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Breaking bad news.

R C Charlton1

  • 1Department of General Practice, University of Otago, Dunedin, New Zealand.

The Medical Journal of Australia
|November 2, 1992
PubMed
Summary
This summary is machine-generated.

A sympathetic approach to breaking bad news is crucial for the doctor-patient relationship. Education can enhance these essential communication skills for healthcare professionals.

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Area of Science:

  • Medical Communication
  • Doctor-Patient Relationship

Background:

  • The manner in which medical information, particularly bad news, is communicated significantly impacts the doctor-patient relationship.
  • Historical trends indicate evolving expectations regarding truth disclosure in healthcare.

Purpose of the Study:

  • To investigate the significance of a sympathetic approach when delivering bad news.
  • To explore the role of communication skills in maintaining a positive doctor-patient relationship.

Main Methods:

  • A comprehensive review of worldwide surveys was conducted.
  • Utilized Medline Computer Search to identify 22 relevant questionnaire studies.
  • Included perspectives from healthcare professionals, the public, and patients with various diseases.

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Main Results:

  • Data reveals a consistent trend since 1950 showing an increased desire for openness among patients, the public, and doctors.
  • Evidence suggests a growing preference for transparent communication in healthcare settings.

Conclusions:

  • Effective breaking bad news requires specific skills that can be learned.
  • Organized undergraduate and postgraduate medical education should prioritize communication skills and the doctor-patient relationship.