Simply, easily and compassionately. Kristin Neff's expert and practical advice offers a completely new set of personal development tools that will benefit everyone. 'A portable friend to all readers ... who need to learn that the Golden Rule works only if it's reversible: We must learn to treat ourselves as well as we wish to treat others.' Gloria Steinem 'A beautiful book that helps us all see the way to cure the world - one person at a time - starting with yourself. Read it and start the journey.' Rosie O'Donnell |
| doctor-patient communication pdf: New Challenges in Communication with Cancer Patients Antonella Surbone, Matjaž Zwitter, Mirjana Rajer, Richard Stiefel, 2012-08-23 The relationship between oncologists and their cancer patients is rapidly evolving. Oncologists and other cancer professionals master new anticancer and supportive treatment options, while working under increasing economic pressure and time constraints, and are often unprepared to deal with all the challenges of their new position in a therapeutic relationship with cancer patients and families. Good communication is as essential as are modern laboratory tests and sophisticated diagnostics to achieve the best clinical results. This book updates the evolution of truth-telling and communication patterns worldwide and offers insights into the recent trends and emerging challenges in communication with cancer patients and families. New Challenges in Communication with Cancer Patients is an invaluable resource to medical professionals, educators and patients in establishing a strong and effective partnership built on trust and mutual understanding. |
| doctor-patient communication pdf: Physician Communication Terry L. Schraeder, 2019 Communication skills determine how the world perceives us - and how we perceive the world. Communication is at the heart of who we are and all that we do. As a clinician, your communication impacts how you take care of patients, work with colleagues, teach trainees, and engage audiences and the public. Communication encompasses all aspects of human skills, from listening and clearly articulating thoughts to an awareness of physical gestures, specific word choice, tone, and volume. Whether engaging with patients, peers, care teams, family members, residents, researchers, insurance agencies, management, or journalists, successful communication requires focusing on the importance of the relationship and the mission of each interaction. Today, due to the rise of digital technologies including electronic medical records, online forums, and video conferences, the content of information, the platform, and the audience are continuously changing and expanding for physicians. There is a great need in the physician community to learn how to facilitate the exchange of information, provide psychosocial support, partake in shared-decision making, translate complex information, and resolve controversies with sound science in a variety of settings. Addressing physicians at every level of training and practice, Physician Communication: Connecting with Patients, Peers, and the Public will enable providers to examine, analyse, and improve their skills in the art and science of communication. Divided into four sections: Face-to-face Communications; Digital Communications;Public Speaking; and Traditional Media, this book will help physicians navigate various situations using different methods and modes of communication. |
| doctor-patient communication pdf: Good Practice Student's Book Marie McCullagh, Ros Wright, 2008-03-20 Good Practice focuses on the language and communication skills that doctors need to make consultations more effective using five elements of good communication: verbal communication, active listening, voice management, non-verbal communication and cultural awareness. The course teaches learners how to sensitively handle a range of situations such as taking a patient history and breaking bad news, as well as preparing doctors for dealing with different types of patients. Good Practice demonstrates the impact of good communication on the doctor-patient relationship and enables students to become confident and effective practitioners in English. |
| doctor-patient communication pdf: Adult Literacy in America Irwin S. Kirsch, 1993 The National Adult Literacy Survey profiled the literacy of U.S. adults based on their performance on tasks reflecting materials and demands of daily life. Data were gathered through interviews with a random sample of 13,600 people over 16, a survey of 1,000 adults in each of 12 states, and interviews with 1,100 prison inmates, making a total of 26,000 adults surveyed. Participants completed a series of literacy tasks and received proficiency scores on three scales measuring prose, document, and quantitative literacy. They were categorized in five levels. Major findings were as follows: (1) 40-44 million adults were at the lowest level, of whom 25% were immigrants, 62% did not complete high school, and 19% had visual difficulties; (2) 50 million at level 2 had difficulty with higher reading and problem-solving skills; (3) most at levels 1-2 rated their reading/writing as well or very well--they could meet most needs with limited skills; (4) 61 million were at level 3, 34-40 million at levels 4-5; (5) young adults were less proficient than those surveyed in 1985; (6) older adults were more likely to have limited skills; (7) many minorities and prison inmates were more likely to be at levels 1-2, due to fewer years of schooling or limited English proficiency; (8) higher levels correlated with being employed, working more weeks, and having higher wages; and (9) 41-44% of level 1 and 4-8% of levels 4-5 were in poverty. (Appendices include definitions and 31 data tables. Document includes 13 other tables and 26 figures.) (SK) |
| doctor-patient communication pdf: How To Break Bad News Robert Buckman, 1992-08-08 For many health care professionals and social service providers, the hardest part of the job is breaking bad news. The news may be about a condition that is life-threatening (such as cancer or AIDS), disabling (such as multiple sclerosis or rheumatoid arthritis), or embarrassing (such as genital herpes). To date medical education has done little to train practitioners in coping with such situations. With this guide Robert Buckman and Yvonne Kason provide help. Using plain, intelligible language they outline the basic principles of breaking bad new and present a technique, or protocol, that can be easily learned. It draws on listening and interviewing skills that consider such factors as how much the patient knows and/or wants to know; how to identify the patient's agenda and understanding, and how to respond to his or her feelings about the information. They also discuss reactions of family and friends and of other members of the health care team. Based on Buckman's award-winning training videos and Kason's courses on interviewing skills for medical students, this volume is an indispensable aid for doctors, nurses, psychotherapists, social workers, and all those in related fields. |
为什么英语中，医生叫doctor，博士也叫doctor？ - 知乎
1、doctor的本意是“讲授者”。过去几乎所有的自然学科和人文学科都叫philosophy，所以学问最高者被称为doctor of philosophy，这bai也是博士Ph.D的来历。但是医学不属于刚才说 …
Prof. Dr. 与 Prof.有什么区别？ - 知乎
Dr.是doctor的简写，即博士（最高学位。且必须是取得该头衔后才能称呼。在读博士是 Doctoral Candidate）。 by the way：博士后不是学位的一种，只是在某处工作的博士的类职称而已。 …
为什么博士叫PhD？ - 知乎
博士（Doctor）学位意味着能独立完成研究任务。 （科学网-博士究竟和硕士有何不同——重申陈式兔子定理-陈安的博文） 如那张图和许多人所说，博士能够创造新的知识。 许多人没有博士 …
请问MD PhD PharmD 等等这些，各代表哪种医学学历? - 知乎
DO Doctor of Osteopathic 也是医学博士，美国开设医学院校中有部分是DO院校，比MD多学习一些正骨医学，鄙视链低于上面。 MBBS Bachelor of Medicine and Bachelor of Surgery我国（ …
研究生，硕士，博士，phd等这些学历分别是什么？ - 知乎
博士拿的是博士学位，硕士拿的是硕士学位。博士还可以分为PhD、DBA、DD等，国外分的正式一点，国内目前图一乐。“博士”或者“Doctor”这个头衔一般授予拥有博士学位的人。 所以每次有 …
为什么说一天一个苹果不生病，an apple a day, keep doctor away?
