Features of communication of a doctor with special groups of patients and in conflict situations.

The article describes an important component of the medical process which should be paid a special attention: the preparation of a young doctor – the communication between the physician and the patient and his relatives. Distinctive features of a modern patient: the tendency to control the state of...

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Main Authors: L. V. Usenko, A. A. Krishtafor, A. H. Tiutiunnyk, Ye V. Petrashenok, D. V. Oleniuk, H. A. Machuzhak, O. B. Skulinets
Format: Article
Language:English
Published: Dnipro State Medical University 2019-11-01
Series:Medičnì Perspektivi
Subjects:
Online Access:http://journals.uran.ua/index.php/2307-0404/article/view/181871
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author L. V. Usenko
A. A. Krishtafor
A. H. Tiutiunnyk
Ye V. Petrashenok
D. V. Oleniuk
H. A. Machuzhak
O. B. Skulinets
author_facet L. V. Usenko
A. A. Krishtafor
A. H. Tiutiunnyk
Ye V. Petrashenok
D. V. Oleniuk
H. A. Machuzhak
O. B. Skulinets
author_sort L. V. Usenko
collection DOAJ
description The article describes an important component of the medical process which should be paid a special attention: the preparation of a young doctor – the communication between the physician and the patient and his relatives. Distinctive features of a modern patient: the tendency to control the state of his own health with simultaneous irresponsible attitude towards it; when revealing a disease, he/she is looking for the worst in himself/herself; the reduction of the moral character against the background of a decline in the morals of society, which affects the culture of the patient's behavior, makes him/her more aggressive; a modern patient is more lenient to himself/herself with an extremely demanding attitude to the doctor. Several interrelated functions of communication are distinguished: informational, interactive, perceptual, emotive (affective-commutative). The levels of communication are distinguished: social-role (ritual); business; intimate-personal. There are three types of communication: imperative; manipulative; dialogical (based on equal partnership). In the process of communication of the physician with patients, depending on the circumstances, two systems of communication can be used: verbal and nonverbal. In the relationship "patient-physician" R. Witch identifies 4 models: paternalistic, technocratic, collegian, and contractual. Each patient needs an individual approach, individual forms of communication and measures of physician’s psychotherapeutic influence, especially in the communication of the doctor with so-called “difficult” patients, as well as at the risk of conflict situations. Causes of conflict situations are: insufficient attention to the patient; characteriological features of a doctor and a patient; unreliable information about the state of health of the patient from the part of junior and middle medical personnel; lack of patient’s information consent for treatment; lack of coordination of the actions of different medical specialists; defects in the maintenance of medical records; professional incompetence.
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spelling doaj.art-c9f0e7c2a9e142a7999fd04329b927522022-12-21T20:03:43ZengDnipro State Medical UniversityMedičnì Perspektivi2307-04042019-11-012434910.26641/2307-0404.2019.3.181871181871Features of communication of a doctor with special groups of patients and in conflict situations.L. V. UsenkoA. A. KrishtaforA. H. TiutiunnykYe V. PetrashenokD. V. OleniukH. A. MachuzhakO. B. SkulinetsThe article describes an important component of the medical process which should be paid a special attention: the preparation of a young doctor – the communication between the physician and the patient and his relatives. Distinctive features of a modern patient: the tendency to control the state of his own health with simultaneous irresponsible attitude towards it; when revealing a disease, he/she is looking for the worst in himself/herself; the reduction of the moral character against the background of a decline in the morals of society, which affects the culture of the patient's behavior, makes him/her more aggressive; a modern patient is more lenient to himself/herself with an extremely demanding attitude to the doctor. Several interrelated functions of communication are distinguished: informational, interactive, perceptual, emotive (affective-commutative). The levels of communication are distinguished: social-role (ritual); business; intimate-personal. There are three types of communication: imperative; manipulative; dialogical (based on equal partnership). In the process of communication of the physician with patients, depending on the circumstances, two systems of communication can be used: verbal and nonverbal. In the relationship "patient-physician" R. Witch identifies 4 models: paternalistic, technocratic, collegian, and contractual. Each patient needs an individual approach, individual forms of communication and measures of physician’s psychotherapeutic influence, especially in the communication of the doctor with so-called “difficult” patients, as well as at the risk of conflict situations. Causes of conflict situations are: insufficient attention to the patient; characteriological features of a doctor and a patient; unreliable information about the state of health of the patient from the part of junior and middle medical personnel; lack of patient’s information consent for treatment; lack of coordination of the actions of different medical specialists; defects in the maintenance of medical records; professional incompetence.http://journals.uran.ua/index.php/2307-0404/article/view/181871communication in the medical processpsychological peculiarities of patients
spellingShingle L. V. Usenko
A. A. Krishtafor
A. H. Tiutiunnyk
Ye V. Petrashenok
D. V. Oleniuk
H. A. Machuzhak
O. B. Skulinets
Features of communication of a doctor with special groups of patients and in conflict situations.
Medičnì Perspektivi
communication in the medical process
psychological peculiarities of patients
title Features of communication of a doctor with special groups of patients and in conflict situations.
title_full Features of communication of a doctor with special groups of patients and in conflict situations.
title_fullStr Features of communication of a doctor with special groups of patients and in conflict situations.
title_full_unstemmed Features of communication of a doctor with special groups of patients and in conflict situations.
title_short Features of communication of a doctor with special groups of patients and in conflict situations.
title_sort features of communication of a doctor with special groups of patients and in conflict situations
topic communication in the medical process
psychological peculiarities of patients
url http://journals.uran.ua/index.php/2307-0404/article/view/181871
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