Vital Conversations: Improving Communication Between Doctors and Patients by • Poor patient understanding of the disease or treatment
• Inadequate follow-up or confusion about follow-up
• Comorbidities such as substance abuse and psychiatric diagnoses
• Financial difficulties
• Lack of insurance
• Premature discharge
• Lack of discussion about care goals
• Low health literacy
From:
The Medical Interview by 
The Medical Interview, 3e by 
Smith's Patient-Centered Interviewing: An Evidence-Based Method, 4e by 
Understanding Clinical Negotiation by 
Motivational Interviewing by ...learn not only what’s the matter with them but also what matters to them.
Service Fanatics: How to Build Superior Patient Experience the Cleveland Clinic Way by 