Journal
PEDIATRICS
Volume 121, Issue 5, Pages E1441-E1460Publisher
AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2008-0565
Keywords
patient-doctor communication; medical education; patient-centered and family centered care; medical home; health care outcomes; breaking bad news; death notification; assent; empathy; treatment adherence
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Health care communication is a skill that is critical to safe and effective medical practice; it can and must be taught. Communication skill influences patient disclosure, treatment adherence and outcome, adaptation to illness, and bereavement. This article provides a review of the evidence regarding clinical communication in the pediatric setting, covering the spectrum from outpatient primary care consultation to death notification, and provides practical suggestions to improve communication with patients and families, enabling more effective, efficient, and empathic pediatric health care.
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