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<p>Everyday medical practice is largely determined by communication. In the doctor’s office or clinic, the patient encounters physicians and their assistants. Patients, and to a&#xa0;certain extent their relatives, have a&#xa0;legitimate interest in being informed about a&#xa0;diagnosis, their health status, and medical options. The term “compliance” has been replaced by “adherence,” which implies increased patient cooperation. These positive forms of creative participation and decision-making regarding therapeutic measures require communication that is both appreciative, empathetic, and informative. Every behavior is communication. Language, facial expressions, gestures, everything has an impact and can be consciously used by a&#xa0;trained person to ensure successful communication and thus the relationship between physician and patient. Conversely, poor communication is detrimental and increases the likelihood of misunderstandings or errors. Poor communication arises from a&#xa0;lack of empathy, impatience, and a&#xa0;lack of interest in the patient’s wishes and concerns. Patients with serious diagnoses have particularly high expectations regarding the exchange of information. The SPIKES model (setting, perception, invitation, knowledge, emotions, strategy) can be used to prepare well for a&#xa0;conversation. This is especially true when bad news needs to be delivered (breaking bad news). In addition to good preparation and talent, training in supportive communication is also beneficial. Checklists can help conduct important conversations in an orderly and empathetic manner, certainly within a&#xa0;certain timeframe. It is important for physicians to recognize within themselves a&#xa0;meaningful and appreciative attitude toward the suffering person. Successful communication is helpful and healing.</p>

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Kommunikation im ärztlichen Alltag – „breaking bad news“ als Chance

  • 期刊论文

  • 发表日期：

    2025年6月2日

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  • Harald Mori

摘要

Everyday medical practice is largely determined by communication. In the doctor’s office or clinic, the patient encounters physicians and their assistants. Patients, and to a certain extent their relatives, have a legitimate interest in being informed about a diagnosis, their health status, and medical options. The term “compliance” has been replaced by “adherence,” which implies increased patient cooperation. These positive forms of creative participation and decision-making regarding therapeutic measures require communication that is both appreciative, empathetic, and informative. Every behavior is communication. Language, facial expressions, gestures, everything has an impact and can be consciously used by a trained person to ensure successful communication and thus the relationship between physician and patient. Conversely, poor communication is detrimental and increases the likelihood of misunderstandings or errors. Poor communication arises from a lack of empathy, impatience, and a lack of interest in the patient’s wishes and concerns. Patients with serious diagnoses have particularly high expectations regarding the exchange of information. The SPIKES model (setting, perception, invitation, knowledge, emotions, strategy) can be used to prepare well for a conversation. This is especially true when bad news needs to be delivered (breaking bad news). In addition to good preparation and talent, training in supportive communication is also beneficial. Checklists can help conduct important conversations in an orderly and empathetic manner, certainly within a certain timeframe. It is important for physicians to recognize within themselves a meaningful and appreciative attitude toward the suffering person. Successful communication is helpful and healing.