The opening of the consultation. The ending is in the beginning

Authors

  • José Mendes Nunes Chefe de Serviço de Clínica Geral, USF São Julião, Centro de Saúde de Oeiras. Assistente Convidado da Cadeira de Medicina Geral e Familiar, da Faculdade de Ciências Médicas, da Universidade Nova de Lisboa.

DOI:

https://doi.org/10.32385/rpmgf.v25i2.10608

Abstract

The technological development related with medicine lead to the depreciation of the doctor-patient relationship in favour of the relationship doctor-technology. The consultation is a diagnosis and therapeutic procedure with high technical complexity and its success depends on the quality of the doctor-patient relationship developed. On the other hand, if in the relationship doctor -technology the competence is in the knowledge how to do and when to do, in the doctor-patient relationship, besides this competence, it is necessary to know how to be and when to be. These two orders of competences must be constant throughout all consultations stages; however, the observation of practice shows that in the opening phase there is attenuation in the level of providers commitment. This lower commitment affects the subsequent stages of consultation and has a negative impact on the overall result. The aims of this work are to describe arguments that point out to the importance of awareness and commitment in opening stage, and present some techniques designed to increase the probability of the patient building positive first impressions, which are precious to the establishment of an effective therapeutic relationship.

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Published

2009-03-01

How to Cite

The opening of the consultation. The ending is in the beginning. (2009). Portuguese Journal of Family Medicine and General Practice, 25(2), 199-207. https://doi.org/10.32385/rpmgf.v25i2.10608

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