Doctor-Patient Relationship: How Patients Can Help Enhance Communication

Wednesday, September 1, 2010 7:03

By Barbara Ficarra, RN, BSN, MPA

From Kevin Pho’s medical blog, KevinMD, a post archived from 2004, Pho talks about the struggles of communication between doctor and patient during the 15 minute office visit.

Pho sites a NY Times article that explains that more than two decades ago, research shows that patients were interrupted 18 seconds into explaining their problem (on average) and less than 2 percent got to finish their explanations.

Pho sites that he sometimes falls into the “interruption trap.” “I think this is a natural progression to our managed care environment. Physicians are compensated by quantity of patients seen, and are kept to a strict schedule – in most cases every 15-minutes.”

Communication, collaboration and respect

After 20 years, not much has changed with the doctor-patient relationship. Doctors and patients still struggle with communication.

Even after 40 years, patients want collaboration and respect.

How Patients Can Help Enhance Communication with Their Doctors

  • It is helpful to be prepared and to be empowered. Before you visit with your doctor, write down any questions that you may have. Be well prepared and organized.  Keep your questions very specific.  At the beginning of your visit, let your doctor know that you do have a list of very specific questions that you would like to ask.  By mentioning this in the beginning of the visit, your doctor is now aware that you have questions.  You are giving your doctor a “heads up” so that your doctor can accommodate your questions.
  • Bring a trusted friend or family member with you. They can help decipher the information and take notes during the visit.  You can also ask your doctor if it is okay to record the conversation.  This will make it easier for you to have all the necessary information.
  • Communicate and collaborate respectfully with your doctor. Present your questions in a clear and succinct manner.  If your doctor interrupts you, or if you feel you are being rushed and you did not get time to ask your questions, calmly and politely let your doctor know that you have specific questions that you would like answered before the office visit ends.
  • Listen carefully what your doctor is saying. If you don’t understand something, simply and politely ask your doctor to explain it in simpler terms and if it will help you to remember, take some notes.
  • Before leaving the office, make sure you are absolutely clear about all the information you received. It is important that you understand any instructions and the treatment plan given to you.  If any medications are prescribed make sure you understand them exactly.


The doctor/patient relationship is very important

It is imperative that you trust your doctor that you feel comfortable.  Trust, partnership and communication are vital for a vibrant doctor/patient relationship and good patient outcomes.

Your turn

What has been your experience with your visit with your doctor?  Do you feel rushed?  Do you get all your questions answered?  Do you write your questions beforehand?  Do you take notes?  Share your experiences with us, we would love to hear from you.

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How to Question Doctors and Nurses — Without “Challenging” Them

Patient Engagement Category

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7 Responses to “Doctor-Patient Relationship: How Patients Can Help Enhance Communication”

  1. Jackie Fox says:

    September 1st, 2010 at 8:08 am

    These are all good tips, and I’ve used them all. I’d like to add one–turn off your cell phone. I’ve read a lot of commentary and also talked to staff who say people take phone calls during appointments. That’s not just disruptive, it’s rude.
    Jackie Fox, author, “From Zero to Mastectomy: What I Learned And You Need to Know About Stage 0 Breast Cancer”

  2. Barbara Ficarra says:

    September 2nd, 2010 at 5:43 pm

    Hi Jackie,

    Thanks so much for sharing your tip. Turning off your cell phone is an excellent idea!

    Best,
    Barbara

  3. Evan Falchuk says:

    September 3rd, 2010 at 3:05 pm

    Excellent post Barbara – you’ve got to make the most of your limited time.

    You also need to make the most of whatever resources you have available to you – friends, family members, benefits programs…use whatever insight you can to make sure you understand what’s wrong and what to do.

    The problem of doctors not having enough time is not getting better any time soon. And its having a serious impact on the quality of medical care.

    More on that here: http://bit.ly/cpaXiM

    Thanks again,

    Evan Falchuk
    President
    Best Doctors, Inc.

  4. Julie Rosen says:

    September 4th, 2010 at 7:20 am

    Hi Barbara,
    I enjoyed reading your post–some excellent advice. I actually published a blog post on this same subject two days ago. This advice came from a woman who has spent a lot of time visiting doctors because she suffers from a chronic, debilitating disease. Here’s the link:

    http://www.theschwartzcenterblog.com/2010/09/aint-misbehavin.html

    Julie Rosen, Executive Director
    The Kenneth B. Schwartz Center

  5. Rules of Patient Engagement: How to Deeply Connect with Empathy says:

    November 12th, 2010 at 5:20 pm

    […] Often patients want to feel that you are there for them.  Sometimes they are not looking for lengthy discussions and overly involved detailed information.  They want simple, accurate and informative information that is pertinent to them and presented in a genuine manner.  They want to feel that they matter, and any questions they may have are not insignificant.  They want to feel valued and respected. […]

  6. Many Women Remain Unaware Of A Non-Surgical Treatment For Uterine Fibroids - Better Health says:

    June 23rd, 2011 at 4:01 pm

    […] Doctor-Patient Relationship: How Patients Can Help Enhance Communication Empowered Patient: Bring a Family Member or Friend with you to Your Doctor’s Appointment The Patient, the Most Important Part of the Medical Team Rules of Patient Engagement: How to Deeply Connect with Empathy […]

  7. Joshua Ida Samson says:

    July 18th, 2011 at 11:36 am

    In this age of health care management, its important that health providers and clinicians communicate well with their patients, seeing them as partners in the health management process. Any poor attitude of a clinician can interupt the perception of patients in seeing themselves as not object for treatment but persons whose health needs to improve because of provision of appropriate medication and care. Patients do have responsibilities to improving their health through their positive attitudes to get well; this attitude need to be reinforced by the health providers and clinicians. I am right now on hosptial admission in Maitama General hospital and since 5days now my doctor has not come around to talk with me about his next plan for my health management talk less of seeking my opinion on how i feel about still lying down on hospital bed. I wanted so much to talk with him on how i feel and my views about the progress of my treatment and the way forward. But that he hasn’t been around makes me even more frustrated. Considering that I am a management and development consultant, i am now feeling the urgent need for clinicians to improve on communications between them and their patients.
    Thanks

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