(doctor-patient relationship)
https://www.researchgate.net/profile/Maciej- Walkiewicz/publication/319313529_What_kind_of_physicians_do_patients_cooperate_with_ more_willingly_Psychological_skills_in_doctor- patient_relation_with_what_doctors_patients_work_with_their_most_skilled_psyc hological_w_rel/links/59a3c443aca2726b902be4c8/What-kind-of-physicians-do-patients- cooperate-with-more-willingly-Psychological-skills-in-doctor-patient-relation-with-which- doctors-patients-co-operate-with-the-best-psychological-skills-in-rel.pdf
For many patients, the clinician's personality traits, his or her openness, empathy and friendliness are as important as their substantive preparation. Unfortunately, some clinicians do not see the need to extend their competences to include social and psychological skills, not treating them as a working tool. A study of factors influencing patient-physician cooperation showed that one of the key variables is the quality of the doctor-patient relationship, which is based on trust in the doctor. One third of patients admit to modifying the doctor's recommendations. Non-compliance drastically reduces the effectiveness of treatment by increasing the need for further specialised examinations, the need for additional medication, increased hospitalisations or more frequent deaths. It is also estimated that approximately 10-20% hospitalisations are associated with the phenomenon described. According to many patients, the lack of cooperation is due to the fact that doctors overlook the social aspect of the disease. This is why some patients are prepared to use unconventional medicine. They explain this by the fact that bioenergotherapists often pay more attention to explaining what ails them. They treat their patients more as partners and holistically, taking into account their emotional needs and the way they 'experience illness'. At the same time, the number of formal complaints against doctors is increasing, and a frequent basis for conflicts between healthcare professionals and patients is their insufficient psychological competence. Some of the patients' lawsuits relate to aspects concerning communication with the doctor. It also appears that most of these complaints could have been avoided by, for example, apologising, providing additional information or explanations or showing understanding of the patient's point of view. Clear differences were identified between the groups of sued and non-sued doctors. No difference was found between the amount and quality of information they gave to their patients. In their conversations, they did not introduce more details about the condition or recommendations than the sued doctors. The main difference was in the way the conversation was conducted. Doctors avoiding lawsuits spend more time with their patients, communicate more accurately about planned actions, have a greater sense of humour and are more fond of their patients. Therefore, it is worth broadening the way doctors are prepared for their professional role by placing more emphasis on the development of psychological competences already during medical studies, but also during postgraduate training, e.g. through the creation of Balint groups, supervision of clinical work, etc.
Conclusions of the article