Author: Anna B. Tsvetkova, Vladimir A. Evstafiev
Communicology. 2018. Vol.6. No.5
Anna Borisovna Tsvetkova, Cand. Sc. (Econ.), assoc. prof of marketing department, Plekhanov Russian University of Economics; Vladimir Alexandrovich Evstafiev, Dr.Sc. (Philol), Professor, Head of advertising and PR department, RANEPA. E-mail: calin@list.ru.
Abstract. Extremely important that the communicative competence of a doctor determines the patients’ understanding of the treatment technology and the implementation of their prescriptions, which ultimately leads to compliance. This significant component of the treatment process in the form of communication “doctor-patient” will be discussed in the current article. Successful treatment of disease with prescription medicines requires consistent use of the medicines as prescribed.
Many research show that medicines commonly are not used as directed. Nonadherence to medicines is a major health care cost and quality problem, with numerous studies showing high rates of nonadherence directly related to poor clinical outcomes, high health care costs, and lost productivity. The cost of nonadherence has been estimated at $100 billion to $300 billion annually [Sweeney]. Human and economic costs associated with nonadherence can be avoided by improving the communicative competence of the doctor and patient, which, in turn, helps to provide better results and greater value from our health care system.
The authors represent the results of research of medical services consumers, and specify the criteria of communicative interaction between the doctor and the patient.
Keywords: personal communications, communicative competence of a physician, the reputation of the medical institution, the loyalty of the consumers of medical services, doctor-patient relationship, compliance, adherence
Text: PDF
For citation: Tsvetkova A.B., Evstafiev V.A. Communicative elements of compliance in the practice of medical personnel. Communicology (Russia). 2018. Vol. 6. No.5. P. 49-68. DOI 10.21453 / 2311-3065-2018-6-5-49-68.
References
Amutio-Kareaga A., García-Campayo J., Delgado L.C., Hermosilla D., Martínez-Taboada
C. (2017). Improving Communication between Physicians and Their Patients through Mindfulness and Compassion-Based Strategies: A Narrative Review. Journal of Clinical Medicine. Vol.33. №6. P.1-17, doi:10.3390/jcm6030033. http://www.mdpi.com/journal/jcm.
Bakić-Mirić N.M., Bakić N.M. (2008). Successful doctor-patient communication and rapport building as the key skills of medical practice. Medicine and Biology. Vol.15, № 2. P. 74–79.
Combes J.R., Arespacochaga E. (2012). Lifelong Learning Physician Competency Development. American Hospital Association’s Physician Leadership Forum, Chicago, IL. P.20
Concordance, adherence and compliance in medicine taking. (2005). Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO). P. 12
Dudley-Brown S. (2013). The Importance of Medication Adherence [access mode]: https://www. hopkinsmedicine.org/IBDsymposium/Presentations_2013/Medication_Adherence.pdf.
Habieva T.H., Zholdasbekova S.S., Saktapov A.K., Amanzholova U.Sch. (2016). Training of communicative competence and psychology of human relations as important areas of management in health care. Bulletin of the Kazakh national medical University. No.3. P. 301-304 (In Rus.).
Klöckner Cronauer C. (2013). How physician affective communication skills arerelated to patient characteristics and outcomes. Thesis presented at the Faculty of Economics Institute of Work and Organizational Psychology University of Neuchâtel For the degree of PhD in Psychology. P. 116 [access mode]: https://doc.rero.ch/record/208927/files/these_Kl_cknerC.pdf
Kurtz S., Silverman J., Draper J. (1998). Teaching and Learning Communication Skills in Medicine. Oxford: Radcliffe Medical Press.
Lozhkina L.I. (2015). Compliance as an actual problem of medical psychology: theoretical and methodological aspects. News of Saratov University. New series. The Series Of Philosophy. Psychology. Pedagogy.Vol. 15. No.3. P.75-80 (In Rus.).
Sidorchuk R.R., Skorobogatykh I.I., Meshkov A.A., Musatov B.V., Efimova D.M., Tultaev T.A., Evseeva D. (2017) Values and consumer preferences of the youth audience. Moscow: Creative economy. P.182 (In Rus.).
Skorobogatyh I.I., Sidorchuk R.R., Meshkov A.A., Musatov B.V., Efimova D.M., Tultaev T.A., Evseeva D. (2016) The concept of wave marketing research to study the value orientations of the student audience. Marketing in Russia and abroad. No.6. P. 30-36 (In Rus.).
Skorobogatykh I.I., Musatova Zh.B. (2015). SMART marketing: technologies, tools, performance evaluation. Kazan economic Bulletin. No.5 (19). P. 92–96 (In Rus.).
Sweeney Sh. (2011). Improving prescription medicine adherence is key to better health care [access mode]: http://phrma-docs.phrma.org/sites/default/files/pdf/PhRMA_Improving%20 Medication%20Adherence_Issue%20Brief.pdf.
Tsvetkova A.B., Skorobogatykh I.I. (2017). Perception of media channels by the youth segment of consumers in the market of medical services. Marketing and marketing research. No.2. P.132-144 (In Rus.).
Vajda B. (2011). Compliance and health behaviour in medical services. Hetesi, E. – Kürtösi, Zs. (eds): The diversity of research at the Szeged Institute of Business Studies. JATEPress, Szeged. P. 131–141.
Zvereva N.S. (2016). Psychological features of doctor-patient relations in modern Russian society. Social acmeology and psychology. No.4. P. 131–136 (In Rus.).
