환자 의사간의 Communication장애의 유형과 제안
Doctor-patient communication: an essential element
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Abstract
Ourhealthdeliverysystem dependsforitseffectivenessongoodcommunicationbetweenmedicalstaffandthepatient.Thisaxiom takesonnew meaninginthelightofchallengesbroughtaboutbysocialchangeinthepastcoupleofdecades.Eventhoughdecision-makingmaystillrestinthedoctor'shands,thepatientisnolongerapassiverecipientofmedicalservices. MassmediaandtheInternetisfloodingsocietywithmedicaladvice,attitudesandvalues,thusproducingwhatmaybetermedthe"informedpatient".Forbetterorworse,thepatientoftodayisbetterinformed. Buthe/shemayalsobemisguidedbywrongorincompleteinformation.Themedicallytrainedprofessionalmustbethetrustedauthorityonthesematters.Butsuchtrustcanonlybeestablishedinanatmosphereofmutualunderstandingbetweendoctorandpatient.Forthistohappen,medicalstaffatalllevelsneedtoimprovetheircommunicationskills. Theroleofthedoctorisnotonlytomakethecorrectdiagnosisandtoprescribepropertreatmentbutalsotosupportthepatientinawidercontext.Thedoctormusthelpthepatientunderstandtheimplicationsofthesituationasitmayaffecthislifeandthatofhisfamily.Thiseffortwillreducethepossibilityofmisdiagnosisthatmightotherwisecauseunnecessaryphysicaldiscomfortormentalpain. Medicalcommunication,leadingtotrustbetweendoctorandpatientwillminimizethe“doctorshopping”phenomenon,thuscontributingtooverallcost-benefitofthemedicalservice.