Investigation On Clinical Communication Skills Of Medical Interns And Influencing Factors

Background: In recent years, as the development of market economics and the changes of Health Care system, the relationship between doctors and patients becomes terrible; and the reasons include many aspects such as Current National conditions, Policies, Laws, social opinions and so on. At the Higher Medical Education System in China, the schools and professors just focused on the medical knowledge; but they ignored the way to communicate with the patients. So as the increasing number of the contradictions between doctors and patients, enhancing the Clinical Communication Abilities for the medical systems will be very important.Objective: To discover the problems of medical interns in clinical communication by investigating their present communcation situation; to find the problems in training of clinical communication and education through analyzing the key factors affecting their clinical communcation; and to put forward constructive countermeasures and suggestions, so as to provide reference suggestions for educational reform on clinical communication skills of undergraduates in our university.Methods: This study designed a comprehensive, scientific and reasonable questionnaire. A total of 200 undergraduate interns were randomly selected from clinical medical specialty of grade 2010 in Chongqing Medical University as research objects. Based on the statistical investigation method, statistical database was set, SPSS was used for data processing, to analyze the influences of various factors affecting the doctor-patient communication behavior of interns.Results: Generally, female students had better clinical communication skills than male students, students with greater interest in medicine did better in doctor-patient communication, interns with better scores had stronger clinical communication ability, and extroverted interns were well evaluated on their clinical communication; interns with systemic training on clinical communication had stronger communication ability. In addition, patients’ non-confidence on the interns, as well as the report of news media also had effects on clinical communication behavior of interns.Conclusion: The cause of the unharmonious relationship between doctors and patients involves many aspects, from national conditions, system, policy to public opinion, etc. However, in the presence of these objective factors, medical colleges and universities should take practical measures to strengthen the clinical communication skills of medical students, while medical students themselves must learn the skills to communicate and deal with the relationship and improve the quality of medical service. It is a necessary condition for medical students to become qualified clinicians, and is also an important way to improve doctor-patient relationship and reduce medical disputes.