We all have a good idea of how we want things to go when we
visit a physician. We expect to be able to explain why we are
there, and we hope the physician will listen and possibly ask
questions that help us clarify our thoughts. Most of us hope that
the physician will provide some expression of empathy, offer a
clear, nontechnical assessment of our problem, and describe "next
steps" in a way that is easy to understand. Ideally, we would like
to be asked about our ability to follow treatment recommendations.
Some experts say that these expectations are not only reasonable
but even necessary if patients are to get the care they need. Yet
there is a growing body of research that suggests the reality of
physician communication with patients often falls short of this
ideal in many respects.
A careful analysis of the findings of this research can provide
guidance to physician educators, health care administrators, and
health policy makers interested in understanding the role that
improved physician communication can play in improving quality of
care and patient outcomes. "Physician Communication with Patients"
summarizes findings from the academic literature pertaining to
various aspects of this question, discussing those findings in the
context of current pressures for change in the organization and
delivery of medical services.
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