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Patient –centered Patient –centered
communication in communication in
medical practice medical practice
DR/FATMA AL-THOUBAITY DR/FATMA AL-THOUBAITY
SURGICAL CONSULTANT SURGICAL CONSULTANT
ASSOCIATE PROFESSOR ASSOCIATE 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 encounters making 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 interactions the 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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PCC PCC
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 care in 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
perspective
perspective
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Encourage patients to share Encourage patients to share
their experience with their experience with
therapy therapy
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?
