How can you ensure that physicians understand patient preferences?

1 Know the patient's preferences

The first step is to know what the patient wants and needs from their health care. You can do this by asking open-ended questions, listening actively, and clarifying any doubts or concerns. You can also use tools like advance directives, living wills, or health care proxies to document the patient's wishes in case they cannot speak for themselves.

3 Share the patient's preferences

The third step is to share the patient's preferences with the physician in a clear and concise way. You can do this by using specific examples, facts, and evidence to support your points. You can also use statements like "The patient prefers...", "The patient feels...", or "The patient values..." to emphasize the patient's perspective and autonomy. Avoid using vague or ambiguous terms, assumptions, or judgments, as this can create confusion and misunderstanding.

4 Ask for the physician's input

The fourth step is to ask for the physician's input and feedback on the patient's preferences. You can do this by using open-ended questions, such as "What are your thoughts on this?", "How do you see this option?", or "How would you approach this situation?" You can also use reflective listening, paraphrasing, and summarizing to show that you understand and respect the physician's point of view. Avoid interrupting, arguing, or dismissing the physician's input, as this can create conflict and resentment.

5 Negotiate a plan of action

The fifth step is to negotiate a plan of action that meets the patient's preferences and the physician's recommendations. You can do this by using collaborative language, such as "Let's find a solution that works for both of you", "How can we compromise on this issue?", or "What are the pros and cons of each option?" You can also use positive reinforcement, gratitude, and encouragement to motivate and acknowledge the physician's cooperation. Avoid being rigid, demanding, or ultimatum-driven, as this can create resistance and hostility.

6 Follow up and evaluate

The sixth step is to follow up and evaluate the outcome of the plan of action. You can do this by checking in with the patient and the physician regularly, monitoring the progress and results, and addressing any issues or changes that arise. You can also use feedback, appreciation, and recognition to celebrate the successes and learn from the challenges. Avoid being complacent, negligent, or indifferent, as this can create dissatisfaction and distrust.

7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?