Some of the reasons include:
- Many drama kings and queens,
- Many cannot concisely explain what is bothering (or ails) them,
- Many patients do not have the terms to use (health literacy),
- There is too little time with the doctor, and
- Many doctors cut the patient short from giving details.
This is sad that in this day and age, with many tools available to doctors and patients for better communications, the art of communication falls by the way-side and is not used. While it is estimated that 80 percent of serious medical errors involve miscommunication between caregivers. This happens in hospitals and between doctors when a patient is referred to another doctor. This is even more complicated now that electronic health records have entered the picture.
Hand-offs is one area where communication has to improve. This is especially true for the elderly being discharged from a hospital to their home or to a nursing facility. The office visit is another. Poor communication is blamed for patient frustration, non-compliance with treatment and medications, and general lack of trust in the physician. It is said by some that many doctors are interested in their patients and desire to make the right medical decision about medical care.