Department of Primary Care and Community Care, Radboud University Medical Center, Nijmegen, the Netherlands.
Br J Gen Pract. 2018 Sep;68(674):e621-e626. doi: 10.3399/bjgp18X698381. Epub 2018 Jul 16.
Empathy has positive effects on a range of healthcare outcomes. It is therefore an important skill for a GP. However, the correlation between GP perception of delivered empathy and patient perception of GP empathic communication during consultations is still unclear.
To investigate the correlation between GP perception of delivered empathy and patient-perceived empathy.
Cross-sectional study in primary care in the Netherlands, between December 2016 and February 2017.
GPs and their patients were asked to fill in an empathy questionnaire directly after a consultation. Patient perception of received empathy during the consultation was measured through the Dutch version of the Consultation and Relational Empathy (CARE) questionnaire. GP perception of delivered empathy during the consultation was measured with an adapted version of the CARE questionnaire.
The authors obtained questionnaires from 147 consultations by 34 different GPs in 16 primary care practices. A total of 143 consultations were eligible for inclusion in the analysis. Mean patient-perceived empathy score was significantly higher than mean GPs' empathy score (42.1, range 20.0 to 50.0 and 31.6, range 24.0 to 41.0, respectively, <0.0001). Furthermore, a low correlation ( = 0.06) was found between GP empathy score and patient-perceived empathy score.
GPs rate the delivered empathy during consultations consistently and significantly lower than their patients experience empathy during consultations. Moreover, GPs' impressions of the empathy delivered during the consultation do not predict the actual amount of empathy perceived by their patients. Patients experience a great deal of empathy during their clinical encounter. GPs' self-reports on empathy delivered gives an inaccurate reflection, and underestimates patient-perceived empathy.
同理心对一系列医疗保健结果都有积极影响。因此，它是全科医生的一项重要技能。然而，全科医生对提供同理心的感知与患者在咨询期间对全科医生同理心沟通的感知之间的相关性仍不清楚。
调查全科医生对提供同理心的感知与患者同理心感知之间的相关性。
荷兰初级保健中的横断面研究，于 2016 年 12 月至 2017 年 2 月进行。
在咨询结束后，要求全科医生及其患者填写同理心问卷。患者在咨询期间感知到的同理心通过荷兰版咨询和关系同理心（CARE）问卷进行测量。在咨询过程中，全科医生对提供同理心的感知通过 CARE 问卷的改编版本进行测量。
作者从 34 位不同的全科医生在 16 个初级保健诊所进行的 147 次咨询中获得了问卷。共有 143 次咨询符合纳入分析的条件。患者感知到的同理心的平均得分明显高于全科医生的同理心得分（42.1，范围为 20.0 到 50.0 和 31.6，范围为 24.0 到 41.0，分别为 <0.0001）。此外，发现全科医生的同理心得分与患者感知到的同理心得分之间的相关性较低（ = 0.06）。
全科医生对咨询期间提供的同理心的评价一致且明显低于患者在咨询期间体验到的同理心。此外，全科医生对咨询期间提供同理心的印象并不能预测患者实际感受到的同理心。患者在临床接触期间感受到了大量的同理心。全科医生对提供同理心的自我报告反映不准确，低估了患者的同理心感知。
