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Patient –centered communication in medical practice DR/FATMA AL-THOUBAITY SURGICAL CONSULTANT ASSOCIATE PROFESSOR 5/25/2017 1 Teaching physicians patient-centered communication skills is important to improve the quality of care for all patients. 5/25/2017 2 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 physician’s abilities, and be more trusting of their physician. 5/25/2017 3 Improved health and patient trust 5/25/2017 4 group of communication strategies and behaviors that promote mutuality, shared understandings, and shared decision making in health care encounters 5/25/2017 5 Evidence is emerging that relationships between patients and physicians can affect the quality of care and health outcomes . 5/25/2017 6 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. 5/25/2017 7 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. 5/25/2017 8 Pharmacists are accepting more responsibility in ensuring that patients reach desired outcomes with their medication therapy. 5/25/2017 9 PCC Trusting relationships. Open exchange of information. Decision-making process regarding treatment. Therapeutic goals . 5/25/2017 10 Pharmacist Responsibility in patient care Medication related errors are the most prevalent errors in medical care. 5/25/2017 11 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 patient‘s health condition,implement treatment of medical problems and to evaluate the effects of treatment on a patient ‘s quality of life. 5/25/2017 12 The purpose of the professional –patient relationship Achieve mutually understood & agreedupon health outcomes that improve a patient,s quality of life. 5/25/2017 13 Ensure the patients understand their treatment & take medications safely & appropriately. 5/25/2017 14 Providing patient-centered care (the five dimensions of PCC ) 1. 2. 3. 4. 5. 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. 5/25/2017 15 Understand the illness experience of the patient. 1. Social . 2. Psychological. 3. Biomedical. 5/25/2017 16 Perceive each patient's experience as unique. Patient as a person. 5/25/2017 17 Foster a more egalitarian relationship with patients or ideal relation ship with patients:how? Involve in a more active dialogue. Share power and responsibility in the decision-making. 5/25/2017 18 Understanding medication use from the patient perspective 5/25/2017 19 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. 5/25/2017 20 Conclusion An effective communication process can optimize the chance that patients will make informed decisions,use medications appropriately,and ultimately meet therapeutic goals. 5/25/2017 21 1. Helping patients feel understood through inquiry into patients’ needs, perspectives, and expectations. 2. Attending to the psychosocial context. 3. Expanding patients’ involvement in understanding their illnesses and in decisions that affect their health. 5/25/2017 22 Home work What is the goal of PCC? 5/25/2017 23