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IMPROVING THE PATIENT’S LIFE
THROUGH
MEDICAL EDUCATION
How to reach compliance of diabetes patients to treatment -
Doctor-Patient Communication
.
Daniel Schmid, PhD
St Petersburg, Russia - April 25, 2015
2
Objectives
• Better understanding of our patients
• Improvement of patient relations through Empathy and
Observation
• Enhance communication through adaption of own
communicative style to the (needs) behavior style of the patient
Outcome
• Better therapeutic relationship with patients
• Improve adherence to therapeutic regimen (compliance)
3
Who is that person there?
Things I know
Things I don’t know
How do I
acquire
unknown
information?
Empathy
&
Versatility
Feel WITH
Empathy?!
• Situational Awareness
• Social and Emotional
Intelligence
• Compassion
• Desire to transform
suffering
Empathy consists of…
• It develops resilience
• Enhances connections
between people
• Maximizes neural
integration
• Enhances our immune
system 
Why is Empathy good for you?
• Moral outrage
• Fear
• Pity
• Focus on other things
• Time
• Self-absorption
• Daydreaming
Enemies of Empathy
What does ‘to listen’ mean?
• Pay Attention
• Show That You're
Listening
• Provide Feedback
• Defer Judgment
• Respond Appropriately
Active Listening, behaviors:
Versatility
“if all you have is a hammer,
everything looks like a nail”
Are you versatile?
Assertiveness
Extroversion
Behaviors
Assertiveness ++Assertiveness - -
Extroversion - -
Extroversion + +
Social Styles
Analytical Driver
Amiable Expressive
Critical
Picky
Detailed
Indecisive
Pushy
Tough
Dominating
Decisive
Excitable
Undisciplined
Enthusiastic
Stimulating
Conforming
Respectful
Caring
Willing
Typical Descriptors
Analytical Driver
Amiable Expressive
• Talk slowly
• Give detailed info
• Stress on safety and experience
of treatment
• Listen to questions and
concerns
• Do not push for a decision
• Give only relevant info
• Stress on cost-benefit
• Be synthetic, clear and straight
forward speech
• Be focused
• Give facts and data
• Be solution driven
• Accept patient’s decision
• Be positive and optimistic
• Give credit to the patient’s opinion
• Be energetic
• Be solution driven
• Stress on customer behavior
• Support patient’s decision
• Discourage treatment changes
• Reassure
• Create a relationship
• Listen empathetically
• Share experience (also
Personal)
• Create trust
• Advise for decision
Adaptiation to Styles
Empathy
Versatility
Active Listening
Observation
• Adaptation of Communication
• Influencing Patient
Summary

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