Skip to main content

The Role of Communication

  • Chapter
  • First Online:
Person Centered Psychiatry

Abstract

According to modern concepts, medical knowledge, communication skills, physical examination, and problem solving are four essential components of clinical competence of a physician. Communication and relationship have been demonstrated to have an impact on patients’ experience of care, to improve patients’ adherence to treatment regimens, clinical outcomes and quality, patient safety, teamwork, cultural sensitivity, and to reduce medical malpractice risk. Inter-professional communication between the various healthcare practitioners is another important aspect in the treatment of patients. Medicine is becoming a shared effort not only between the various healthcare practitioners involved in treatment but also the patients themselves. All parties involved would benefit from proper collaboration and communication. Appropriate communication is a cornerstone of modern medicine, where understanding and context-driven interview lead the way in improved patient experience. The medical interview is a complex process of taking information for the purpose of diagnosis, and it is an extremely important factor in establishing a relationship between doctors and patients. Integrated patient-centered and physician-centered interview builds a relationship, opens the discussion, gathers information, understands the patient’s perspective, shares information, reaches agreement, and provides closure. All these are essential elements of the medical interview. The person-centered medical interview is an important bridge between personalized and person-centered medicine. It is necessary to develop, evaluate, and implement training programs aimed at enhancing person-centerd communication and care.

Everything is in human relationship

Homo homini remedium

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Benedetti F. How the doctor’s words affect the patient’s brain. Eval Health Prof. 2002;25:369–86.

    Article  PubMed  Google Scholar 

  2. Benedetti F. The patient’s brain: the neuroscience behind the doctor-patient relationship. Oxford: Oxford University Press; 2010.

    Book  Google Scholar 

  3. Benedetti F, Carlino E, Pollo A. How placebos change the patient’s brain. Neuropsychopharmacology. 2011;36:339–54.

    Article  PubMed  Google Scholar 

  4. Brajković L. The CEPAMET approach to teaching communication skills to medical students. Int J Pers Centered Med. 2015;4(3):167–72.

    Google Scholar 

  5. Brajković L, Braš M, Đorđević V, Cvek M. In: Đorđević V, Braš M, Miličić D, editors Person in medicine: from bench to bedside to community. Zagreb: Medicinska Naklada; 2012.

    Google Scholar 

  6. Braš M, Đorđević V. Person-centered health education and training. Croat Med J. 2014;55:79–80. doi:10.3325/cmj.2014.55.79.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Braš M, Đorđević V, Janjanin M. Person-centered pain management—science and art. Croat Med J. 2013;54:296–300.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Brown JB, Stewart M, Ryan BJ. Outcomes of patient-provider interaction. In: Thompson TL, Dorsey AM, Miller KI, Parrott R, editors. Handbook of health communication. London: Lawrence Erlbaum Associates, Publishers; 2003. p. 141–61.

    Google Scholar 

  9. Coulehan JL, Block ML. The medical interview: mastering skills for clinical practice. 5th ed. Philadelphia (PA): F.A. Davis Co; 2005. p. 3–21.

    Google Scholar 

  10. Deber RB. Physicians in health care management: 7. The patient-physician partnership: changing roles and the desire for information. CMAJ. 1994;151:171.

    CAS  PubMed  PubMed Central  Google Scholar 

  11. Detmar SB, Muller MJ, Schornagel JH, Wever LD, Aaronson NK. Health-related quality-of-life assessments and patient-physician communication: a randomized controlled trial. JAMA. 2002;288(23):3027–34.

    Article  PubMed  Google Scholar 

  12. Deveugele M, Derese A, De Maesschalck S, Willems S, Van Driel M, De Maeseneer J. Teaching communication skills to medical students, a challenge in the curriculum? Patient Educ Couns. 2005;58:265–70.

    Article  PubMed  Google Scholar 

  13. Đorđević V, Braš M, Brajković L. Person-centered medical interview. Croat Med J. 2012;53:310–3.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Đorđević V, Braš M, Milunović V, Brajković L, Stevanović R. The founding of the centre for palliative medicine, medical ethics and communication skills: a new step toward the development of patient oriented medicine in Croatia. Croat Med J. 2011;52:87–8.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Đorđević V, Braš M, Miličić D. Introduction. In: Đorđević V, Braš M, Miličić D, editors. Person in medicine and healthcare: from bench to bedside to community. Zagreb: Medicinska naklada; 2012. p. 43.

    Google Scholar 

  16. Đorđević V, Braš M, Kulić S, Demarin V. The founding of Zagreb’s Institute for the Culture of Health: an important step toward a new medical paradigm. Croat Med J. 2015;56(1):1–3.

    Google Scholar 

  17. Gerteis M, Edgman-Levitan S, Daley J, et al., editors. Through the Patient’s eyes: understanding and promoting patient-centred care. San Francisco: Jossey-Bass; 1993.

