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Document Typology: Web Article
Methodology addressed by the publication:Narrative medicine
Title of document: Doctor- patient relationship
Name of author(s):
Name of publisher:
Language of the publication: Romanian
Language of the review: English
The article presents the doctor - patient relationship as a close relationship based on honest dialogue and requires that the dermatologist to be an active listener.
A good doctor-patient dialogue is based on active listening and a personal approach from dermatologist. Careless listening of doctor will make patients to go from doctor to doctor. On the other hand, patients whose doctors will listen more carefully will keep a better course of recommended treatment and will handle better with their illness. Doctor-patient relationship must be one of harmony to solve two major problems aroused by the chronic nature of the disease: impact on quality of life and treatment compliance. Dermatologist who can listen will know what questions to ask the patient and when to put them. The patient will feel peace if the doctor will fully understand the situation.
Dermatologist owns the knowledge, in this case, the patient may feel helpless when the dermatologist does not provide enough information or if he use an inaccessible medical language. In this case, the patient will tend to seek other sources of information, such as the internet or magazines. The dermatologist should be able to identify signs of depression in patients with psoriasis. Depression, beyond the suffering that causes, can be an obstacle to patient`s compliance to treatment and may affect the success of treatment.
The patient may develop a positive or negative attitude towards the physician, according to the type of relationships developed in childhood, in a way that psychologists call "emotional transfer". Some people adopt an attitude towards the doctor excessively polite and docile, following exactly the treatment he prescribed. At the other extreme there are patients who behave like teenagers with the doctor and have a permanently rebellious attitude towards medical authority. They may decline decisions and therapies suggested by the doctor.
Reviewer's comments on the document:
The article presents the importance of an active listening and an effective communication in doctor-patient relationship. The importance of active listening to the patient by the doctor, the use of plain language and providing the information he needs is vital for treatment compliance by the patient, but also for developing a positive opinion about the doctor.
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