I realized something was very wrong. Reviewing the interactions from a medical viewpoint, she found no problems. So patients didn't feel that what the doctor offered them in terms of treatment or suggestions was relevant. They have to listen more than talk, find out what the patient has already done, and what they'd like to do. Most of all, physicians can't think of patients as passive victims any more, waiting for the M.D. to decree what they should do.
Physicians have to think of patients more as partners now.
However, Korsch says, not all the responsibility for good communicating falls on the doctor. In fact, effective communication well before engaging a physician can save a lot of time and hassle. You can ask how they feel about letting the baby cry, about working mothers and other issues. You can find out before you start if you have a conflict. IN HER BOOK Korsch stresses the power imbalance in the doctor-patient relationship.