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by evrydayhustling
44 days ago
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Understood; these are the failure modes of cheap, weak tests in a system designed for expensive, high signal tests. I get that it is causing a real pain when these are introduced willy-nilly -- so is there a way for the medical system to evolve into making productive use of such signals? Because the status quo is not working for a lot of folks in managing their own health, and just saying "it has to be this way" --while every other aspect of their life takes advantage of a wider range of options -- leaves them careening into MAHA style crazyness . |
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In my personal (fully anecdotal) view, I think clinicians desperately need to get better at communication, as well as meta-communication. Right now the rift between the patient and practitioner is enormous, because Drs do not take the time to dutifully explain things and processes, and what pitfalls there may be, and like you said, just boil it down to "it has to be this way" and shrug.
Some of this is down to systems design, i.e. not enough time per patient;insufficient support staff (simple example is no nurse being present to take down history concurrently as you spend time with the patient, or no dictation facilities available so you have to manually type everything down during the consult, eating away what precious time you have w/ the patient); a specialist getting bombarded with things a generalist should have treated w/ no referral needed; jurisdictions where violence towards healthcare workers is prevalent and so on..
But I would wager that compassionate listening and communication is the lion's share in why there's this huge rift. We currently do not teach effective communication in medical school, students just see how their attending treats a patient, and they copy their style. Which is funny, because the first thing we were taught in preliminary internal medicine was that 80% of making a diagnosis (any diagnosis) is down to history taking and communication.
As for how exactly we would get institutions to take communication seriously, I have no idea.