Doctor-Patient Communication Analysis

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Physicians and patients occupy different social positions, indicating it is necessary to understand the social dynamics that form and play a role in maintaining doctor-patient relationship. Since a patient arranges a consultation with their respective physician in order to solve an health concern, it becomes vital for the physician to understand the complexity of the patient’s situation. Increased ability of the doctor to notice and respond to the social dynamics that form their relationship with patient is important for effective doctor-patient communication.

The social dynamics that form such relationship can dictate the content of the medical consultation and in turn affect health outcomes for the patient. Ge Gao, et al. found that an
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patient-based medicine (Jozien Bensing 2000). Evidence based medicine refers to a doctor employing available scientific evidence to deliver the most adequate treatment for the patient. On the other hand, patient-based medicine includes patient needs, stories, and perspectives that a doctor includes in a medical decision making. The authors mention that these two paradigms belong to separate worlds and argue that communication can play an important role for bridging the gap between evidence and patient-centered …show more content…
Since such social dynamics are negotiated using communication, it is important to investigate its role in a medical consultation. “One needs to look at doctor-patient interaction as constructed narrative knowledge. In this respect, interactions are what doctor and patient use to comprehend the physical, emotional, communicative, and even spiritual aspect of an illness. It allows them to visualize health care as fluid and developed” (Jozien Bensing 2000). This article emphasizes the importance of active listening, non-verbal clues, cultural perspectives, and narrative medicine. Narrative medicine allows mutual recognition by understanding that bodies are experienced by human lives. Therefore, through listening to patients, doctors try to understand the individual having the illness, not just the details about the disease. The author mentions that non-verbal clues are very relevant in a medical consultation because the relationship is based on a medical and a psychosocial issue, since each patient can have different perspectives on social dynamics (such as low-power distance/high-power

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