【转帖】医生如何改进与病人的沟通交流？
发布于 2010-02-25 · 浏览 1433 · IP 浙江浙江
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医生如何改进与病人的沟通交流？
How doctors can improve patient interactions
February 24, 2010
by Lockup Doc
Physicians learn a lot about many different topics, both in medical training and in practice. However, there are some life lessons that we never learn as well as when we become patients ourselves.
When I was 13 or 14 years old, I regularly interacted with 2 different physicians with disparate interpersonal styles. Little did I know then that these seemingly meaningless encounters would indelibly shape my own beliefs about how people should treat each other. Ironically, many years later the experiences would help guide me as a physician in my interactions with my own patients.
For a couple of years I was the regular patient of a dermatology clinic. Two dermatologists ran the practice together, and in order for me to get an appointment that worked with my family’s schedule, occasionally I would need to alternate seeing each of them. I’ll refer to one of them as “Dr. A” and the other as “Dr. F.”
I was somewhat shy as an adolescent, and sitting in an exam room wearing only a gown and underwear always made me a little anxious.
However, any unease I may have experienced evaporated when Dr. A entered the room. He politely knocked, awaited my response, and entered the room with a smile on his face. “Hi ___, how are you today?” he’d say as he put out his hand to shake mine. He didn’t spend an excessive amount of time with me, but he did put effort into making small talk. He never examined me without first talking with me for a couple of minutes. He asked me about the medication I was taking and how it was working. He asked me if I had any questions.
Even though I was only a kid, he treated me as if I were an adult. He seemed genuinely interested in me as a person. I felt respected.
I mattered. He cared.
My experience with Dr. F was quite the opposite. Sitting in the cold examining room feeling vulnerable and dreading the encounter, I’d hear a quick knock on the door, and without delay, it opened. Dr. F would waltz into the room with a face devoid of expression. He’d robotically mumble an incomprehensible monosyllabic greeting resembling caveman-speak. He never extended his hand to shake mine. Other than briefly asking me about my progress, he barely spoke. Within 30 seconds of entering the room he examined me. He then wrote out more prescriptions and made his exit.
I would leave my appointments with him feeling disappointed and disrespected.
He didn’t care. I didn’t matter.
Now, I do realize that physicians are fallible human beings. We all make mistakes, and we all have our bad days. I’ve noticed that for myself, I’m most likely to have difficulty emulating Dr. A when I am overwhelmingly busy, behind schedule, and stressed. When a person is sleep-deprived and doesn’t have time to go to the bathroom or eat, he or she tends to get into survival mode, and exhibiting a compassionate demeanor seems to require the selflessness of a long-deceased saint.
Despite the challenges of modeling Dr. A’s style all the time, I believe that some of us practicing medicine could gain a lot for ourselves and our patients by attempting to do so. In my opinion, our patients would feel more at ease and more satisfied with our efforts to help them. They would probably be more likely to follow our medical advice. We doctors, I believe, would probably be more satisfied with our work as well. All because of treating them respectfully as though they mattered.
So, what I would like to know from you, whether you are a patient and/or a doctor: Do you feel respected by your doctor?
What specifically have you liked or not liked about how some physicians have interacted with you? What advice do you have for how physicians could improve their interactions with patients?
The author is a psychiatrist who blogs at Lockup Doc.
