Topics Discussed: communication; communication barriers; fundamentals of pediatrics; patient-centered care; physician-patient relations; physician-patient-family relationship; social skills training; therapeutic relationship; well child visit.
Sections: Frameworks for Interpersonal and Communication Skills and Relationship Abilities, Communication Skills and Relationship Strategies in the Pediatric Encounter, Communicating with Children at Different Developmental Stages, Conclusion, Acknowledgments, References.
Excerpt:"Despite the extraordinary scientific and technological advances
in modern medicine, the core skills and sine qua non for the delivery
of quality pediatric health care remain those of skillful communication
and building and maintaining therapeutic and caring relationships
with children, adolescents, and their families. The quality of the
relationship with the child and family affects all aspects of patient
care—the diagnostic process, treatment decisions, adherence
with recommendations, and both patient and physician satisfaction.In one of the earliest research studies on physician-patient
communication,2 pediatrician Barbara Korsch described
communication lapses in the care of children in an emergency department. The
central tenet of her groundbreaking paper, that communication is
an essential factor in quality of care, is supported by numerous
evidence-based studies, including the Institute of Medicine's
2001 report Crossing the Quality Chasm.3 Studies
show that good communication between physician and patient correlates
directly with symptom improvement,4,5 better management
of chronic conditions,6 improved efficiency of
care including a significant reduction in diagnostic testing and
referrals,7 increased patient satisfaction8 and
adherence,9 greater physician satisfaction,10 and
fewer medication errors11 and malpractice claims.12 The
majority of malpractice claims arise from..."
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