{"title":"[COMMUNICATION AND HEALTH OUTCOMES IN PATIENTS SUFFERING FROM GASTROINTESTINAL DISEASES].","authors":"G Petriček, V Cerovečki, Z Ožvačić Adžić","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Although survey results indicate clear connection between the physician-patient communication and health outcomes, mechanisms\nof their action are still insufficiently clear. The aim was to investigate the specificity of communication with patients suffering\nfrom gastrointestinal diseases and the impact of good communication on measurable outcomes. We performed PubMed\n(Medline) search using the following key words: communication, health outcomes, and gastrointestinal diseases. Seven pathways\nthrough which communication can lead to better health include increased access to care, greater patient knowledge and shared\nunderstanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and\nempowerment, and better management of emotions. Although these pathways were explored with respect to cancer care, they\nare certainly applicable to other health conditions as well, including the care of patients suffering from gastrointestinal diseases.\nAlthough proposing a number of pathways through which communication can lead to improved health, it should be emphasized\nthat the relative importance of a particular pathway will depend on the outcome of interest, the health condition, where the patient\nis in the illness trajectory, and the patient’s life circumstances. Besides, research increasingly points to the importance of placebo\neffect, and it is recommended that health professionals encourage placebo effect by applying precisely targeted communication\nskills, as the unquestionable and successful part of many treatments. It is important that the clinician knows the possible positive\nand negative effects of communication on health outcomes, and in daily work consciously maximizes therapeutic effects\nof communication, reaching its proximal (understanding, satisfaction, clinician-patient agreement, trust, feeling known, rapport,\nmotivation) and intermediate outcomes (access to care, quality medical decision, commitment to treatment, trust in the system,\nsocial support, self-care skills, emotional management) to improve the health of patients he cares for.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Although survey results indicate clear connection between the physician-patient communication and health outcomes, mechanisms
of their action are still insufficiently clear. The aim was to investigate the specificity of communication with patients suffering
from gastrointestinal diseases and the impact of good communication on measurable outcomes. We performed PubMed
(Medline) search using the following key words: communication, health outcomes, and gastrointestinal diseases. Seven pathways
through which communication can lead to better health include increased access to care, greater patient knowledge and shared
understanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and
empowerment, and better management of emotions. Although these pathways were explored with respect to cancer care, they
are certainly applicable to other health conditions as well, including the care of patients suffering from gastrointestinal diseases.
Although proposing a number of pathways through which communication can lead to improved health, it should be emphasized
that the relative importance of a particular pathway will depend on the outcome of interest, the health condition, where the patient
is in the illness trajectory, and the patient’s life circumstances. Besides, research increasingly points to the importance of placebo
effect, and it is recommended that health professionals encourage placebo effect by applying precisely targeted communication
skills, as the unquestionable and successful part of many treatments. It is important that the clinician knows the possible positive
and negative effects of communication on health outcomes, and in daily work consciously maximizes therapeutic effects
of communication, reaching its proximal (understanding, satisfaction, clinician-patient agreement, trust, feeling known, rapport,
motivation) and intermediate outcomes (access to care, quality medical decision, commitment to treatment, trust in the system,
social support, self-care skills, emotional management) to improve the health of patients he cares for.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.