The eight principles described in the APhA Code of Ethics for Pharmacists

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Patient –centered
communication in
medical practice
DR/FATMA AL-THOUBAITY
SURGICAL CONSULTANT
ASSOCIATE PROFESSOR

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 Teaching physicians patient-centered
communication skills is important to
improve the quality of care for all
patients.

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Patient-centered theory
suggests that patients who think they
understand their symptoms and feel
understoodby their physicians may be
less anxious, have greater confi dence in
their physician’s abilities, and be more
trusting of their physician.

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 Improved health and patient trust

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 group of communication strategies and
behaviors that promote mutuality, shared
understandings, and shared decision
making in health care encounters

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 Evidence is emerging that relationships
between patients and physicians can affect the
quality of care and health outcomes .

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 Patients were asked to rate their
physician's decision-making style, their
overall satisfaction with the visit, and
whether they would recommend the
physician to a friend.

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 the researchers made audio recordings of the visits
and then analyzed the verbal communications in terms
of the categories of data-gathering, patient education
and counseling, and relationship-building. They also
analyzed independent observer ratings of the overall
the emotional tone of doctor-patient interactions.

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 Pharmacists are accepting more
responsibility in ensuring that patients
reach desired outcomes with their
medication therapy.

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PCC
 Trusting relationships.
 Open exchange of information.
 Decision-making process regarding
treatment.
 Therapeutic goals .

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Pharmacist Responsibility
in patient care
 Medication related errors are the most
prevalent errors in medical care.

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Importance of
communication in meeting
patient care responsibilities
 It establishes the ongoing relationship
between the provider and the patient.
 It provides the exchange of information
necessary to assess a patient‘s health
condition,implement treatment of medical
problems and to evaluate the effects of
treatment on a patient ‘s quality of life.

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The purpose of the
professional –patient
relationship
 Achieve mutually understood & agreed-
upon health outcomes that improve a
patient,s quality of life.

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 Ensure the patients understand their
treatment & take medications safely &
appropriately.

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Providing patient-centered
care (the five dimensions of
PCC )
 The pharmacist must be able to:
1. Understand the illness experience of the patient.
2. Perceive each patient's experience as unique.
3. Foster a more egalitarian relationship with patients.
4. Build a therapeutic alliance with patients to meet
mutually understood goals of therapy.
5. Develop self-awareness of personal effects on
patients.

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Understand the illness
experience of the patient.
1. Social .
2. Psychological.
3. Biomedical.

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Perceive each patient's
experience as unique.
 Patient as a person.

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Foster a more egalitarian
relationship with patients
or ideal relation ship with
patients:how?
 Involve in a more active dialogue.
 Share power and responsibility in the
decision-making.

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Understanding medication
use from the patient
perspective

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Encourage patients to share
their experience with
therapy
 They have unanswered questions.
 Misunderstanding.
 Experience problems related to therapy.
 Monitor their own response to treatment.
 Make their own decisions regarding
therapy.
They may not reveal this information to you unless you
initiate a dialogue.

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Conclusion
 An effective communication process can
optimize the chance that patients will
make informed decisions,use
medications appropriately,and ultimately
meet therapeutic goals.

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1. Helping patients feel understood
through inquiry into patients’ needs,
perspectives, and expectations.
2. Attending to the psychosocial context.
3. Expanding patients’ involvement in
understanding their illnesses and in
decisions that affect their health.

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Home work
 What is the goal of PCC?