General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland—A pilot prospective study using structural equation modeling

Mercer, Stewart W; Neumann, Melanie; Wirtz, Markus; Fitzpatrick, Bridie; Vojt, Gabriele

doi:10.1016/j.pec.2008.07.022

Cited by 144 publications

(131 citation statements)

References 36 publications

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“…4,5 Higher scores on the empathy (CARE) and enablement (PEI) instruments used in our study predicted symptom improvement and enhanced well-being in patients at subsequent office encounters. [9][10][11][12] Therefore, our results provide some reassurance that quality of care from residents with higher levels of burnout, as manifested by more depersonalizing attitudes towards patients, is not perceived as inferior by the patients they care for. It is plausible that physicians who are more empathic and enabling with their patients are also more cognizant of interpersonal dynamics and therefore more self-critical of their own degree of depersonalization felt towards their patients.…”

Section: Discussionsupporting

confidence: 59%

“…We measured patient perceptions of physician empathy using the Consultation and Relational Empathy Measure (CARE), a validated 10-item questionnaire measuring patient perceptions of empathetic behaviors on a five-point Likert scale from "poor" to "excellent". [9][10][11][12][13][14] The instrument is scored for a total of 10-50 points, with higher scores indicating more empathic behavior. The Patient Enablement Instrument (PEI), a six-item questionnaire previously validated among practicing physicians, [9][10][11][12]15,16 measured patient ratings of health-related enablement.…”

Section: Methodsmentioning

confidence: 99%

“…Because of the negative relationships between burnout and physician-reported empathic behavior, 6,7 and the positive associations between clinical outcomes and patient perceptions of physician empathy and enablement [9][10][11][12] (defined as healthrelated activation and empowerment), we conducted an observational study to examine relationships between patient perceptions of care and physician-reported burnout. We used validated scales to measure physician burnout and patient assessments of physician empathy and enablement among a sample of internal medicine residents and their clinic patients.…”

mentioning

confidence: 99%

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Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

et al. 2015

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Section: Discussionsupporting

confidence: 59%

Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

et al. 2015

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“…The CARE is a short patientassessed measure that has been shown to provide doctors with direct feedback of their strengths and weaknesses in terms of relational empathy, as perceived by their patients [15,[21][22][23][24][25]. It is recommended for use in physiotherapy by the UK Chartered Society of Physiotherapy [12].…”

Section: Introductionmentioning

confidence: 99%

“…The CARE measure was developed following a review of existing measures [15], qualitative research and pilot studies [14] in primary care. It has been shown to be valid and reliable in primary and secondary care [22][23][24][25] and more recently also as part of a composite measure, the Consultation Quality Index or CQI of holistic interpersonal care in primary care consultations [4,26]. To date validation studies have employed procedures, such as factor analysis, which is a commonly used approach to examine the construct validity of health status measures [27].…”

Section: Introductionmentioning

confidence: 99%

The consultation and relational empathy measure: an investigation of its scaling structure

Kersten

White

Tennant

2011

Disability and Rehabilitation

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The Consultation and Relational Empathy measure: an investigation of its scaling structure Abstract PurposeThe Consultation and Relational Empathy (CARE) measure is recommended to evaluate the quality of care. However, there is no evidence it is valid in rehabilitation. Aims 1) to examine the internal construct (factorial) validity of the CARE in the assessment of the patienttherapist relationship. MethodCARE data were part of an experimental study of acupuncture and different currently used acupuncture placebo controls, including 213 patients (age 66.8, SD 8.3, 58% female) with chronic stable hip or knee pain of mechanical origin, waiting for a joint replacement. CARE was completed two weeks into the study and on completion two weeks later. Data analysis:Cronbach alpha, factor analysis and Rasch analysis. ResultsInternal construct validity was supported (82% of variance explained by the first factor; fit to the Rasch model χ 2 =18.2, P=0.57). CARE was unidimensional, had local independence of items, good item fit, absence of Differential Item Functioning and invariance over time.Three percent of people did not complete items 9&10. ConclusionsCARE satisfied strict criteria for internal construct validity. An interval scale transformation is available that can be used in clinical practice and research. Further work is required to investigate item non-response and how this may be dealt with in clinical settings.3

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Exploring the Predictive Ability of Two New Complementary Instruments for Assessing Effective Therapeutic Communication Skills of Dental and Dental Hygiene Students

Schönwetter

Wener

Mazurat

et al. 2012

Journal of Dental Education

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Research on the development of effective therapeutic communication skills for oral health providers is slowly evolving. One of the initial steps in this research is to identify and address gaps in the work of previous researchers. Ultimately, the educational goal of competence in communications skills development is to provide improved patient care including improved patient satisfaction. This article is the third in a series describing the development of and indings from the new complementary Patient Communication Assessment Instrument (PCAI) and Student Communication Assessment Instrument (SCAI). The aim of the study reported here was to look at the relationship between communication skills and patient and student clinician gender interactions, sociodemographic factors (e.g., age, income), and changes in these interactions with length of treatment. A total of 410 patient assessments (PCAI) and 410 matching student self-assessments (SCAI) were used for further data analysis. Patients of female student clinicians, female patients, patients of a higher and the lowest income range, and older patients reported statistically signiicant higher student communication scores. The PCAI identiied that certain groups of patients consistently report higher scores than other groups, whereas the SCAI identiied differences between male and female student clinicians. The results have implications for educational protocols, communication strategies, and the need for continued research regarding sociodemographic factors and their relationship to patient satisfaction.

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General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland—A pilot prospective study using structural equation modeling

Cited by 144 publications

References 36 publications

Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

The consultation and relational empathy measure: an investigation of its scaling structure

Exploring the Predictive Ability of Two New Complementary Instruments for Assessing Effective Therapeutic Communication Skills of Dental and Dental Hygiene Students

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