The Relationship Between the Physician-Patient Relationship, Physician Empathy, and Patient Trust

Wu, Qing; Jin, Zhaoyang; Wang, Pei

doi:10.1007/s11606-021-07008-9

Cited by 59 publications

(50 citation statements)

References 44 publications

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“…Eleven studies (42%) were conducted in Europe,23–33 six (23%) in Asia,34–39 five (19%) in North America,40–44 three (12%) in Brazil45–47 and one (4%) in Australia 48. Twenty-one studies (81%) were published in or after 2017,23–25 27 28 31–36 39–48 with the earliest studies being published in 2014 26 29 37…”

Section: Resultsmentioning

confidence: 99%

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Understanding of empathetic communication in acute hospital settings: a scoping review

et al. 2022

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ObjectiveEmpathy and empathy education have been reviewed a number of times through systematic reviews and meta-analyses; however, the topic of ‘empathetic communication’ remains poorly understood when considering engaging in hospital-based research. Therefore, this scoping review aimed to explore the existing literature concerning empathetic communication in hospital settings and to evaluate the definitions presented.DesignScoping review.Data sourcesSystematic searches of the PubMed, CINAHL, Cochrane, PsycINFO, and PsycArticles databases were conducted.Study selectionAll English studies in which empathetic communication in hospital settings were explored. The search terms used included empathy, communication, hospital settings, providers, and consumers.Data extractionData were assessed through the use of a pre-set analysis tool.ResultsAfter conducting the searches, 419 articles were identified, of which 26 were included in this review. No single article specifically defined the term ‘empathetic communication’; however, 33 unique definitions of ‘empathy’ were identified, of which 23 considered communication to be a component of empathy. There was a considerable lack of consistency between the empathy definitions, with some classifying communication in empathy as an ability and others classifying it as a dynamic process.ConclusionFuture and contextually focused research is needed to develop a consistent and clear definition of empathetic communication and empathy within a hospital setting to better build positive healthcare cultures.Practice implicationsInconsistencies between definitions of empathy in empathetic communication research could reduce the efficacy of future research gains and impact the translation of research findings into clinical practice.

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Section: Resultsmentioning

confidence: 99%

“…Sixteen studies (62%) were cross-sectional studies,23 25–29 32 35 37 43 45–47 49–51 four (15%) were qualitative studies,24 34 44 48 three (12%) were mixed-methods studies,30 31 40 and there was one (4%) prospective cohort study,42 one quasi-experimental study39 and one (4%) randomised controlled trial 36…”

Section: Resultsmentioning

confidence: 99%

Understanding of empathetic communication in acute hospital settings: a scoping review

et al. 2022

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“…On the other hand, the present study further demonstrated the close association between physicians' occupational stigma and the physician-patient relationship, since patient trust, intolerance of uncertainty, and illness perceptions are crucial indicators of a physician-patient relationship. [36][37][38] It implied that effacing the stigma is the prerequisite of establishing a harmonious physician-patient relationship. Based on previous studies, males showed significantly higher stigma toward mentally ill patients, dementia patients, and drug addicts than females, [39][40][41] suggesting that gender differences might exist in the PPOSS.…”

Section: Discussionmentioning

confidence: 99%

Patient Toward Physician Occupational Stigma Scale: Development of the Chinese Version

Fan¹,

Chen²,

Wu³

et al. 2022

PRBM

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Background/Objective Physicians’ occupational stigma could eradicate physician-patient trust, threatening physicians’ social status and occupational reputation. Hitherto, there has been no scale obtaining good psychometric properties to assess patients’ stigma toward physicians. The present study aimed to develop the Patient toward Physician Occupational Stigma Scale (PPOSS) and examine its reliability and validity. Methods The questionnaire comprising sociodemographic information and the PPOSS were employed to survey 645 Chinese patients in two phases. In Sample 2, the Wake Forest Physician Trust Scale (WFOTS), the Intolerance of Uncertainty Scale-12 (IUS-12), and the Brief Illness Perception Questionnaire (BIPQ) were tested. Results The PPOSS includes 19 items subsumed into three dimensions of stereotype, discrimination, and prejudice. According to the results of confirmatory factor analysis (CFA), the three-factor model fitted well (χ 2 /df=2.065, RMSEA=0.057, SRMR=0.045, RFI=0.904, CFI=0.956, IFI=0.956, PNFI=0.779, PCFI=0.811). The PPOSS was significantly negatively correlated with the WFOTS, and significantly positively correlated with the IUS-12 and the BIPQ. The Cronbach’s alpha coefficients for the total scale and each dimension were between 0.87 and 0.94, and the split-half reliability coefficients were between 0.84 and 0.93. Besides, the PPOSS had the measurement invariance across gender. Conclusion With its satisfactory psychometric properties, the PPOSS can be used as an effective instrument to assess patients’ stigma toward physicians.

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“…Dirks and Ferrin (2002) found that trust is based on affective trust and cognitive trust through meta‐analysis. A survey of 3,289 patients in 103 hospitals in eastern, central, and western China has found that patients' evaluation of the physician–patient relationship was predicted by their perception of physician empathy, patient overall trust, and trust in the physician's benevolence (Q. Wu et al, 2021). Thus, it can be seen that trust is important to the doctor–patient relationship.…”

Section: Introductionmentioning

confidence: 99%

Effect of patient‐provider communication on patient risk awareness: The moderating role of trust based on scenario experiment

Gong

et al. 2022

PsyCh Journal

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Good patient–provider communication and high level of trust can decrease patients' risk perception and promote their acceptability of medical risks.The extent to which communication can be effective may be distinguished by different levels of trust. The present study examined the effect of patient–provider communication and treatment outcome on patients' risk awareness, and explored the moderating effect of trust. This research adopted a paper‐based scenario experiment with a 2 (communication: good vs. poor) × 2 (treatment outcome: good vs. poor) between‐subjects design. Three hundred sixteen college students were enrolled. They were randomly assigned to four groups and instructed to read more information about the two independent variables. Finally, all participants finished the manipulation check (eight items), affect‐ and cognition‐based trust scales (10 items), and risk awareness scales (eight items) by questionnaire. The results showed the positive interaction effects between communication and treatment outcome on patients' acceptance of uncertainties. Affect‐ and cognition‐based trust had similar moderating mechanisms on the interaction effect of communication and treatment outcome on uncertainty acceptability, and different moderating mechanisms on patient risk perception. In clinical work, we should develop the strategy to improve patien–provider communication and trust to improve patients' acceptability of uncertainty.

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The Relationship Between the Physician-Patient Relationship, Physician Empathy, and Patient Trust

Cited by 59 publications

References 44 publications

Understanding of empathetic communication in acute hospital settings: a scoping review

Understanding of empathetic communication in acute hospital settings: a scoping review

Patient Toward Physician Occupational Stigma Scale: Development of the Chinese Version

Effect of patient‐provider communication on patient risk awareness: The moderating role of trust based on scenario experiment

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