Empathy in general practice: its meaning for patients and doctors

Eby, Don

doi:10.3399/bjgp18x698453

Cited by 16 publications

(9 citation statements)

References 10 publications

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“…8,9 Empathy is defined as the capacity to recognize, share, understand, and respond with care to the experiences of others. 10 Canovas et al (2018) reported that physicians' empathy (P < 0.001) had positive outcomes such as pain relief in patients with chronic pain. 9 Hojat et al (2011) found that physicians' empathy (P < 0.01) was associated with better control of hemoglobin (HbA1c) and low-density lipoprotein in a sample of patients with diabetes.…”

Section: Introductionmentioning

confidence: 99%

“…12 More empathy in the physician-patients relationship strengthens mutual understanding and trust between the physician and patients. 10 Perceiving the physician's empathy could show better adherence to recommended treatment and have a lot of therapeutic benefits for patients, such as pain relief. 9,13e15 So, patients' empathy may improve their own health-related QOL in general practice.…”

Section: Introductionmentioning

confidence: 99%

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Moderating Effects of Forgiveness on Relationship Between Empathy and Health-Related Quality of Life in Hemodialysis Patients: A Structural Equation Modeling Approach

Yuan

et al. 2019

Journal of Pain and Symptom Management

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Context. Health-related quality of life (QOL) is a recommended clinical tool to assess hemodialysis patients and a primary end point to observe the effectiveness of overall disease management. Empathy is associated with positive outcomes such as pain relief and reduced anxiety and distress. Numerous studies have tested the relationships among empathy, forgiveness, and QOL; however, a mechanism of forgiveness has not been fully explored in hemodialysis patients.Objectives. To test the relationship among empathy and health-related QOL and confirm the moderating effects of forgiveness on relationship between empathy and health-related QOL among hemodialysis patients.Methods. In a descriptive cross-sectional study conducted from September to December 2017, 457 hemodialysis patients from five hospitals filled out the Heartland Forgiveness Scale, Interpersonal Reactivity Index-C, Kidney Disease Questionnaire, and general information. The data were analyzed using SPSS, and structural equation modeling was used to address the relationships among empathy, forgiveness, and health-related QOL.Results. Empathy was significantly positively associated with health-related QOL. The proposed model had a good fit to the data. Forgiveness was found to play a partial mediating role between empathy and health-related QOL.Conclusion. The results imply that empathy significantly directly and indirectly influences health-related QOL. Empathy among hemodialysis patients should be monitored and effectively managed to improve positive effects on their health-related QOL. Nurses should consider implementing empathy interventions with an emphasis on building forgiveness strategies to help hemodialysis patients improve their health-related QOL.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Moderating Effects of Forgiveness on Relationship Between Empathy and Health-Related Quality of Life in Hemodialysis Patients: A Structural Equation Modeling Approach

Yuan

et al. 2019

Journal of Pain and Symptom Management

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“…Research in the 1990s reported that physicians typically chose an area of concern for exploration before determining their patient’s concerns, and interrupted the patient’s opening statement after only 23 s [ 29 ]. Management guidelines for long-term conditions such as diabetes now emphasise the role of patient centred care [ 28 ] and empathy [ 30 ] while acknowledging that people with diabetes make daily self-management decisions that have greater impact on their health than those made by health professionals [ 31 ]. The challenge for most health professionals is using a patient-centred approach when they have little access to training in behavioural therapy or support from clinical psychologists.…”

Section: Delivering Dietary Advicementioning

confidence: 99%

A Practical Guide to Delivering Nutritional Advice to People with Diabetes

Dyson

2019

Diabetes Ther

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Dietary advice is fundamental to the management of diabetes. Although ideally such advice should be delivered by a state-registered dietitian, it is more usually delivered by other health professionals. The primary focus for those with type 1 diabetes is carbohydrate counting and insulin adjustment and for the majority of people with type 2 diabetes, weight management is key. Patient-centred care is emphasised for the delivery of dietary advice. It is widely recognised that knowledge alone is not sufficient to induce behaviour change and practical approaches to a variety of behavioural interventions are discussed.

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“…Last but not least, although a large number of studies have con rmed that empathy is the core element of doctor-patient communication [4][5]19,[24][25], it is still uncertain whether empathy affects doctor-patient relationship through the mediation of doctor-patient communication.…”

Section: Introductionmentioning

confidence: 99%

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction

Han

Liu

et al. 2021

Preprint

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Objective To explore the relationship among patient perception of doctors' empathy, doctor-patient communication, and doctor-patient relationship.Methods From November 2019 to April 2020, we used the CARE scale, the SEGUE framework and the PDRQ-15 scale to survey 3,039 patients from 14 provinces in China, ranging in age from 18 to 92 years old.Results 1. The age of the patient, the level and type of hospital, the length of consultation, and the presence or absence of verbal and physical conflict have significant differences in the scores of perceived empathy; 2. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and the doctor-patient relationship (r = 0.65 ~ 0.75, p < 0.001). 3. The patient's perception of doctor empathy can not only directly predict doctor-patient relationship (β = 0.75, p < 0.001), but also influence doctor-patient relationship through the mediating effect of doctor-patient communication (β = 0.56, p < 0.001). Besides, the scores of CARE can effectively explain the variation of each stage of doctor-patient communication skills (R2 = 0.28 ~ 0.37) and the satisfaction (52%) and approachability (54%) of the doctor-patient relationship scale.Conclusion The age of the patient, the type and level of the hospital, and the consultation time affected perceived empathy. Doctor-patient communication plays a partial mediating effect in the influence of empathy on the doctor-patient relationship.Practice implications: Medical institutes should improve the medical environment and carry out humanistic education and patient-centered communication skills training for doctors. These approaches will enhance patients' perceived empathy and therefore improve the doctor-patient relationship.

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Empathy in general practice: its meaning for patients and doctors

Cited by 16 publications

References 10 publications

Moderating Effects of Forgiveness on Relationship Between Empathy and Health-Related Quality of Life in Hemodialysis Patients: A Structural Equation Modeling Approach

Moderating Effects of Forgiveness on Relationship Between Empathy and Health-Related Quality of Life in Hemodialysis Patients: A Structural Equation Modeling Approach

A Practical Guide to Delivering Nutritional Advice to People with Diabetes

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction

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