PHYSICIAN-PATIENT COMMUNICATION IN CHRONIC DISEASES
PHYSICIAN-PATIENT COMMUNICATION IN CHRONIC DISEASES (Abstract): Chronic diseases represent an important public health issue, given that for many years they are the main cause of death worldwide and the specialists foresee they will soon become the main cause of disability as well. In this paper, the authors analyze the particularities of communication between physicians and patients with chronic diseases, the bidirectional nature of the physician-patient relationship, as well the barriers in establishing an effective relationship, together with the solutions in each case. Patients with chronic disease are particularly special, so that a very important element in the management of their disease is the communication they have with their physicians. Effective physician-patient communication is known to increase the adherence of the patient to the proposed treatment, to help the physician in establishing faster the correct diagnosis and in obtaining better therapeutic result, this leading to professional satisfaction. The effective relationship will have a positive impact over the medical system as well, as the admission in the hospital will be shorter, and, consequently, the costs will be lower. Anxiety, fear or unrealistic expectations of the patient, together with the large amount of work of the physician, his fear of litigation, of physical or verbal abuse from the patient are some of the most important barriers that can be managed to improve the quality of the medical act. The skills needed to communicate effectively with the patient must be learnt, as people do not born with them, and they can be acquired through postuniversitary training. Education of the patients is another issue that must be accomplished to obtain an effective physician-patient relationship, as they will become real partners in their own medical care.
2. Bernell S, Howard SW. Use your words carefully: what is a chronic disease? Front Public Health 2016; 4: 159.
4. Campbell C, McGauley G. Doctor-patient relationships in chronic illness: insights from forensic psychiatry. Brit Med J 2005; 330: 667-770.
5. Bourbeau J, Barlett SJ. Patient adherence in COPD. Thorax 2008; 63: 831-838.
6. Maatouk-Bürmann B, Ringel N, et al. Improving patient-centered communication: Results of a ran-domized controlled trial. Patient Education and Counseling 2016; 99: 117-124.
7. Rozenbaum W. Bridging the gap: the patient-doctor relationship. Pneumonol Alergol Pol 2009; 77: 314-319.
8. Booker R. Effective communication with the patient. Eur Resp Rev 2005; 14(96): 93-96.
9. Fong Ha J, Longnecker N. Doctor-patient communication: a review. Ochsner J 2010; 10: 38-43.
10. Ioan B. Decisions regarding medical treatment in end of life situations - a subject of debate at European level. Revista Română de Bioetică 2011; 9(4): 63-64.
11. Hanganu B, Crauciuc D, Petre-Ciudin V, Velnic, AA, Manoilescu I, Ioan BG. Domestic Violence in the Postmodern Society: Ethical and Forensic Aspects. Postmodern Openings 2017; 8(3): 46-58
12. Ioan BG, Astarastoae V. Autonomy in the Romanian law on tissue and organ transplantation. Revista Română de Bioetică 2007; 5(1): 81-88.
13. DiMatteo MR. The role of the physician in the emerging health care environment. West J Med 1998; 168(5): 328-333.
14. Feudtner C. Collaborative communication in pediatric palliative care: a foundation for problem-solving and decision-making. Pediatr Clin North Am 2007; 54(5): 583-607.
15. Russell SJF, Russell REK. Challenges in end-of-life communication in COPD. Breath 2007; 4(2): 133-139.
16. Ong LML, de Haes JCJM, Hoos AM, Lammes FB. Doctor-patient communication: a review of the literature. Soc Sci Med 1995; 40(7): 903-918.
17. ***WHO Adherence Project. Meeting Report. Adherence to long-term therapies: Policy for action, 4-5 June 2001. Disponible: http://www.who.int/chp/ knowledge/ publications/ adherencere.pdf
18. Stewart M, Brown JB, et al. The impact of patient centered care on outcomes. J Fam Pract 2000; 49(9): 796-804.
19. Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES-a six-step protocol for delivering bad news: application to the patient with cancer. Oncologist 2000; 5(4): 302-311.
20. Martin LR, Williams S, Haskard KB, DiMatteo MR. The challenge of patient adherence. Ther Clin Risk Manag 2005; 1(3): 189-199.
21. The AM, Hak T, Koeter G, van Der Wal G. Collusion in doctor patient communication about imminent death: an ethnographic study. Brit Med J 2000; 321: 1376-1381.
22. Consiliul Europei. Ghid pentru procesul decisional privind tratamentul medical în situații de la finalul vieții. Available at https://rm.coe.int/CoERMPublic Common Search Services/ DisplayDCTMCon-tent?documentId=090000168039e8db
23. Simpson M, Buckman R, et al. Doctor-patient communication: the Toronto consensus statement. Brit Med J 1991; 303: 1385-1387.
24. Ioan BG, Gheucă Solovăstru L, Neagu M. Noțiuni de comunicare medic-pacient în boala ischemică miocardică. In Modul integrativ pentru studiul cordului- ischemia miocardică. Iași: Ed. U.M.F. “Gr. T. Popa”, 2014.
25. Langbecker D, Janda M. Systematic review of interventions to improve the provision of information for adults with primary brain tumors and their caregivers. Front Oncol 2015; 5: 1-11.
26. Oliver SM. Living with failing lungs: the doctor-patient relationship. Fam Pract 2001; 18(4): 430-439.
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