Document Detail

The patient-physician relationship in the approach to therapeutic management.
MedLine Citation:
PMID:  17508159     Owner:  NLM     Status:  MEDLINE    
Recent epidemiological investigations have demonstrated that migraine, and more generally primary headaches, are underdiagnosed and poorly treated. To tackle and resolve this problem, in addition to identifying efficient screening means and reliable disability measurement tools, it is crucial to improve communication between physicians and patients. In particular, physicians should be willing and have time to establish a relationship of active and mutual cooperation with their patients and should do so through a number of inescapable steps: listening to patients, understanding their needs, identifying with their condition, giving them explanations and information, reassuring their concerns, advising them on what should be done, making sure that they have correctly understood what they have been told, finding out whether they want to be involved in decision-making and choosing a treatment. Patients must be in a position to freely express their opinions, with no hurry and without fear. Indeed, the time spent with patients, as Graham pointed out as early as 40 years ago, is the most important ingredient of migraine therapy. Proper measures should be taken to overcome the two major obstacles that stand in the way of a good patient-physician relationship: a physician's lack of adequate skills and the organisational absurdities of the health system.
G C Manzoni; P Torelli
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology     Volume:  28 Suppl 2     ISSN:  1590-1874     ISO Abbreviation:  Neurol. Sci.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-17     Completed Date:  2007-08-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100959175     Medline TA:  Neurol Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  S130-3     Citation Subset:  IM    
Headache Centre, Department of Neuroscience, University of Parma, Via Gramsci 14, I-43100 Parma, Italy.
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MeSH Terms
Attitude of Health Personnel
Counseling / standards
Headache Disorders / psychology*,  therapy*
Health Services Accessibility
Office Visits / trends
Patient Education as Topic / standards*
Physician-Patient Relations*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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