www.excemed.org

IMPROVING THE PATIENT’S LIFE THROUGH

MEDICAL EDUCATION

How to reach compliance of diabetes patients to treatment - Doctor-Patient Communication

.

Daniel Schmid, PhD

St Petersburg, Russia - April 25, 2015

2

Objectives

• Better understanding of our patients

• Improvement of patient relations through Empathy and

Observation

• Enhance communication through adaption of own

communicative style to the (needs) behavior style of the patient

Outcome

• Better therapeutic relationship with patients

• Improve adherence to therapeutic regimen (compliance)

3

Who is that person there?

Things I know

Things I don’t know

How do I acquire unknown information?

Empathy &

Versatility

Feel WITH

Empathy?!

• Situational Awareness

• Social and Emotional Intelligence

• Compassion

• Desire to transform suffering

Empathy consists of…

• It develops resilience

• Enhances connections between people

• Maximizes neural integration

• Enhances our immune system

Why is Empathy good for you?

• Moral outrage

• Fear

• Pity

• Focus on other things

• Time

• Self-absorption

• Daydreaming

Enemies of Empathy

What does ‘to listen’ mean?

• Pay Attention

• Show That You're Listening

• Provide Feedback

• Defer Judgment

• Respond Appropriately

Active Listening, behaviors:

Versatility

“if all you have is a hammer, everything looks like a nail”

Are you versatile?

Assertiveness

Extroversion

Behaviors

Assertiveness ++ Assertiveness - -

Extroversion - -

Extroversion + +

Social Styles

Analytical Driver

Amiable Expressive

Critical Picky Detailed Indecisive

Pushy Tough

Dominating Decisive

Excitable Undisciplined

Enthusiastic Stimulating

Conforming Respectful Caring Willing

Typical Descriptors

Analytical Driver

Amiable Expressive

• Talk slowly• Give detailed info• Stress on safety and experience

of treatment• Listen to questions and

concerns• Do not push for a decision

• Give only relevant info• Stress on cost-benefit• Be synthetic, clear and straight

forward speech• Be focused• Give facts and data• Be solution driven• Accept patient’s decision• Be positive and optimistic• Give credit to the patient’s opinion• Be energetic• Be solution driven• Stress on customer behavior• Support patient’s decision• Discourage treatment changes

• Reassure• Create a relationship• Listen empathetically• Share experience (also

Personal)• Create trust• Advise for decision

Adaptiation to Styles

Empathy

Versatility

Active Listening

Observation

• Adaptation of Communication

• Influencing Patient

Summary