Communicology. 2018. Vol.6. No.5
Anna Borisovna Tsvetkova, Cand. Sc. (Econ.), assoc. prof of marketing department, Plekhanov Russian University of Economics; Vladimir Alexandrovich Evstafiev, Dr.Sc. (Philol), Professor, Head of advertising and PR department, RANEPA. E-mail: calin@list.ru.
Abstract. Extremely important that the communicative competence of a doctor determines the patients’ understanding of the treatment technology and the implementation of their prescriptions, which ultimately leads to compliance. This significant component of the treatment process in the form of communication “doctor-patient” will be discussed in the current article. Successful treatment of disease with prescription medicines requires consistent use of the medicines as prescribed.
Many research show that medicines commonly are not used as directed. Nonadherence to medicines is a major health care cost and quality problem, with numerous studies showing high rates of nonadherence directly related to poor clinical outcomes, high health care costs, and lost productivity. The cost of nonadherence has been estimated at $100 billion to $300 billion annually [Sweeney]. Human and economic costs associated with nonadherence can be avoided by improving the communicative competence of the doctor and patient, which, in turn, helps to provide better results and greater value from our health care system.
The authors represent the results of research of medical services consumers, and specify the criteria of communicative interaction between the doctor and the patient.
Keywords: personal communications, communicative competence of a physician, the reputation of the medical institution, the loyalty of the consumers of medical services, doctor-patient relationship, compliance, adherence
Text: PDF
For citation: Tsvetkova A.B., Evstafiev V.A. Communicative elements of compliance in the practice of medical personnel. Communicology (Russia). 2018. Vol. 6. No.5. P. 49-68. DOI 10.21453 / 2311-3065-2018-6-5-49-68.
References
Amutio-Kareaga A., García-Campayo J., Delgado L.C., Hermosilla D., Martínez-Taboada
C. (2017). Improving Communication between Physicians and Their Patients through Mindfulness and Compassion-Based Strategies: A Narrative Review. Journal of Clinical Medicine. Vol.33. №6. P.1-17, doi:10.3390/jcm6030033. http://www.mdpi.com/journal/jcm.
Bakić-Mirić N.M., Bakić N.M. (2008). Successful doctor-patient communication and rapport building as the key skills of medical practice. Medicine and Biology. Vol.15, № 2. P. 74–79.
Combes J.R., Arespacochaga E. (2012). Lifelong Learning Physician Competency Development. American Hospital Association’s Physician Leadership Forum, Chicago, IL. P.20
Concordance, adherence and compliance in medicine taking. (2005). Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO). P. 12
Dudley-Brown S. (2013). The Importance of Medication Adherence [access mode]: https://www. hopkinsmedicine.org/IBDsymposium/Presentations_2013/Medication_Adherence.pdf.
Habieva T.H., Zholdasbekova S.S., Saktapov A.K., Amanzholova U.Sch. (2016). Training of communicative competence and psychology of human relations as important areas of management in health care. Bulletin of the Kazakh national medical University. No.3. P. 301-304 (In Rus.).
Klöckner Cronauer C. (2013). How physician affective communication skills arerelated to patient characteristics and outcomes. Thesis presented at the Faculty of Economics Institute of Work and Organizational Psychology University of Neuchâtel For the degree of PhD in Psychology. P. 116 [access mode]: https://doc.rero.ch/record/208927/files/these_Kl_cknerC.pdf
Kurtz S., Silverman J., Draper J. (1998). Teaching and Learning Communication Skills in Medicine. Oxford: Radcliffe Medical Press.
Lozhkina L.I. (2015). Compliance as an actual problem of medical psychology: theoretical and methodological aspects. News of Saratov University. New series. The Series Of Philosophy. Psychology. Pedagogy.Vol. 15. No.3. P.75-80 (In Rus.).
Sidorchuk R.R., Skorobogatykh I.I., Meshkov A.A., Musatov B.V., Efimova D.M., Tultaev T.A., Evseeva D. (2017) Values and consumer preferences of the youth audience. Moscow: Creative economy. P.182 (In Rus.).
Skorobogatyh I.I., Sidorchuk R.R., Meshkov A.A., Musatov B.V., Efimova D.M., Tultaev T.A., Evseeva D. (2016) The concept of wave marketing research to study the value orientations of the student audience. Marketing in Russia and abroad. No.6. P. 30-36 (In Rus.).
Skorobogatykh I.I., Musatova Zh.B. (2015). SMART marketing: technologies, tools, performance evaluation. Kazan economic Bulletin. No.5 (19). P. 92–96 (In Rus.).
Sweeney Sh. (2011). Improving prescription medicine adherence is key to better health care [access mode]: http://phrma-docs.phrma.org/sites/default/files/pdf/PhRMA_Improving%20 Medication%20Adherence_Issue%20Brief.pdf.
Tsvetkova A.B., Skorobogatykh I.I. (2017). Perception of media channels by the youth segment of consumers in the market of medical services. Marketing and marketing research. No.2. P.132-144 (In Rus.).
Vajda B. (2011). Compliance and health behaviour in medical services. Hetesi, E. – Kürtösi, Zs. (eds): The diversity of research at the Szeged Institute of Business Studies. JATEPress, Szeged. P. 131–141.
Zvereva N.S. (2016). Psychological features of doctor-patient relations in modern Russian society. Social acmeology and psychology. No.4. P. 131–136 (In Rus.).