    Google Scholar 

  18. Holman H, Lorig K. Patients as partners in managing chronic disease: partnership is a prerequisite for effective and efficient health care. BMJ. 2000.

    Google Scholar 

  19. Interprofessional Education Collaborative (IPEC). Core competencies for interprofessional collaborative practice: report of an expert panel; 2011. Retrieved from http://www.aacn.nche.edu/education-resources/ipecreport.pdf.

  20. Lazare A, Putnam SM, Lipkin M Jr. Three functions of the medical interview. In: Lipkin Jr M, Putnam SM, Lazare A, editors. The medical interview. NY: Springer; 1995. p. 3–19.

    Chapter  Google Scholar 

  21. Makoul G. The SEGUE framework for teaching and assessing communication skills. Patient Educ Couns. 2001;45:23–34.

    Article  CAS  PubMed  Google Scholar 

  22. Makoul G. Participants in the Bayer-Fetzer conference on physician-patient in medical education. Essential elements of communication in medical encounters: the Kalamazoo consensus statement. Acad Med. 2001;76:390–3.

    Google Scholar 

  23. Mead N, Bower P. Patient-centered consultations and outcomes in primary care: a review of the literature. Patient Educ Couns. 2002;48:51–61.

    Article  PubMed  Google Scholar 

  24. Morgan S, Pullon S, McKinlay E. Observation of interprofessional collaborative practice in primary care teams: an integrative literature review. Int J Nurs Stud. 2015;52(7):1217–30. doi:10.1016/j.ijnurstu.2015.03.008 (Epub 2015 Mar 19).

  25. Peabody FW. The care of the patient. JAMA. 1927;88:p877–82.

    Article  Google Scholar 

  26. Pendleton D, Schofield T, Tate P, Havelock P. The new consultation. Oxford: Oxford University Press; 2003.

    Google Scholar 

  27. Rao JK, Anderson LA, Inui TS, Frankel RM. Communication interventions make a difference in conversations between physicians and patients: a systematic review of the evidence. Med Care. 2007;45:340–9.

    Article  PubMed  Google Scholar 

  28. Riley SC, Morton J, Ray DC, Swann DG, Davidson DJ. An integrated model for developing research skills in an undergraduate medical curriculum: appraisal of an approach using student selected components. Perspect Med Educ. 2013;2(4):230–47.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Roter D, Larson S. The roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions. Patient Educ Couns. 2002;4246:243–51.

    Article  Google Scholar 

  30. Ruiz-Moral R. The role of physician-patient communication in promoting patient-participatory decision making. Health Expect. 2010;13:33–44.

    Google Scholar 

  31. Ruiz-Moral R, Gavilán Moral E, Parras Rejano JM, Perula de Torres LA, et al. In: CICAA scale. Scale for assessing doctor-patient relationship in clinical encounter. Handbook. Barcelona: ESTEVE; 2006. http://www.doctutor.es/wp-content/uploads/2010/03/Escala_cicaa_2.pdf. Accessed on 06 June 2015 (published in Spanish).

  32. Silverman JD, Kurtz SM, Draper J. Skills for communicating with patients. Oxford: Radcliffe Medical Press; 1998.

    Google Scholar 

  33. Silverman J, Kurtz S, Draper J. Skills for communicating with patients. 3rd ed. Radcliffe Publishing: London; 2013.

    Google Scholar 

  34. Smith RC. The patient’s story integrated patient-doctor interviewing. Boston: Little Brown; 1996.

    Google Scholar 

  35. Smith RC. Patient centered interviewing. 2nd ed. PA: Lippincott Williams & Wilkins; 2002.

    Google Scholar 

  36. Snaedal J. Components of person-centered medicine in medical treatment and care. Int J Pers Cent Med. 2012;21:29–32.

    Google Scholar 

  37. Stewart MA. Effective physician-patient communication and health outcomes: a review. Can Med Assoc J. 1995;152(9):1423–33.

    CAS  Google Scholar 

  38. Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, et al. The impact of patient-centered care on outcomes. J Fam Pract. 2000;49:796–804.

    CAS  PubMed  Google Scholar 

  39. Travaline JM, Ruchinskas R, D’Alonzo GE. Patient-physician communication: why and how. J Am Osteopath Assoc. 2005;105(1):13–8.

    PubMed  Google Scholar 

  40. Valentine MA, Nembhard IM, Edmondson AC. (2015). Measuring teamwork in healthcare settings. A review of survey instruments. Med Care. 2015;53(4):e16–30. doi:10.1097/MLR.0b013e31827feef6.

  41. WHO. Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization; 2010.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marijana Braš MD, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Braš, M., Đorđević, V., Ruiz-Moral, R., Deveugele, M., Ramalho, R., Pype, P. (2016). The Role of Communication. In: Mezzich, J., Botbol, M., Christodoulou, G., Cloninger, C., Salloum, I. (eds) Person Centered Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-39724-5_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-39724-5_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39722-1

  • Online ISBN: 978-3-319-39724-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics