Patient

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Patient centered communication in medical
practice

• DR/FATMA AL-THOUBAITY
• SURGICAL CONSULTANT
• ASSISSTANT PROFESSOR

2

• Teaching physicians patient-centered
  communication skills is important to improve the
  quality of care for all patients.

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Patient-centered theory

• suggests that patients who think they understand
  their symptoms and feel understoodby their
  physicians may be less anxious, have greater
  confi dence in their physicians abilities, and
  be more trusting of their physician.

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• Improved health and patient trust

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This is the definition

• group of communication strategies and behaviors
  that promote mutuality, shared understandings,
  and shared decision making in health care
  encounters

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• Evidence is emerging that relationships between
  patients and physicians can affect the quality of
  care and health outcomes .

7

• Patients were asked to rate their physician's
  decision-making style, their overall satisfaction
  with the visit, and whether they would recommend
  the physician to a friend.

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• the researchers made audio recordings of the
  visits and then analyzed the verbal
  communications in terms of the categories of
  data-gathering, patient education and counseling,
  and relationship-building. They also analyzed
  independent observer ratings of the overall the
  emotional tone of doctor-patient interactions.

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• Pharmacists are accepting more responsibility in
  ensuring that patients reach desired outcomes
  with their medication therapy.

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• Trusting relationships.
• Open exchange of information.
• Decision-making process regarding treatment.
• Therapeutic goals .

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Pharmacist Responsibility in patient care

• Medication related errors are the most prevalent
  errors in medical care.

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Importance of communication in meeting patient
care responsibilities

• It establishes the ongoing relationship between
  the provider and the patient.
• It provides the exchange of information necessary
  to assess a patients health condition,implement
  treatment of medical problems and to evaluate the
  effects of treatment on a patient s quality of
  life.

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The purpose of the professional patient
relationship

• Achieve mutually understood agreed-upon health
  outcomes that improve a patient,s quality of life.

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• Ensure the patients understand their treatment
  take medications safely appropriately.

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Providing patient-centered care (the five
dimensions of PCC )

• The pharmacist must be able to
• Understand the illness experience of the patient.
• Perceive each patient's experience as unique.
• Foster a more egalitarian relationship with
  patients.
• Build a therapeutic alliance with patients to
  meet mutually understood goals of therapy.
• Develop self-awareness of personal effects on
  patients.

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Understand the illness experience of the patient.

1. Social .
2. Psychological.
3. Biomedical.

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Perceive each patient's experience as unique.

• Patient as a person.

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Foster a more egalitarian relationship with
patients or ideal relation ship with
patientshow?

• Involve in a more active dialogue.
• Share power and responsibility in the
  decision-making.

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Understanding medication use from the patient
perspective
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Encourage patients to share their experience with
therapy

• They have unanswered questions.
• Misunderstanding.
• Experience problems related to therapy.
• Monitor their own response to treatment.
• Make their own decisions regarding therapy.
• They may not reveal this information to you
  unless you initiate a dialogue.

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Conclusion

• An effective communication process can optimize
  the chance that patients will make informed
  decisions,use medications appropriately,and
  ultimately meet therapeutic goals.

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• Helping patients feel understood through inquiry
  into patients needs, perspectives, and
  expectations.
• Attending to the psychosocial context.
• Expanding patients involvement in understanding
  their illnesses and in decisions that affect
  their health.

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Home work

• What is perception?
• What is the goal of PCC?