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

Authors

DOI:

https://doi.org/10.26641/2307-0404.2019.3.181871

Keywords:

communication in the medical process, psychological peculiarities of patients

Abstract

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.

Author Biographies

L. V. Usenko

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Anesthesiology and Intensive Care
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

A. A. Krishtafor

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Anesthesiology and Intensive Care
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

A. H. Tiutiunnyk

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Anesthesiology and Intensive Care
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

Ye V. Petrashenok

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Anesthesiology and Intensive Care
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

D. V. Oleniuk

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Anesthesiology and Intensive Care
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

H. A. Machuzhak

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Anesthesiology and Intensive Care
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

O. B. Skulinets

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Anesthesiology and Intensive Care
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

References

Alekseev AA, Lepilkina TA, Rupchev GE, Moro­zova MA. [Difficult patient. Description, diagnosis, recommendations]. Мoskva. 2018;22. Russian.

Andreeva GM. [Social psychology]. Мoskva: «As­pekt Press». 1999;375. Russian. Available from: https://elibrary.ru/item.asp?id=20243212

Vavilov V. [Effective conflict resolution in a medical institution]. Modern orthodontics. 2014;3(25):63-65. Russian.

Kazakov VN. [Reflections on medicine (philo­sophy of science)]. Book 1. Donetsk: Naulidzh. 2010;419. Russian.

Kochyunas R. [Basics of psychological counseling]. Мoskva: Academicheskii proekt. 1999;240. Russian. Available from: http://osp.kgsu.ru/library/PDF/334.pdf

Kunitsyna VN, Kazarinova NV, Pogolsha VM. [Interpersonal communication]. Sankt-Peterburh. 2002;544. Russian.

Likhterman LB. [Around of patient (notations of neurologist)]. Мoskva: Antidor. 1996;446. Russian.

Solovieva SL. [Psychological counseling. Hand­book of practical psychologist]. Мoskva: АSТ. 2010;640. Russian. Available from: http://sdo.mgaps.ru/books/K7/M5/file/8.pdf

Solozhenkin VV. [Selected lectures on psychiatry for cardiologists. Tutorial]. Bishkek: publishing house of KRSU. 2011;134. Russian.

Khorny K. [The neurotic personality of our time]. Мoskva: Academicheskii proekt. 2006;207. Russian. Available from: https://elibrary.ru/item.asp?id=20088220

Chutko LS. [Difficult patient. Psychology of com­munication in the doctor’s work (teaching aid)]. Sankt-Peterburh. 2018;45. Russian.

Yudin OYu. [Criminal liability of medical workers in figures of the General Prosecutor's Office of Ukraine]. Ukrainskii medychnyi chasopys. 2017;5(121);154. Russian. Available from: https://www.umj.com.ua/article/114773/ugolovnaya-otvetstvennost-meditsinskih-rabotnikov-v-tsifrah-generalnoj-prokuratury-ukrainy

Jena AB, Seabury S, Lakdawallе D, Chandra A. Malpractice Risk According to Physician Specialty. N. Engl. J. Med. 2011;365:629-36. doi: https://doi.org/10.1056/NEJMsa1012370

Vincent J, Joung M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1997;343(8913):1609-13. Available from: https://www.ncbi.nlm.nih.gov/pubmed/7911925. doi: https://doi.org/10.1016/S0140-6736(94)93062-7

How to Cite

1.
Usenko LV, Krishtafor AA, Tiutiunnyk AH, Petrashenok YV, Oleniuk DV, Machuzhak HA, Skulinets OB. Features of communication of a doctor with special groups of patients and in conflict situations. Med. perspekt. [Internet]. 2019Nov.5 [cited 2024Nov.7];24(3):4-9. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/181871

Issue

Section

THEORETICAL MEDICINE