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Vital ConversationsImproving Communication Between Doctors and Patients$
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Dennis Rosen

Print publication date: 2014

Print ISBN-13: 9780231164443

Published to Columbia Scholarship Online: November 2015

DOI: 10.7312/columbia/9780231164443.001.0001

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Better Outcomes, Lower Costs

Better Outcomes, Lower Costs

(p.1) 1 Better Outcomes, Lower Costs
Vital Conversations

Dennis Rosen

Columbia University Press

This chapter discusses the importance of good communication between physician and patient, and how its promotion and enhancement can lead to a better and more efficient healthcare system. Good communication between patient and physician is essential for the physician to be able to recognize and appropriately treat the patient's problems. The subjective history supplied by the patient provides the context within which objective data collected by the physician are assessed, and directs the physician's focus to those matters that require his attention. Better physician-patient communication also improves the patient's medical adherence or “the extent to which a patient acts in accordance with the prescribed interval and dose of a dosing regimen”; leads to better use of preventive medical services such as cancer screening; and reduces the incidence of adverse events within the hospital setting, such as wrong-side surgery and medication errors, which can result in lengthier and more complicated stays.

Keywords:   physician-patient communication, physician-patient relationship, healthcare system, patient history, medical adherence, preventive medical services, adverse events

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