Communicating well in general practice

Evidence of deficiencies in communication skills in general practice abound, despite the importance with which such skills are regarded both within the profession and outside it. A qualitative assessment of associated literature over a 35-year period showed that good communication skills are associated with markers of better care and even of better health. Teaching communication skills to students is regarded as important, but it is not clear what form of education leads to better communication. Sufficient time is one of the most important elements; appropriate attitudes on the part of the clinician are probably important too. General practitioners can improve their care of patients by paying more attention to good communication and to understanding the consultation process.