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Patient –centered Patient –centered communication in communication in medical practicemedical practice

DR/FATMA AL-THOUBAITYDR/FATMA AL-THOUBAITY

SURGICAL CONSULTANTSURGICAL CONSULTANT

ASSOCIATE PROFESSORASSOCIATE PROFESSOR

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Teaching physicians patient-centered Teaching physicians patient-centered communication skills is important to communication skills is important to improve the quality of care for all improve the quality of care for all patients. patients.

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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.

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Improved health and patient trust

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group of communication strategies and group of communication strategies and behaviors that promote mutuality, shared behaviors that promote mutuality, shared understandings, and shared decision understandings, and shared decision making in health care encountersmaking in health care encounters

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Evidence is emerging that relationships Evidence is emerging that relationships between patients and physicians can affect the between patients and physicians can affect the quality of care and health outcomes .quality of care and health outcomes .

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Patients were asked to rate their Patients were asked to rate their physician's decision-making style, their physician's decision-making style, their overall satisfaction with the visit, and overall satisfaction with the visit, and whether they would recommend the whether they would recommend the physician to a friend. physician to a friend.

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the researchers made audio recordings of the visits the researchers made audio recordings of the visits and then analyzed the verbal communications in terms and then analyzed the verbal communications in terms of the categories of data-gathering, patient education of the categories of data-gathering, patient education and counseling, and relationship-building. They also and counseling, and relationship-building. They also analyzed independent observer ratings of the overall analyzed independent observer ratings of the overall

the emotional tone of doctor-patient interactionsthe emotional tone of doctor-patient interactions. .

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Pharmacists are accepting more Pharmacists are accepting more responsibility in ensuring that patients responsibility in ensuring that patients reach desired outcomes with their reach desired outcomes with their medication therapy.medication therapy.

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PCCPCC

Trusting relationships.Trusting relationships. Open exchange of information.Open exchange of information. Decision-making process regarding Decision-making process regarding

treatment.treatment. Therapeutic goals .Therapeutic goals .

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Pharmacist Responsibility Pharmacist Responsibility in patient carein patient care

Medication related errors are the most Medication related errors are the most prevalent errors in medical care.prevalent errors in medical care.

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Importance of Importance of communication in meeting communication in meeting patient care responsibilities patient care responsibilities

It establishes the ongoing relationship It establishes the ongoing relationship between the provider and the patient.between the provider and the patient.

It provides the exchange of information It provides the exchange of information necessary to assess a patient‘s health necessary to assess a patient‘s health condition,implement treatment of medical condition,implement treatment of medical problems and to evaluate the effects of problems and to evaluate the effects of treatment on a patient ‘s quality of life.treatment on a patient ‘s quality of life.

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The purpose of the The purpose of the professional –patient professional –patient relationship relationship

Achieve mutually understood & agreed-Achieve mutually understood & agreed-upon health outcomes that improve a upon health outcomes that improve a patient,s quality of life.patient,s quality of life.

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Ensure the patients understand their Ensure the patients understand their treatment & take medications safely & treatment & take medications safely & appropriately.appropriately.

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Providing patient-centered Providing patient-centered care (the five dimensions of care (the five dimensions of PCC )PCC )

The pharmacist must be able to:The pharmacist must be able to:1.1. Understand the illness experience of the patient.Understand the illness experience of the patient.2.2. Perceive each patient's experience as unique.Perceive each patient's experience as unique.3.3. Foster a more egalitarian relationship with patients.Foster a more egalitarian relationship with patients.4.4. Build a therapeutic alliance with patients to meet Build a therapeutic alliance with patients to meet

mutually understood goals of therapy.mutually understood goals of therapy.5.5. Develop self-awareness of personal effects on Develop self-awareness of personal effects on

patients.patients.

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Understand the illness Understand the illness experience of the experience of the patient.patient.

1.1. Social .Social .

2.2. Psychological.Psychological.

3.3. Biomedical.Biomedical.

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Perceive each patient's Perceive each patient's experience as unique.experience as unique.

Patient as a person.Patient as a person.

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Foster a more egalitarian Foster a more egalitarian relationship with patients relationship with patients or ideal relation ship with or ideal relation ship with patients:how?patients:how?

Involve in a more active dialogue.Involve in a more active dialogue. Share power and responsibility in the Share power and responsibility in the

decision-making.decision-making.

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Understanding medication Understanding medication use from the patient use from the patient perspectiveperspective

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Encourage patients to share Encourage patients to share their experience with their experience with therapytherapy

They have unanswered questions.They have unanswered questions. Misunderstanding.Misunderstanding. Experience problems related to therapy.Experience problems related to therapy. Monitor their own response to treatment.Monitor their own response to treatment. Make their own decisions regarding Make their own decisions regarding

therapy.therapy.They may not reveal this information to you unless you They may not reveal this information to you unless you

initiate a dialogue.initiate a dialogue.

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Conclusion Conclusion

An effective communication process can An effective communication process can optimize the chance that patients will optimize the chance that patients will make informed decisions,use make informed decisions,use medications appropriately,and ultimately medications appropriately,and ultimately meet therapeutic goals.meet therapeutic goals.

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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.

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Home work Home work

What is the goal of PCC?What is the goal of PCC?