不好意思，以下是机器翻译的内容，麻烦有哪位好心人，可以练习英文，编译给大家
医生了解了很多很多不同的两个医疗培训和实践课题。但是，有一些生活的经验教训，我们永远也学以及当我们自己成为病人。
当我13岁或14岁，我经常互动与2不同的人际风格不同的医生。没想到那么，这些看似毫无意义的接触将形成不可磨灭的人们应该如何相互对待我自己的信念。讽刺的是，多年以后的经验将有助于指导作为我的互动与我的病人的医生我。
对于几年我是一个普通病人皮肤科诊所。两个皮肤科运行实践在一起，为了让我得到一个与我的家人的日程安排工作任命，偶尔我需要备用看到每个。我将提到其中之一“博士A“和其他的”博士楼“
我有点害羞，作为青少年，并在考试只穿着睡衣和内衣坐在房间里总是让我有点着急。
但是，任何我可能已经消失时遇到博士阿进屋不安。他礼貌地敲了敲门，等待我的回应，并进入了他的面带微笑的空间。 “喂___，你怎么了？”他会说他把他的手动摇我的。他没有花费时间与我过多，但他才得以实现闲聊努力。他从来不检查我不先与我谈了几分钟。他问我是服用药物以及它是如何工作的我。他问我是否有任何问题。
尽管我只是一个孩子，他对待我，如果我是一个成年人。他似乎真的对我感兴趣的一个人。我觉得尊重。
余要紧。他关心。
我的博士F经验恰好相反。坐在寒冷的审查感到脆弱的空间，害怕遇到，我听到门上快速敲门，毫不拖延地，它打开。华尔兹博士F所设想到的脸缺乏表达空间。他会自动机械喃喃难以理解的单音节的问候野人类似的演讲。他从来不伸出手动摇我的。除了简单地询问我的进步我，他几乎没有发言。在30进房间，他检查我秒。然后，他写出了更多的处方，并作了退出。
我会留下我与他的任命感到失望和不尊重。
他不在乎。我没有问题。
现在，我也知道医生是会犯错误的人。我们都犯错误，我们都有自己糟糕的日子。我发现我自己，我是最有可能难以仿效博士阿当我以压倒多数忙落后于时间表，并强调。当一个人在睡眠被剥夺，没有时间去卫生间或进食，他或她往往进入生存模式，并展出了富有同情心的举止似乎需要一个长期，死者圣无私。
尽管建模博士A的设计风格，时代的挑战，我相信我们中的一些能够获得行医试图通过这样做，为我们自己和我们的患者很多。我认为，我们的病人会感到更放心，更与我们的努力帮助他们满意。他们很可能会更有可能按照我们的医疗建议。我们的医生，我认为，很可能会更符合我们的工作表示满意和。都是因为恭恭敬敬对待，就像它们要紧。
因此，我想知道您，您是否有耐心和/或医生：你觉得你的医生尊重？
你有什么特别喜欢还是不喜欢有些医生如何与您互动的喜欢？你有什么建议医生如何能改善病人的互动？
How doctors can improve patient interactions
February 24, 2010
by Lockup Doc
Physicians learn a lot about many different topics, both in medical training and in practice. However, there are some life lessons that we never learn as well as when we become patients ourselves.
When I was 13 or 14 years old, I regularly interacted with 2 different physicians with disparate interpersonal styles. Little did I know then that these seemingly meaningless encounters would indelibly shape my own beliefs about how people should treat each other. Ironically, many years later the experiences would help guide me as a physician in my interactions with my own patients.
For a couple of years I was the regular patient of a dermatology clinic. Two dermatologists ran the practice together, and in order for me to get an appointment that worked with my family’s schedule, occasionally I would need to alternate seeing each of them. I’ll refer to one of them as “Dr. A” and the other as “Dr. F.”
I was somewhat shy as an adolescent, and sitting in an exam room wearing only a gown and underwear always made me a little anxious.
However, any unease I may have experienced evaporated when Dr. A entered the room. He politely knocked, awaited my response, and entered the room with a smile on his face. “Hi ___, how are you today?” he’d say as he put out his hand to shake mine. He didn’t spend an excessive amount of time with me, but he did put effort into making small talk. He never examined me without first talking with me for a couple of minutes. He asked me about the medication I was taking and how it was working. He asked me if I had any questions.
Even though I was only a kid, he treated me as if I were an adult. He seemed genuinely interested in me as a person. I felt respected.
I mattered. He cared.
My experience with Dr. F was quite the opposite. Sitting in the cold examining room feeling vulnerable and dreading the encounter, I’d hear a quick knock on the door, and without delay, it opened. Dr. F would waltz into the room with a face devoid of expression. He’d robotically mumble an incomprehensible monosyllabic greeting resembling caveman-speak. He never extended his hand to shake mine. Other than briefly asking me about my progress, he barely spoke. Within 30 seconds of entering the room he examined me. He then wrote out more prescriptions and made his exit.
I would leave my appointments with him feeling disappointed and disrespected.
