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三级医疗学术机构中骨科医生的同理心与住院患者医院体验评分之间的关系

Relationship Between Orthopedic Surgeon's Empathy and Inpatient Hospital Experience Scores in a Tertiary Care Academic Institution.

作者信息

Dobransky Johanna, Gartke Kathleen, Pacheco-Brousseau Lissa, Spilg Edward, Perreault Ashley, Ameen Mohammad, Finless Alexandra, Beaulé Paul E, Poitras Stéphane

机构信息

Division of Orthopaedic Surgery, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Division of Orthopaedic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.

出版信息

J Patient Exp. 2020 Dec;7(6):1549-1555. doi: 10.1177/2374373520968972. Epub 2020 Oct 27.

DOI:10.1177/2374373520968972
PMID:33457613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7786763/
Abstract

Studies have examined the relationship between physician empathy and patient experience, but few have explored it in surgeons. The purpose of this study was to report on orthopedic surgeon empathy in a mutlispecialty practice and explore its association with patient experience. Patients completed the consultation and relational empathy (CARE) measure (March 2017-August 2018) and Canadian Patient Experience Survey-Inpatient Care (CPES-IC; March 2017-February 2019) to assess empathy and patient experience, respectively. Consultation and relational empathy measures were correlated to CPES-IC for 3 surgeon-related questions pertaining to respect, listening, and explaining. Surgeon CARE scores (n = 1134) ranged from 42.0 ± 9.1 to 48.6 ± 2.4 with 50.4% of patients rating their surgeon as perfectly empathic. There were no significant differences between surgeons for CPES-IC continuous and topbox scores (n = 834) for respect and correlations between CPES-IC questions. The CARE measure for both continuous and topbox scores were weak to moderate, but none were significant. Empathy was associated with surgeon respect and careful listening, despite lack of significant correlation. Possible future work could use an empathy tool more appropriate for this surgeon population.

摘要

已有研究探讨了医生同理心与患者体验之间的关系,但很少有研究对外科医生进行过这方面的探索。本研究旨在报告多专科医疗实践中骨科医生的同理心情况,并探讨其与患者体验的关联。患者分别完成了咨询与关系同理心(CARE)量表(2017年3月至2018年8月)和加拿大患者体验调查-住院护理(CPES-IC;2017年3月至2019年2月),以评估同理心和患者体验。针对与尊重、倾听和解释相关的3个与外科医生有关的问题,将咨询与关系同理心量表得分与CPES-IC得分进行了相关性分析。外科医生的CARE得分(n = 1134)在42.0±9.1至48.6±2.4之间,50.4%的患者将其外科医生评为具有完美的同理心。在尊重方面,外科医生在CPES-IC连续得分和高分段得分(n = 834)以及CPES-IC问题之间的相关性方面没有显著差异。CARE量表的连续得分和高分段得分的相关性较弱至中等,但均无显著性。尽管相关性不显著,但同理心与外科医生的尊重和认真倾听有关。未来可能的工作可以使用一种更适合该外科医生群体的同理心工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7786763/ef4251dfb0fa/10.1177_2374373520968972-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7786763/ef4251dfb0fa/10.1177_2374373520968972-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04c4/7786763/ef4251dfb0fa/10.1177_2374373520968972-fig1.jpg

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Assessing the Consultation and Relational Empathy (CARE) Measure in sexual health nurses' consultations.评估性健康护士咨询中的问诊与关系同理心(CARE)量表
BMC Nurs. 2017 Nov 25;16:71. doi: 10.1186/s12912-017-0265-8. eCollection 2017.
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Med Teach. 2017 Oct;39(10):1096-1098. doi: 10.1080/0142159X.2017.1355451. Epub 2017 Jul 27.
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