I had to interview my mother due to Hurricane Matthew knocking down the original interview’s parent’s house. My mother is a high risk obstetrician specializing in diabetes. She has worked in both public and private healthcare which is something I focused on in the interview. If you see my mother as a patient, you have a problem with your pregnancy either the mother or the baby. She mentioned that she has noticed since moving to private practice she has seen more ownership with her patients. She said that the patients want to be there and are more likely to do what they tell them to do rather than when she worked in a public health system. When she worked in a public system those patients were forced to see her and were less likely to do what she recommended or not show up at all, not that all patients were like that just most of the ones she saw. One example she gave me was of a woman who had diabetes and was obese and my mother gave her an action plan for her pregnancy (because being overweight and diabetic can be fatal to the mother and child) the woman said she was not going to do it because that was not a real problem for her. I then asked about communication within her profession. She agreed it was very important and you have different communication between patients, nurses, and other physicians. She said with patients you always need to speak slowly and give the bad news upfront to make sure they did not think you were hiding something. She said often with bad news once they hear it they shut down and you will have to go over it a few times as well as give them paper recourses so they can read about it later. Since bad news was a common theme throughout what she said I made it into a question and asked since her job was to deliver bad news then find a way to fix it, how was the easiest way to do it? She said everything she did before as well as making sure you are speaking slow and breaking it down as easiest as possible. Communication barriers are a big problem for her she said mostly due to the fact that people shut down or the language barriers. They have to get translators or translating phones sometimes which can make the patient more nervous but ultimately help the patient. It was a very informative interview while Matthew hit our house.
Communication in Healthcare: http://www.hhs1.com/the-importance-of-communication-in-healthcare/
Language Barriers in Healthcare: http://medicaleconomics.modernmedicine.com/medical-economics/news/patient-language-barriers-why-physicians-are-responsible
Patients receiving bad news: http://www.kevinmd.com/blog/2013/07/guide-giving-bad-news-patients.html