During the National HealthPolicy Conference held in Washington, D.C., members of the Agency for Healthcare Research and Policy agreed that there is an urgent need for research focusing on the doctor-patient relationship. This is the key to addressing  the current crisis of patient dissatisfaction, medical-error, malpractice claims, and physician burnout.  Clearly, there is a need for improved communication throughout the healthcare system.

The Problem:

Patients are not happy, doctors and medical teams are not happy, and the health care system is struggling to adapt measures to turn the tide of this growing problem. The Institute for HealthCare Communication (IHC) report regarding poor doctor-patient communication revealed the following:

• Research conducted during the 10 year period of 1995-2005 demonstrated that ineffective team communication was the root cause for nearly 66 percent of all medical errors.
• When healthcare team members do not communicate effectively, patient care often suffers.
• Medical error vulnerability is increased when healthcare team members are under stress, in high-task situations, or not communicating clearly or effectively.

The research from the IHC reports cites that 50% of all malpractice is the result of poor communication between doctor and patient.

The IHC report states: “Research evidence indicates that there are strong positive relationships between a healthcare team member’s communication skills and a patient’s capacity to follow through with medical recommendations, self-manage a chronic medical condition, and adopt preventive health behaviors. Studies conducted during the past three decades show that the clinician’s ability to explain, listen and empathize can have a profound effect on biological and functional health outcomes as well as patient satisfaction and experience of care.”

It continues toward an alarming statement: “Extensive research has shown that no matter how knowledgeable a clinician might be, if he or she is not able to open good communication with the patient, he or she may be of no help.”

Solutions

While the addition of nurse health coaches and our health advocate program have been viewed by some as a solution to the communication problem, the relationship between the physician or primary care provider and the patient cannot be corrected by these additional team members. In fact, not addressing the underlying cause of doctor-patient discomfort may even increase the distrust and discomfort the patient experiences with their doctor or primary care provider.

As physicians, physician assistants, nurse practitioners, and health advocacy program members are the diagnostic experts in our medical care system, ensuring the communication between these providers and their patients is critical.

A pilot study, conducted through Central Michigan University (CMU) on the effects of a communication model, Behavior Engagement with Pure Presence, on patient and physician satisfaction has just concluded. The study was funded by Blue Cross and Blue Shield Foundation of Michigan.

The Primary Investigator (P.I.) of this study, Dr. Christine Clipper, wanted to test the Behavioral Engagement model by including renowned endocrinologist Dr. Opada Alzohaili, who was trained in the model’s communication skills and previously earned high patient satisfaction survey ratings. Dr. Alzohaili’s post-pilot patient satisfaction scores were significant, revealing 100% improvement on all measures of patient perception of relational empathy duringtheir encounter with the doctor, in contrast to his pre-pilot patient satisfaction scores.

Dr. Clipper’s research data demonstrated that Behavioral Engagement with Pure Presence has “…a psychological effect on the patient’s perception of the patient-provider relationship. The patient perception of relational empathy with their doctor increased through improved provider communication skills through applying the Behavioral Engagement model.”

For more whole health discussions like this, listen to my weekly radio show Living Above The Drama available on iHeartRadio.