Patient-oriented medical consultation. Doctor's perception of a patient: what can be said about it and how does it affects the interaction efficiency in providing medical care
AbstractDoctors' practical skills for Health Care Management are distinguished by the degree of influence of physician personality on professional tasks accomplish efficiency. Communication skills in patient-doctor interactions for the purpose of collecting complaints, medical history or in order to explain medical information undergo the greatest influence from the direction of doctors' individual psychological personality characteristics on clinical outcomes in medical consultation, on level of satisfaction with patient-doctor interaction from the standpoint of both patient and physician. In our opinion doctor's perception of a patient, as part of his world view, has an unconscious pressure on effectiveness of medical consultation. In the article results of the study of doctor's perception of a patient and its effects on the nature of interaction in healthcare delivery are represented.
Keywords:perception of a patient, doctor's professional communication skills, patient-oriented medical consultation
Funding. The study had no sponsor support.
Conflict of interests. The authors declare no conflict of interests.
For citation: D'yachenko E.V., Samoilenko N.V. Patient-oriented medical consultation. Doctor's perception of a patient: what can be said about it and how does it affects the interaction efficiency in providing medical care. Meditsinskoe obrazovanie i professional'noe razvitie [Medical Education and Professional Development]. 2020; 1 1 (1): 42-50. doi: 10.2441 1/2220-8453-2020-1 1002. (in Russian)
References
1. Bottaev N.A., Samolenko N.V. Skills for effective communication for the provision of patient-oriented medical care: a scientific and methodological publication. Moscow: ROSOMED, 2018. 32 p. (in Russian)
2. Davydova N.S., D'jachenko E.V. Communication skills with patients: simulation training and assessment of communication skills at a medical university: methodical guide. Ekaterinburg: ATgrupp, 2019. 128 p. (in Russian)
3. Sil'verman Dzh., Kerts S., Dreiper Dzh. Communication skills with patients. Moscow: GRANAT, 2018. 304 p. (in Russian)
4. Smirnov S.D. Image Psychology: problems of the activity of mental reflection. [Electronic resource]. Moscow: Moscow State University Publishing House, 1985. 232 p. URL: http://psychlib.ru/mgppu/Spo-001/Spo-001.htm#$p1 (Accessed 21.10.2019). (in Russian)
5. Abdulaeva M.M. Psychology of subjective semantics: sources and development. Khanina I.B., Leont'ev D.A (ed.) Moscow: Smysl, 201 1. 472 p. (in Russian)
6. D'yachenko E.V., Samoilenko N.V. The image of a patient among students of a medical university. XXVI International conference of students, graduate students and young scientists "Lomonosov". (in Russian)
7. Bombeke K., van Roosbroeck S., de Winter B., Debaene L., Schol S., van Hal G., van Royen P. Medical students trained in communication skills show a decline in patient-centred attitudes: an observational study comparing two cohorts during clinical clerkships. Patient Educ. Couns. 2011; 84 (3): 310-8. doi: 10.1016/j.pec.2011.03.007. PMID: 21482064.
8. Cushing A.M. Learning patient-centred communication: The journey and the territory. Patient Educ Couns. 2015; 98 (10): 1236-42. doi: 10.1016/j.pec.2015.07.024. PMID: 26297198.
9. Harden R.M., Stevenson M., Downie W.W., Wilson G.M. Assessment of clinical competence using objective structured examination. Br Med J. 1975; 1 (5955): 447-51.
10. Rosenbaum M.E., Axelson R. Curricular disconnects in learning communication skills: what and how students learn about communication during clinical clerkships. Patient Educ Couns. 2013. 91 (1): 85-90. doi: 10.1136/bmj.1.5955.447. PMID: 1115966. PMCID: PMC1672423.
11. Silverman J. Teaching clinical communication: a mainstream activity or just a minority sport? Patient Educ Couns. 2009. 76 (3): 361-7. doi: https://doi.org/10.1016Zj.pec.2009.06.011. PMID: 19647971.