Communicative techniques to improve patient compliance in doctor practice
Communicative competence of a doctor is an important factor influencing the formation of a partnership style of relations with the patient and, as a result, increases the involvement of the patient in the treatment process and responsibility if he follows medical recommendations. The lecture examined some communication techniques that are quite well developed in the psychology of professional communication: the technique of active listening, techniques for providing emotional support to the patient or his family, the skills of constructively overcoming the resistance of the interlocutor, the ability to restrict the use of professional vocabulary in conversation and effectively provide the necessary information. The technique of active listening is a basic, universal skill of conducting professional conversation. It includes verbal and non-verbal skills and is aimed at creating the interlocutor's confidence that they listen to him attentively, seek to understand, are interested in his opinion, have a feeling of respect and interest in solving his problems. The techniques developed to achieve these goals are described: "yep-reaction", repetition, generalization, paraphrasing. As a way of providing emotional support to the patient, the techniques of complimenting, encouraging and legitimizing negative feelings are considered. Attention is paid to the description of the patient's resistance behavior and recommendations are given for recognizing him and avoiding confrontation with the patient by receiving a response, observing the physician's position of neutrality and the ability to discuss disagreements. A self-teaching technique for freeing the doctor's speech in a conversation with the patient from professional terms and expressions that are not clear to him is described. The ways of giving the doctor information about the disease and treatment are considered. It was emphasized that the patient's understanding and memorization of the patient's explanations and recommendations play a huge role in shaping the patient's adherence to treatment and, in general, the effectiveness of medical care. A method of presenting the information "chunk and check" ("grind and check"), widely reported and recommended in foreign manuals on professional communication in medicine, as well as techniques for limiting a single amount of information, repeating what was said and writing information, is described. Possession of practical skills in the field of professional communication can play a significant positive role in the formation of therapeutic compliance, improving the effectiveness of medical care in general, as well as preventing the development of the effects of emotional burnout and professional deformation among medical workers.