医患沟通(英文版)

本教材遵循国家卫健委“十三五”规划教材《医患沟通》（第2版）的基本路径，即医患沟通概念与理论→医患沟通技能和方法→主要临床科室医疗服务全程的医患沟通经验和规律，编写中做了较大幅度的精简，编委主要为对留学生授课以及医学英语专业且职称在副教授以上人员，根据国外教材的基本体例进行编写，重点把关英文书写。本书兼顾教学和自学，积极贯彻“学生好学、教师好教”的写作方针。主要内容包括医患沟通概念、国内医患沟通学术、医学史中的医患关系、医学中人文内涵、医患沟通社会意义、医患沟通的原则、策略及模式、医患沟通语言和行为技能、医患沟通的机制与制度、外科医患沟通、医技科室和临床药学及全科医学的医患沟通等，重点内容涵盖：健康中国和医改深化的背景、社会主义核心价值观下的医患沟通理念、国外医患沟通学术概要、医学人文热点和趋势、临床思维和就医思维融合中临床环节的医患沟通、同理心表达技能、情绪管理技能、临床路径和网络医疗中的医患沟通、医患纠纷第三方处理机制等。

尹梅，教授，博士生导师，哈尔滨医科大学人文社会科学学院院长，哈尔滨医科大学医学伦理学研究所所长。全国师德标兵，黑龙江省教学名师。中国医师协会人文医学专业委员会副主任委员，中国医师协会人文医学专业委员会医学人文教育工作委员会主任委员，中国卫生法学会副会长，中华医学会医学伦理学分会常务委员，黑龙江省医学会医学伦理学分会主任委员，黑龙江省卫生法学研究会会长，黑龙江省医师协会医学人文专业委员会主任委员《中国医学伦理学》和《中华结直肠疾病电子杂志》副总编辑。担任重量规划教材《医学伦理学》《护理伦理学》《医患沟通》等多部教材主编。 长期从事医学人文相关研究工作。先后就医患关系和医院文化建设等问题进行了大量系统的、有针对性的调研工作，代表性学术观点被《健康报》及《医院报》等重要媒体报道、转载。担任人卫慕课“医学伦理学”课程主讲教授，获中华医学会全国医学教育技术优秀成果奖二等奖、2018年首届人卫慕课在线开放课程建设比赛微课制作一等奖。

