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Doctor - Patient Communication Key skills for an effective relationship. Laurence H. Baker PhD Bakerlh@teleport.com. Key Communication Skills. Make a personal connection Empathy Reflective listening Agenda setting. Communication Matters. Health outcomes Diagnostic accuracy
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Doctor - Patient CommunicationKey skills for an effective relationship Laurence H. Baker PhD Bakerlh@teleport.com
Key Communication Skills • Make a personal connection • Empathy • Reflective listening • Agenda setting
Communication Matters • Health outcomes • Diagnostic accuracy • Adherence or concordance • Patient satisfaction • Clinician satisfaction • Complaints and litigation
Communication Affects Health Outcomes • Emotional health • Symptom resolution • Functional status • Physiological measures • Blood pressure • HbA1C
Co-Creating an Agenda • Demonstrates interest in patient’s concerns • Plan the use of time in the visit • Promotes successful use of EHR • Appeals to clinician WIFM
Steps to followPhase I: The Patient’s View • Brief, warm social connection • Orienting statement by doctor • Eliciting patient’s agenda • Review MA’s entry • Review patient’s form
Steps to followPhase II: Clarify and Negotiate • Triage to assess priority • Clinician’s items (e.g., foot exam) • Negotiating “final” agenda
Co-Creating an Agenda Demonstration
Supporting Clinician Change • As with patients, knowledge is not sufficient • Address clinicians’ WIFM • Individualize goals • Practice, practice, practice • Reminders and follow-up leverage the investment