29. DOCTORS AND PATIENTS Flashcards

1
Q
  1. What is the focal point of all medical practice?
A
  • the meeting between the patient and the doctor
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2
Q
  1. What does the term “health related behaviour” refer to?
A
  • it is used to cover a wide variety of behaviours
  • these behaviours are concerned with health and illness
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3
Q
  1. Which behaviours does Health Related Behaviour refer to?
A
  • daily behaviours with health implications
    (EG: diets)
  • preventative behaviours
    (EG: attending dental check ups, screening)
  • risk avoidance
    (EG: giving up smoking, limiting alcohol consumption)
  • specific behaviours in relation to symptoms and
    illnesses
    (EG: self-medication, seeking medical help, adhering to
    medical advice)
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4
Q
  1. Why do some people seek medical help more than other people?
A
  • they have more severe symptoms
  • they have past negative experiences
    (this yields less attendance)
  • patients health attitudes and behaviours
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5
Q
  1. What are some examples of Health Attitudes and Behaviours?
A
  • the degree of interest and concern towards health
  • the belief of one’s susceptibility to a particular illness
  • beliefs about the severity of particular illnesses
  • beliefs about the benefits and costs of a particular
    health action
  • the beliefs about the efficacy of a particular health
    action
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6
Q
  1. What two categories are doctors divided into?
A
  1. those who are primarily concerned with technical
    aspects of illness
  2. those who are interested in psychosocial aspects of i
    illness

NB: these two are not necessarily mutually exclusive
: these categories are a result of the individual’s
personality and whether they developed or were
suppressed during medical school & training

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7
Q
  1. What does the quality of medical care depend on?
A
  • the interaction of the doctor and the patient
  • the communication between the doctor and the
    patient
  • this interaction has been seen to be disappointing to
    both parties
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8
Q
  1. What are the complaints from the Patient’s Perspectives about medical interactions?
A
  • lack of information
  • communication gap
  • poor recall
  • low empathy
  • activity and passivity
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9
Q
  1. What are the complaints from the Doctor’s Perspective about medical interactions?
A
  • low compliance
  • poor information
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10
Q
  1. What is meant by: Lack of Information?
A
  • many patients complain that they are not given enough information about those who are treating them
  • they want explicit information about the illness
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11
Q
  1. What is the Communication Gap between patients and Doctors?
A
  • it is a common problem area
  • this problem is in reference to the information which passes to and from the patient
  • the doctor and the patient do not understand
    information from one another
  • they can understand this information in a different
    way
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12
Q
  1. What are the effects of doctors using technical jargon?
A
  • patients are flattered by the use of this high technical
    language
  • they do fail to understand it though
  • patients tend not to ask for further clarification out of fear that the doctor may think they are stupid
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13
Q
  1. What causes low patient compliance?
A
  • the communication gap between patients and doctors
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14
Q
  1. Why does the communication gap result in low patient compliance?
A
  • poor recall of information
  • poor recall of advice due to the complexity of language
  • failure to understand the doctor’s advice
  • the patient becomes reliant on their own perception of
    the severity of the illness
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15
Q
  1. What does good communication between the doctor and the patient lead to?
A
  • it leads to high opinions of the doctor
  • this means that there is high compliance by the patient
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16
Q
  1. What does poor communication between the doctor and the patient lead to?
A
  • patients having a low opinion of the doctor
  • the patient has poor compliance
17
Q
  1. What are the Patient Viewing Guidelines?
A

-opening the interview
- encouraging and prompting the patient
- support and reassurance
- showing empathy

  • there should be good non-verbal communication
    present in the interview
  • this includes:
    - good eye contact
    - good physical distance
    - posture
    - gesture
    - voice
    - tone rate
    - fluency of speech
    - body movements