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Handbook of Communication in Oncology and Palliative
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David Kissane, Barry Bultz, Phyllis Butow, and Ilora Finlay

Print publication date: 2010

Print ISBN-13: 9780199238361

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199238361.001.0001

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Training patients to reach their communication goals: a concordance perspective

Training patients to reach their communication goals: a concordance perspective

Chapter:
(p.619) Chapter 53 Training patients to reach their communication goals: a concordance perspective
Source:
Handbook of Communication in Oncology and Palliative Care
Author(s):

Carma L Bylund

Thomas A D'Agostino

Betty Chewning

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199238361.003.0053

Improving clinicians' communication is necessary, but not sufficient to achieve the best possible communication in a clinical encounter. This chapter focuses on an area that has received much less emphasis — training patients to be good communicators. The physician–patient interaction is a dynamic, socially-constructed, and reciprocal process that relies on at least two participants. Effective communication in a physician-patient relationship, therefore, requires both parties to be actively involved and competent communicators. Moreover, patients' communication may influence physicians' responses. Thus, to understand fully and improve physician–patient communication requires a focus on both sides of the interaction. Considerable research has indicated that there is room for improvement in patients' communication skills, including asking questions, explicitly stating concerns, and verifying information. This chapter begins with a review of studies of patient communication training, both in and out of the oncology setting. It then explains the concept of concordance in the physician–patient relationship and how concordance provides a fruitful conceptual grounding for patient communication training.

Keywords:   training, physicians, patients, communication skills, oncology, concordance, physician–patient relationship

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