Han Caixia, Wu Qing, Liu Chenchen, Wang Pei
Department of Psychology, Shanghai Normal University, Shanghai, 200234, China.
School of Medical Humanities and Management, Wenzhou Medical University, Wenzhou, 325035, China.
BMC Med Educ. 2025 May 21;25(1):741. doi: 10.1186/s12909-025-07117-7.
Patient perceived empathy plays a major role in establishing a good doctor-patient relationship. Therefore, this study explores the relationship among patient perceived empathy, quality of doctor-patient communication, and evaluation of the doctor-patient relationship while initially investigating the possible factors influencing patient perceived empathy.
We used the C-CARE scale, the C-SEGUE framework, and the C-PDRQ-15 scale to measure patient perceived empathy, ratings of doctor-patient communication quality, and ratings of patient-doctor relationships, respectively. A nationwide survey was conducted among 3039 patients, aged 18 to 92 years in China. Bootstrapped mediation analysis was performed.
The age of the patient, the grade of hospital, and the consultation duration have significant differences in the scores of patient perceived empathy. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and doctor-patient relationship. Patient's perceived empathy can not only directly predict doctor-patient relationship , but also predict doctor-patient relationship through the mediating effect of doctor-patient communication.
Patient perceived empathy was related to age, hospital grade, and consultation duration. Patient perceived empathy can improve the doctor-patient relationship directly and can also optimize it indirectly via doctor-patient communication. The more empathy patients feel during medical interactions, the more positive their evaluation of the doctor-patient communication process and the more harmonious the doctor-patient relationship will be.
Emphasizing the importance of empathy in clinical encounters can facilitate effective doctor-patient communication and hence strengthen the doctor-patient relationship. Respecting and understanding patients is more important than providing professional medical advice when conveying empathy.
患者感知到的同理心在建立良好医患关系中起着重要作用。因此，本研究探讨患者感知到的同理心、医患沟通质量和医患关系评价之间的关系，同时初步调查影响患者感知到的同理心的可能因素。
我们分别使用C-CARE量表、C-SEGUE框架和C-PDRQ-15量表来测量患者感知到的同理心、医患沟通质量评分和医患关系评分。在中国对3039名年龄在18至92岁之间的患者进行了全国性调查。进行了自抽样中介分析。
患者年龄、医院等级和就诊时长在患者感知到的同理心得分上存在显著差异。患者感知到的同理心、医患沟通和医患关系之间存在显著正相关。患者感知到的同理心不仅可以直接预测医患关系，还可以通过医患沟通的中介作用来预测医患关系。
患者感知到的同理心与年龄、医院等级和就诊时长有关。患者感知到的同理心可以直接改善医患关系，也可以通过医患沟通间接优化医患关系。患者在医疗互动中感受到的同理心越多，他们对医患沟通过程的评价就越积极，医患关系也就越和谐。
强调同理心在临床诊疗中的重要性可以促进有效的医患沟通，从而加强医患关系。在传达同理心时，尊重和理解患者比提供专业医疗建议更重要。