"An apple a day keeps the doctor away" 一天一个苹果，医生离你远 这句谚语出现在1913年杂志封面上 19世纪，疾病的治疗效果没有并没有现在好，对疾病的了解还停留在表面，当时普通人 …
有哪些下载ed2k的软件？ - 知乎
都是一些无良的推荐，上面问可以下载ed2k的软件，你们回答问题之前都试了吗？推荐 BitComet 比特彗星、 Motrix 、qBittorrent、uTorrent、BitComet，文件蜈蚣
求《神秘博士》的官方观看顺序！？ - 知乎
我看完了第二季，rose和doctor分开了。所以我接下来得看剧场版,特别篇，还是什么？同时，能跟我解释下那…
请问专业博士和学术博士有什么区别？对以后的工作有什么影响？
专业/授课博士，英语名称professional/ taught doctorate，最后学位是doctor of+具体专业。 学术/哲学博士，英语名称research doctorate/doctor of philosophy，最后学位是doctor of …
“工学硕士”和“工程硕士”分别该如何翻译？ - 知乎
A Master of Science in Engineering can require completion of a thesis and qualifies the holder to apply for a program leading to a Doctor of Philosophy (PhD) in engineering. A Master of …
为什么英语中，医生叫doctor，博士也叫doctor？ - 知乎
1、doctor的本意是“讲授者”。过去几乎所有的自然学科和人文学科都叫philosophy，所以学问最高者被称为doctor of philosophy，这bai也是博士Ph.D的来历。但是医学不属于刚才说的philosophy，所 …
Prof. Dr. 与 Prof.有什么区别？ - 知乎
Dr.是doctor的简写，即博士（最高学位。且必须是取得该头衔后才能称呼。在读博士是 Doctoral Candidate）。 by the way：博士后不是学位的一种，只是在某处工作的博士的类职称而已。 德国 …
为什么博士叫PhD？ - 知乎
博士（Doctor）学位意味着能独立完成研究任务。 （科学网-博士究竟和硕士有何不同——重申陈式兔子定理-陈安的博文） 如那张图和许多人所说，博士能够创造新的知识。 许多人没有博士文凭也能创造 …
请问MD PhD PharmD 等等这些，各代表哪种医学学历? - 知乎
DO Doctor of Osteopathic 也是医学博士，美国开设医学院校中有部分是DO院校，比MD多学习一些正骨医学，鄙视链低于上面。 MBBS Bachelor of Medicine and Bachelor of Surgery我国（除上交和 …
研究生，硕士，博士，phd等这些学历分别是什么？ - 知乎
博士拿的是博士学位，硕士拿的是硕士学位。博士还可以分为PhD、DBA、DD等，国外分的正式一点，国内目前图一乐。“博士”或者“Doctor”这个头衔一般授予拥有博士学位的人。 所以每次有人学历 …
为什么说一天一个苹果不生病，an apple a day, keep doctor away?
"An apple a day keeps the doctor away" 一天一个苹果，医生离你远 这句谚语出现在1913年杂志封面上 19世纪，疾病的治疗效果没有并没有现在好，对疾病的了解还停留在表面，当时普通人对手术恐惧的 …
有哪些下载ed2k的软件？ - 知乎
都是一些无良的推荐，上面问可以下载ed2k的软件，你们回答问题之前都试了吗？推荐 BitComet 比特彗星、 Motrix 、qBittorrent、uTorrent、BitComet，文件蜈蚣
求《神秘博士》的官方观看顺序！？ - 知乎
我看完了第二季，rose和doctor分开了。所以我接下来得看剧场版,特别篇，还是什么？同时，能跟我解释下那…
请问专业博士和学术博士有什么区别？对以后的工作有什么影响？ …
专业/授课博士，英语名称professional/ taught doctorate，最后学位是doctor of+具体专业。 学术/哲学博士，英语名称research doctorate/doctor of philosophy，最后学位是doctor of philosophy in+具 …
“工学硕士”和“工程硕士”分别该如何翻译？ - 知乎
A Master of Science in Engineering can require completion of a thesis and qualifies the holder to apply for a program leading to a Doctor of Philosophy (PhD) in engineering. A Master of …
