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Article #111: Do your patients understand you?

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How do you know? talking to them. Look them in the eye.
A recent USA Today article states that Don't talk while you are jotting notes in
miscommunications between patients and their charts or writing a prescription.
health care providers are increasing the Do they have a blank look on their face?
chances that people who need medical care Are they nodding their head that they
will be hurt or killed in the process. understand you? Are they asking
The article sites a report done by the questions?
Joint Commission Healthcare Accreditation * Offer written hand-outs that are
Group which states that cultural and written in an easy to read format. Copies
language barriers pose problems for of articles from your medical journals do
patient-doctor communications, as well as not count. Copies of instructions from
poor general literacy skills. equipment manufacturers are not enough.
The group's recommendations include (Yes, I have seen docs use both of these
specific advice for educating and to educate patients). Hand-outs need to
training healthcare professionals; using be written to a fourth or fifth grade
well-trained medical interpreters for reading level whenever possible.
patients with English comprehension ---I suggest making generic hand-outs for
difficulties; and encouraging a culture some of the most common diagnosis you
of easy-to-understand communication in make. In other instances you may need to
all facets of medical care. write down basic information during the
Dennis O'Leary, president of the group, appointment - type them out if you can or
says that when he was in medical school have someone in your office do it. You
no one even mentioned that someone might know why...your handwriting is illegible.
not understand what he was saying. "Yet, * Ask questions to check for basic
more serious adverse events are caused by understanding throughout visits.
communication problems than any other * Offer places or web sites where
thing." patients can go to get more information.
Why am I writing about this??? It's not Giving this information to them in a
because of my passion for communication, hand-out, or having someone else in your
and it is not because (as a health care office email them the information after
copywriter) ensuring communications are the appointment works well too. It also
easy to understand and written to the ensures that any research they do on
appropriate audience is a core part of their own is coming from reliable sources
what I do. and not just fanatic people out there on
It's because ensuring patients understand the Internet.
what their problems are, understanding Take a few minutes this week and simply
what treatments you recommend, and look at the written material you give to
understanding what courses of action are patients. Whether you provide it when
available is an important aspect of your they first visit your office, or
job. educational materials you send home with
And how do you really know if people them throughout their treatment. Can your
understand what you are saying to them? middle schooler understand it?
There are a few steps you can take to If not, get back to the drawing board.
ensure patients understand what you are Making sure your patients understand you
telling them. is key to both your success and good
* Look at the patient when you are health.






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