Chapter 1 Introduction to Doctor-Patient Communication
Section 1 Overview of Doctor-Patient Communication/1
Ⅰ.The definition of doctor-patient communication/1
Ⅱ.The meaning of doctor-patient communication/3
Ⅲ.The concept of doctor-patient communication/3
Section 2 Humanistic Connotation in Medicine/4
Ⅰ.Medical model and gradual change/5
Ⅱ.The meaning of modern medicine/7
Ⅲ.Medical humanities and medical professionalism/8
Ⅳ.Evidence-based medicine and its realization/10
Section 3 Doctor-Patient Relationship and Doctor-Patient Needs/12
Ⅰ.Doctor-patient relationship and trend/12
Ⅱ.Patients' needs/14
Ⅲ.Doctors' needs/16
Chapter 2 Principles of Doctor-Patient Communication
Section 1 The Social Significance of Doctor-Patient Communication/18
Ⅰ.Improving the efficiency of universal access to health care/18
Ⅱ.Promoting the scientific decision-making and management of health care/18
Ⅲ.Building the harmonious doctor-patient society/19
Section 2 Medical Value of Doctor-Patient Communication/20
Ⅰ.Doctor-patient cooperation is the underlying motivation of medical development/20
Ⅱ.Improving the medical service process/20
Ⅲ.Doctor-patient decision-making achieves mutual benefit and win-win progress/22
Section 3 Function of Doctor-Patient Communication/24
Ⅰ.Providing the correct diagnosis/24
Ⅱ.Improving the therapeutic effect/26
Ⅲ.Developing harmonious doctor-patient relationship/27
Ⅳ.Boosting the modern medical model/29
Section 4 Application Mode of Doctor-Patient Communication/30
Ⅰ.The basic principles of doctor-patient communication/30
Ⅱ.The basic strategies of doctor-patient communication/32
Ⅲ.The clinical modes of doctor-patient communication/34
Chapter 3 Doctor-Patient Communication Skills
Section 1 Procedures for Doctor-Patient Communication/38
Ⅰ.Stages of doctor-patient communication/38
Ⅱ.The specific process of doctor-patient communication/39
Section 2 Basic Skills of Doctor-Patient Communication/42
Ⅰ.Verbal communication skills/42
Ⅱ.Non-verbal communication skills/46
Ⅲ.Written communication skills/48
Ⅳ.Empathy expression skills/50
Section 3 Emotional Management Skills of Medical Professionals/52
Ⅰ.Management of the anxiety/52
Ⅱ.Management of the anger/55
Chapter 4 Doctor-Patient Communication in Internal Medicine
Section 1 Doctor-Patient Communication in Cardiology/61
Ⅰ.Physical and mental characteristics of the patients and the social factors involved/61
Ⅱ.Positive communication in medical care/62
Ⅲ.Common barriers and solutions in doctor-patient communication/65
Section 2 Doctor-Patient Communication in Pneumology/67
Ⅰ.Physical and mental characteristics of the patients and the social factors involved/68
Ⅱ.Positive communication in medical care/70
Ⅲ.Common barriers and solutions in doctor-patient communication/73
Section 3 Doctor-Patient Communication in Gastroenterology/75
Ⅰ.Physical and mental characteristics of the patients and the social factors involved/75
Ⅱ.Positive communication in medical care/76
Ⅲ.Common barriers and solutions in doctor-patient communication/79
Section 4 Doctor-Patient Communication in Nephrology/81
Ⅰ.Physical and mental characteristics of the patients and the social factors involved/81
Ⅱ.Positive communication in medical care/82
Ⅲ.Common barriers and solutions in doctor-patient communication/86
Section 5 Doctor-Patient Communication in Endocrinology/88
Ⅰ.Physical and mental characteristics of the patients and the social factors involved/88
Ⅱ.Positive communication in the medical care/90
Ⅲ.Common barriers and solutions in doctor-patient communication/93
Section 6 Doctor-Patient Communication in Neurology/95
Ⅰ.Physical and mental characteristics of the patients and the social factors involved/95
Ⅱ.Positive communication in medical care/96
Ⅲ.Common barriers and solutions in doctor-patient communication/98
Section 7 Doctor-Patient Communication in Oncology/101
Ⅰ.Psychological characteristics of patients with malignant tumors/101
Ⅱ.Positive communication in medical practice/102
Ⅲ.Common barriers and solutions in doctor-patient communication/105
Section 8 Doctor-Patient Communication in Geriatrics/106
Ⅰ.Physical and mental characteristics of the patients and the social factors involved/106
Ⅱ.Positive communication in medical care/109
Ⅲ.Common barriers and solutions in doctor-patient communication/112
Chapter 5 Doctor-Patient Communication in Surgery
Section 1 Characteristics of Surgery and Surgical Patients/115
Ⅰ.Characteristics of surgery/115
Ⅱ.Characteristics of surgical patients/116
Section 2 Approaches of Doctor-Patient Communication in Surgery/117
Ⅰ.Comprehensive understanding of patients' physical, mental and social information/118
Ⅱ.Notification of surgical schemes and choice of patients/120
Ⅲ.Preoperative guidance and conversation/122
Ⅳ.Intraoperative communication/124
Ⅴ.Postoperative communication/125
Ⅵ.Communication with critical patients and their families/126
Section 3 Common Obstacles and Solutions of Doctor-Patient Communication/128
Ⅰ.Obstacles and solutions in doctor-patient communication caused by information
asymmetry of doctor-patient communication/128
Ⅱ.Obstacles and solutions in doctor-patient communication caused by the preoperative
inadequate communication/129
Chapter 6 Doctor-Patient Communication in Obstetrics and Gynecology
Section 1 Doctor-Patient Communication in Gynecology/132
Ⅰ.Physical and mental characteristics of the patients and the social factors involved/132
Ⅱ.Positive communication in medical care/133
Ⅲ.Common barriers and solutions in doctor-patient communication/136
Section 2 Doctor-Patient Communication in Obstetrics/138
Ⅰ.Physical and mental characteristics of the patients and the social factors involved/138
Ⅱ.Positive communication in medical care/139
Ⅲ.Common barriers and solutions in doctor-patient communication/142
Chapter 7 Doctor-Patient Communication in Pediatrics
Section 1  Disease Characteristics and Physical and Mental Characteristics of Children/144
Ⅰ.The pediatric disease characteristics/144
Ⅱ.The physical and mental characteristics of children and parents/145
Section 2 Key Points of Doctor-Patient Communication in Pediatrics/147
Ⅰ.Communicating according to the different characteristics of children/147
Ⅱ.Interpreting the body language of infants and children/149
Ⅲ.Overcoming children's fear/149
Ⅳ.Effective communication with parents/149
Ⅴ.Creating the proper medical environment for children/151
Section 3 Common Obstacles and Solutions of Doctor-Patient Communication/152
Communication conflicts caused by insufficient understanding of the disease by the parents/152
Chapter 8 Doctor-Patient Communication in Rehabilitation
Section 1  Physical and Mental Characteristics of the Patient and the Social Factors involved/154
Ⅰ.Physical and mental characteristics of the patients/154
Ⅱ.Social factors/158
Section 2 Positive Communication in Medical Care/159
Ⅰ.Obtaining the important medical history and its significance/159
Ⅱ.Medical and health education for patients/160
Ⅲ.Moderate notification of risks in treatment for patients/160
Ⅳ.Offering patients the choice of informed treatment/161
Ⅴ.Guiding patients and their families to cooperate in treatment/161
Section 3 Common Obstacles and Solutions in Doctor-Patient Communication/162
Chapter 9 Nurse-Patient Communication
Section 1 Overview of Nurse-Patient Communication/165
Ⅰ.The concept of nurse-patient communication/166
Ⅱ.The type of nurse-patient communication/166
Ⅲ.The process of nurse-patient communication/167
Ⅳ.The characteristics of nurse-patient communication/167
Section 2 Basic Skills of Nurse-Patient Communication/169
Ⅰ.Sincerity/169
Ⅱ.Decency/170
Ⅲ.Empathy/170
Ⅳ.Listening/171
Ⅴ.Silence/171
Section 3 Clinical Nurse-Patient Communication/172
Ⅰ.Communication in basic nursing performance/172
Ⅱ.Communication in special nursing performance/173
Ⅲ.Communication with patients about health education/174
Ⅳ.Communication with patients about bad news/175
Ⅴ.Communication in response to patients' complaints/176
Section 4 Nurse-Patient Communication in the Community/177
Ⅰ.Communication with children patients in the community/177
Ⅱ.Communication with pregnant women in the community/178
Ⅲ.Communication with patients with chronic diseases and elderly patients in the community/179
Appendix Ⅰ Teaching and Learning Guide for Doctor-PatientCommunication/181
Appendix Ⅱ Selected Popular Image and Language in Doctor-Patient
Communication/187
Appendix Ⅲ Basic Skills in Doctor-Patient Communication/192
Further Reading/195