Do patient attributes predict oncologist empathic responses and patient perceptions of empathy?
Do patient attributes predict oncologist empathic responses and patient perceptions of empathy?
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患者属性是否可以预测肿瘤科医生的共情反应和患者对共情的看法？
DOI：
10.1007/s00520-009-0762-8
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Tulsky,JamesA
中科院分区：
文献类型：
--
作者：
Pollak,KathrynI;Arnold,Robert;Alexander,StewartC;Jeffreys,AmyS;Olsen,MarenK;Abernethy,AmyP;Rodriguez,KeriL;Tulsky,JamesA
目的晚期癌症患者大多存在负性情绪。当病人表达情绪时，肿瘤学家很少有同情心。肿瘤学家可能会更同情一些病人，病人可能会感受到不同程度的同情和信任给予过去的文件差异cancer care.MethodsWe音频记录264肿瘤学家和晚期癌症患者在三个网站门诊遇到。我们研究了患者的性别，年龄，种族，婚姻状况，教育，经济安全，与肿瘤学家的关系的长度与肿瘤学家移情反应患者的负面情绪和患者的看法肿瘤学家的同情和trust.ResultsHalf（51%）的患者表达了负面情绪。肿瘤学家有时会表示同情（29%）。肿瘤学家对所有患者的同理心都是一样的，除了他们对经济安全性低的患者比那些报告经济安全性高的患者更同情（p= 0.002）。与中等安全性的患者相比，经济安全性低的患者认为肿瘤学家更具同情心（p= 0.06）。已婚患者也认为肿瘤学家更具同情心（p= 0.04）。谁知道他们的肿瘤科医生超过一年的患者有更多的信任比谁知道他们的肿瘤科医生为更短的时间（p= .02）。ConclusionsOncologists，在一般情况下，没有同情地回应病人的负面情绪，并没有这样做，同样为大多数患者。肿瘤学家对那些经济上不那么困难的病人更有同情心。反过来，经济安全感较低的患者感知到更多的同理心。虽然肿瘤学家需要更多的教育，以回应同情，他们可能不需要纠正许多偏见的照顾。
PurposeMost patients with advanced cancer experience negative emotion. When patients express emotions, oncologists rarely respond empathically. Oncologists may respond more empathically to some patients, and patients may perceive different levels of empathy and trust given past documentation of disparities in cancer care.MethodsWe audio-recorded 264 outpatient encounters between oncologists and patients with advanced cancer at three sites. We examined whether patient gender, age, race, marital status, education, economic security, and length of relationship with oncologist were related to oncologist empathic responses to patient's negative emotion and patient's perceptions of oncologist empathy and trust.ResultsHalf (51%) of the patients expressed a negative emotion. Oncologists sometimes responded with empathy (29%). Oncologists were equally empathic with all patients, except they were more empathic with patients with low economic security compared with those reporting high economic security (p= .002). Patients with low economic security viewed oncologists as more empathic (p= .06) compared with those with moderate security. Married patients also viewed oncologists as more empathic (p= .04). Patients who knew their oncologist for more than a year had more trust than patients who knew their oncologists for less time (p= .02).ConclusionsOncologists, in general, did not respond empathically to patient's negative emotion, and did this equally for most patients. Oncologists responded more empathically to patients who were less economically advantaged. In turn, patients with lower economic security perceived more empathy. Although oncologists need more education in responding empathically, they may not need to correct many biases in care.
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DOI：
--
发表时间：
2003
期刊：
影响因子：
--
作者：
J. Tulsky
通讯作者：
J. Tulsky
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