Glaser Karen M, Markham Fred W, Adler Herbert M, McManus Patrick R, Hojat Mohammadreza
Department of Family and Community Medicine, Jefferson Medical College, Philadelphia, PA 19107, USA.
Med Sci Monit. 2007 Jul;13(7):CR291-4.
Empathy is the backbone of a positive physician-patient relationship. Physician empathy and the patient's awareness of the physician's empathic concern can lead to a more positive clinical outcome.
MATERIAL/METHODS: The Jefferson Scale of Physician Empathy (JSPE) was completed by 36 physicians in the Family Medicine residency program at Thomas Jefferson University Hospital, and 90 patients evaluated these physicians by completing the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), and a survey about physicians' humanistic approaches to patient care.
A statistically significant correlation was found between scores of the JSPE and JSPPPE (r=0.48, p<0.05). Significant correlations were also obtained between scores of the JSPE and patients' assessments that their physician was concerned about their feelings (r=0.55, p<0.01), and that the physician took their wishes into account in making treatment decisions (r=0.48, p<0.05). A negative correlation was observed between scores of the JSPE and patient's perception that their physician was in hurry (r=-0.50, p<0.01).
These findings provide further support for the validity of the JSPE. Implications for the assessments of empathy in the physician-patient relationship as related to clinical outcomes are discussed.
同理心是积极医患关系的基石。医生的同理心以及患者对医生同理心关注的感知能够带来更积极的临床结果。
材料/方法：托马斯·杰斐逊大学医院家庭医学住院医师项目中的36名医生完成了医生同理心杰斐逊量表（JSPE），90名患者通过完成患者对医生同理心感知的杰斐逊量表（JSPPPE）以及一项关于医生对患者护理的人文方法的调查对这些医生进行了评估。
JSPE得分与JSPPPE得分之间存在统计学上的显著相关性（r = 0.48，p < 0.05）。JSPE得分与患者对医生关心其感受的评估（r = 0.55，p < 0.01）以及医生在做出治疗决策时考虑其意愿的评估（r = 0.48，p < 0.05）之间也存在显著相关性。JSPE得分与患者认为医生匆忙的感知之间存在负相关（r = -0.50，p < 0.01）。
这些发现为JSPE的有效性提供了进一步支持。讨论了与临床结果相关的医患关系中同理心评估的意义。
