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Doctor-Patient Relationship: How Patients Can Help Enhance Communication

Posted Sep 01 2010 5:03am

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.

  • 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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