He didn’t care. I didn’t matter.
Now, I do realize that physicians are fallible human beings. We all make mistakes, and we all have our bad days. I’ve noticed that for myself, I’m most likely to have difficulty emulating Dr. A when I am overwhelmingly busy, behind schedule, and stressed. When a person is sleep-deprived and doesn’t have time to go to the bathroom or eat, he or she tends to get into survival mode, and exhibiting a compassionate demeanor seems to require the selflessness of a long-deceased saint.
Despite the challenges of modeling Dr. A’s style all the time, I believe that some of us practicing medicine could gain a lot for ourselves and our patients by attempting to do so. In my opinion, our patients would feel more at ease and more satisfied with our efforts to help them. They would probably be more likely to follow our medical advice. We doctors, I believe, would probably be more satisfied with our work as well. All because of treating them respectfully as though they mattered.
So, what I would like to know from you, whether you are a patient and/or a doctor: Do you feel respected by your doctor?
What specifically have you liked or not liked about how some physicians have interacted with you? What advice do you have for how physicians could improve their interactions with patients?
The author is a psychiatrist who blogs at Lockup Doc.
不好意思，以下是机器翻译的内容，麻烦有哪位好心人，可以练习英文，编译给大家
医生了解了很多很多不同的两个医疗培训和实践课题。但是，有一些生活的经验教训，我们永远也学以及当我们自己成为病人。
当我13岁或14岁，我经常互动与2不同的人际风格不同的医生。没想到那么，这些看似毫无意义的接触将形成不可磨灭的人们应该如何相互对待我自己的信念。讽刺的是，多年以后的经验将有助于指导作为我的互动与我的病人的医生我。
对于几年我是一个普通病人皮肤科诊所。两个皮肤科运行实践在一起，为了让我得到一个与我的家人的日程安排工作任命，偶尔我需要备用看到每个。我将提到其中之一“博士A“和其他的”博士楼“
我有点害羞，作为青少年，并在考试只穿着睡衣和内衣坐在房间里总是让我有点着急。
但是，任何我可能已经消失时遇到博士阿进屋不安。他礼貌地敲了敲门，等待我的回应，并进入了他的面带微笑的空间。 “喂___，你怎么了？”他会说他把他的手动摇我的。他没有花费时间与我过多，但他才得以实现闲聊努力。他从来不检查我不先与我谈了几分钟。他问我是服用药物以及它是如何工作的我。他问我是否有任何问题。
尽管我只是一个孩子，他对待我，如果我是一个成年人。他似乎真的对我感兴趣的一个人。我觉得尊重。
余要紧。他关心。
我的博士F经验恰好相反。坐在寒冷的审查感到脆弱的空间，害怕遇到，我听到门上快速敲门，毫不拖延地，它打开。华尔兹博士F所设想到的脸缺乏表达空间。他会自动机械喃喃难以理解的单音节的问候野人类似的演讲。他从来不伸出手动摇我的。除了简单地询问我的进步我，他几乎没有发言。在30进房间，他检查我秒。然后，他写出了更多的处方，并作了退出。
我会留下我与他的任命感到失望和不尊重。
他不在乎。我没有问题。
现在，我也知道医生是会犯错误的人。我们都犯错误，我们都有自己糟糕的日子。我发现我自己，我是最有可能难以仿效博士阿当我以压倒多数忙落后于时间表，并强调。当一个人在睡眠被剥夺，没有时间去卫生间或进食，他或她往往进入生存模式，并展出了富有同情心的举止似乎需要一个长期，死者圣无私。
尽管建模博士A的设计风格，时代的挑战，我相信我们中的一些能够获得行医试图通过这样做，为我们自己和我们的患者很多。我认为，我们的病人会感到更放心，更与我们的努力帮助他们满意。他们很可能会更有可能按照我们的医疗建议。我们的医生，我认为，很可能会更符合我们的工作表示满意和。都是因为恭恭敬敬对待，就像它们要紧。
因此，我想知道您，您是否有耐心和/或医生：你觉得你的医生尊重？
你有什么特别喜欢还是不喜欢有些医生如何与您互动的喜欢？你有什么建议医生如何能改善病人的互动？
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