Department of General Practice, Royal College of Surgeons Ireland, Dublin, Ireland; PhD candidate, Department of Family Medicine, Western University, London, Ontario (ON), Canada.
Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry at Western University in London, ON, Canada.
Br J Gen Pract. 2019 Mar;69(680):e208-e216. doi: 10.3399/bjgp19X701285. Epub 2019 Jan 28.
Patients and physicians have traditionally valued compassion; however, there is concern that physician compassion has declined with the increasing emphasis on science and technology in medicine. Although the literature on compassion is growing, very little is known about how family physicians experience compassion in their work.
To explore family physicians' capacity for and experiences of compassion in practice.
This was a qualitative study designed using a phenomenological approach in rural and urban Ontario, Canada.
In-depth interviews were audiotaped and transcribed verbatim, followed by independent and team coding. An iterative and interpretive analysis was conducted using immersion and crystallisation techniques. Purposive sampling recruited 22 participants (nine males and 13 females aged 26-64 years) that included family medicine residents from Western University ( = 6), and family physicians practising <5 years ( = 7) or >10 years ( = 9) in Ontario, Canada.
From the data, the authors derived the Compassion Trichotomy as a theoretical model to describe three interrelated areas that determine the evolution or devolution of compassion experienced by family physicians: motivation (core values), capacity (energy), and connection (relationship).
The Compassion Trichotomy highlights the importance and interdependence in physician compassion of motivation (personal reflection and values), capacity (awareness and regulation of energy, emotion, and cognition), and connection (sustained patient-physician relationship). This model may assist practising family physicians, educators, and researchers to explore how compassion development might enhance physician effectiveness and satisfaction.
患者和医生传统上都重视同情心；然而，人们担心随着医学中对科学和技术的重视日益增加，医生的同情心已经下降。尽管关于同情心的文献越来越多，但对于家庭医生在工作中如何体验同情心却知之甚少。
探讨家庭医生在实践中表现同情心的能力和体验。
这是一项在加拿大安大略省农村和城市地区进行的定性研究，采用现象学方法设计。
对 22 名参与者（9 名男性和 13 名女性，年龄 26-64 岁）进行了深入访谈，并进行了独立和团队编码。使用沉浸和结晶技术进行迭代和解释性分析。通过有目的的抽样，招募了来自西安大略大学的家庭医学住院医师（=6）和在加拿大安大略省行医<5 年（=7）或>10 年（=9）的家庭医生。
从数据中，作者得出了同情心三分法作为一个理论模型，来描述决定家庭医生体验的同情心的演变或恶化的三个相互关联的领域：动机（核心价值观）、能力（能量）和联系（关系）。
同情心三分法强调了动机（个人反思和价值观）、能力（对能量、情感和认知的意识和调节）和联系（持续的医患关系）在医生同情心中的重要性和相互依存性。该模型可以帮助执业家庭医生、教育工作者和研究人员探索同情心的发展如何增强医生的效力和满意度。
