Physician-patient communication is the critical component not only of primary medical care but also of all health care. Communication may be through verbal or non-verbal means, each of them has its efficiency in affecting patient interaction with physician, understanding physician interview questions and explanations and giving detailed information about his clinical status by making him feel confidence and trust and making him feel comfortable throughout the primary health care interview steps. Humanity and respecting the patient culture and believes also have their great effects as physician-patient communication means. Successful physician-patient communication could lead to favorable patient outcomes, then poor performance during physician-patient communication lead to less favorable outcomes. Physician attitude, reactions, position, behaviors, and many other aspects also have a great impression on the therapeutic communication outcomes.
To determine common reasons for poor physicians' performance in physician-patient communication in primary health care and to focus on which behaviors are favorable to be attached to and which behaviors to be prevented during the primary health care interviews to get a better outcome.
Scientific websites were used to search for articles related to our subjects such as Pubmed and Google scholar using several keywords including physician-patient communication, physician-patient relationship, and barriers of physician-patient communication
We obtained 32 articles, 25 of them were included, and they were published between the years 1979 to 2017, whereas those who excluded weren't focusing on our aim.
Low medical literacy of patients, the high workload for physicians and low awareness of communication skills, lead to failure of expressing a friendly attitude toward patients or involving them in decision making which leads to patient distrust and defensive behavior and then the failure of the full collection of patient information.
Key words: Communication, Barriers, Physician-patient, Relationship, primary health care