Physicians' Empathy and Clinical Outcomes for Diabetic Patients
Physicians' Empathy and Clinical Outcomes for Diabetic Patients
复制标题
DOI：
10.1097/acm.0b013e3182086fe1
复制
发表时间：
2011-03-01
影响因子：
7.4
通讯作者：
Gonnella, Joseph S.
中科院分区：
文献类型：
--
作者：
Hojat, Mohammadreza;Louis, Daniel Z.;Gonnella, Joseph S.
PurposeTo测试的假设，医生的同理心与积极的临床结果为diabetic patients.MethodA相关性研究设计，在大学附属门诊设置。参与者是2006年7月至2009年6月期间由29名家庭医生治疗的891名糖尿病患者。从患者的电子记录中提取最近的血红蛋白A1 c和LDL-C测试结果。血红蛋白A1 c检测结果分为控制良好（< 7.0%）和控制不良（> 9.0%）。类似地，LDL-C测试的结果被分组为良好控制（< 100）和不良控制（> 130）。这些医生在2009年完成了杰斐逊共情量表，他们被分为高、中、低共情得分者。结果同理心评分高的医生的患者比同理心评分低的医生的患者（40%，P < .001）更有可能良好控制血红蛋白A1 c（56%）。同理，同理心得分高的医生（59%）的LDL-C控制良好的患者比例显著高于同理心得分低的医生（44%，P <0.001）。Logistic回归分析表明，在控制了医生和患者的性别、年龄以及患者的医疗保险后，医生的同理心对最佳临床结局的预测有独特的贡献。这表明医生的同理心是与临床能力和患者结果相关的重要因素。
PurposeTo test the hypothesis that physicians' empathy is associated with positive clinical outcomes for diabetic patients.MethodA correlational study design was used in a university-affiliated outpatient setting. Participants were 891 diabetic patients, treated between July 2006 and June 2009, by 29 family physicians. Results of the most recent hemoglobin A1c and LDL-C tests were extracted from the patients' electronic records. The results of hemoglobin A1c tests were categorized into good control (< 7.0%) and poor control (> 9.0%). Similarly, the results of the LDL-C tests were grouped into good control (< 100) and poor control (> 130). The physicians, who completed the Jefferson Scale of Empathy in 2009, were grouped into high, moderate, and low empathy scorers. Associations between physicians' level of empathy scores and patient outcomes were examined.ResultsPatients of physicians with high empathy scores were significantly more likely to have good control of hemoglobin A1c (56%) than were patients of physicians with low empathy scores (40%, P < .001). Similarly, the proportion of patients with good LDL-C control was significantly higher for physicians with high empathy scores (59%) than physicians with low scores (44%, P < .001). Logistic regression analyses indicated that physicians' empathy had a unique contribution to the prediction of optimal clinical outcomes after controlling for physicians' and patients' gender and age, and patients' health insurance.ConclusionsThe hypothesis of a positive relationship between physicians' empathy and patients' clinical outcomes was confirmed, suggesting that physicians' empathy is an important factor associated with clinical competence and patient outcomes.