Ponce Haley, Cordero Rafael, Tran Jacinta, Wellman Natalie, Ring David
Department of Surgery and Perioperative Care, Dell Medical School-The University of Texas at Austin, Austin, TX, USA.
Moody School of Communication, The University of Texas at Austin, Austin, TX, USA.
J Patient Exp. 2025 Feb 21;12:23743735251323674. doi: 10.1177/23743735251323674. eCollection 2025.
In a prior study, communication scholar ratings of clinician communication effectiveness did not correlate with perceived clinician empathy, which is one aspect of patient experience. We repeated the analysis with a different rating of communication effectiveness to increase confidence that the lack of association was not due to an inadequate rating tool. Video-recorded visits (108) were rated by 3 trained observers using the Communication Quality Analysis with acceptable reliability. Patients completed measures of perceived clinician empathy, pain accommodation, health anxiety, and depression symptoms. Negative binomial regression analysis sought factors associated with perceived clinician empathy. Only accommodation of pain met the criterion for entry into a multivariable model for perceived clinician empathy (ρ = 0.17; = .08). No factors were associated with perceived clinician empathy, including independently rated communication effectiveness. The consistent finding of no correlation between communication effectiveness and patient perception clinician empathy using a second rating tool does not diminish the importance of effective patient-clinician communication, but it does reinforce the need to identify suitable measures of modifiable factors associated with poor patient experience.
在一项先前的研究中，沟通学者对临床医生沟通效果的评分与患者所感受到的临床医生同理心（这是患者体验的一个方面）并无关联。我们用一种不同的沟通效果评分方法重复了该分析，以增强对缺乏关联并非由于评分工具不充分这一结论的信心。108次视频记录的就诊由3名经过培训的观察者使用具有可接受信度的沟通质量分析进行评分。患者完成了对临床医生同理心、疼痛适应性、健康焦虑和抑郁症状的测量。负二项回归分析寻找与患者所感受到的临床医生同理心相关的因素。只有疼痛适应性符合纳入患者所感受到的临床医生同理心多变量模型的标准（ρ = 0.17；P = 0.08）。没有任何因素与患者所感受到的临床医生同理心相关，包括独立评分的沟通效果。使用第二种评分工具得出的沟通效果与患者对临床医生同理心的感知之间始终不存在相关性这一发现，并未削弱有效的医患沟通的重要性，但确实强化了识别与不良患者体验相关的可改变因素的合适测量方法的必要性。
