Doctor-Patient Relationship Models and Communication Features.pdf

This would be help for doctor or paitent relationship

1. Doctor-Patient Relationship
Models and Communication
Features

2. What is communication?
Communication
•Exchange of information: sender, receiver, noise Information is exchanged between the help provider and the help seeker
Communication features in medical practice:
•Asymmetry:The exchange of information between the medical professional and patient is asymmetric: the help provider has information and capabilities on which the help seeker is dependent
•Trust:each participant in the conversation acknowledges the other's superiority in a certain area, they complement each other (corrects the asymmetry of relationships)
•Power and authorizations:medical competence, necessary to avoid mutual manipulations

4. Paternalistic Communication Model
•Based on the doctor's ability to assess the patient's situation and
their skill to help the patient as best as possible. The doctor
encourages the patient to follow instructions as precisely as possible.

5. Informational Communication Model
•The doctor provides all important information, and the patient at
their discretion chooses the best treatment method, and only then
does the doctor perform procedures/interventions.
•The patient lacks facts, which the doctor provides.
•The values on which decisions are based belong to the patients. The
doctor's values play no role (they cannot interfere with their opinion
about the patient's values.)

6. Interpretive Communication Model
•The doctor clarifies the patient's values and helps choose the best
option. The doctor's goal is not only to provide information, but also
to achieve that what is most suitable for the patient is chosen.
•Patient's values are usually not clear.
•What will be done is ultimately decided by the patient.

7. Deliberative Communication Model
•The doctor helps the patient determine how it would be best to act.
•The doctor focuses on values related to the patient's illness and
treatment, acknowledging that there are other values that may be
more important to the patient than those mentioned by the doctor.
Values are discussed together. The doctor encourages and undertakes
to convince the patient to choose the best path.

8. Communication
•Interaction, exchange of experience, thoughts, experiences
•Exchange of meaning between individuals using a common symbol
system
•A process where one person or group transmits information to
another person or group, who perceive it and transmit it back

9. Types of Communication
•verbal and non-verbal
•written and unwritten
•personal and business
•business
•international
•intercultural, etc.

10. Intrapersonal Communication
•Received information is processed in one's internal system, i.e.,
people communicate with themselves.
•Intrapersonal communication is the basis of interpersonal, group, and
mass communication

11. Communication Barriers
•Personal (personal characteristics)
•Physical (language)
•Semantic (attitude)

12. Importance of Communication
•A medical professional who cannot properly communicate with
patients is not suitable for such work. A doctor must know what to
say to a patient, and what not to say to a patient, when to speak, and
when to remain silent.

13. What else is important in communication?
•Eye contact
•Body posture
•Verbal reactions
•Silence
•Appearance
•Clothing
•Possessed items
•Touch
•Temperament

14. Criticism
•Timely
•Clear and constructive
•"Balanced"
•When it helps to improve
•To build self-confidence

15. Communication Features of Multidisciplinary
Teams
•Designate a team leader
•Decision can be made not on a consensus basis (not with everyone's
agreement)
•Ensure patient safety and solve patient problems
•Distribution of roles according to personal responsibility boundaries
•Sharing of tasks
•Ability to share perspectives
•Team members' tasks are clear and specific