Physician Empathy and Listening: Associations with Patient Satisfaction and Autonomy
Physician Empathy and Listening: Associations with Patient Satisfaction and Autonomy
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DOI：
10.3122/jabfm.2011.06.110025
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发表时间：
2011-11-01
影响因子：
2.9
通讯作者：
Ostbye, Truls
中科院分区：
文献类型：
--
作者：
Pollak, Kathryn I.;Alexander, Stewart C.;Ostbye, Truls
目的：动机性访谈（MI）是用来帮助病人改变他们的行为。我们试图确定，如果医生使用特定的MI技术增加患者的满意度与医生和感知autonomy.Methods：我们音频记录的预防和慢性护理遇到40名初级保健医生和320名超重或肥胖患者。我们编码MI技术的使用（例如，移情，反思性倾听）。我们评估了患者的满意度，以及患者觉得医生支持他或她改变的程度。与logit链接的广义估计方程模型被用来检查MI技术和患者感知的自主性和satisfaction.Results之间的关联：患者的医生被评为更同情有较高的满意度比患者的医生较少同情（29%vs 11%; P = 0.004）。患者的医生作出任何反思的声明有较高的自主权的支持率比那些医生没有（46%比30%; P = 0.006）。结论：当医生使用反思性声明，患者更容易感知到高自主权的支持。当医生有同理心时，患者更有可能报告对医生的高满意度。这些结果表明，MI技术方面的医生培训可能会改善患者的感知和结局。（J Am Board Fam Med 2011;24：665-672.）
Purpose: Motivational Interviewing (MI) is used to help patients change their behaviors. We sought to determine if physician use of specific MI techniques increases patient satisfaction with the physician and perceived autonomy.Methods: We audio-recorded preventive and chronic care encounters between 40 primary care physicians and 320 of their overweight or obese patients. We coded use of MI techniques (eg, empathy, reflective listening). We assessed patient satisfaction and how much the patient felt the physician supported him or her to change. Generalized estimating equation models with logit links were used to examine associations between MI techniques and patient perceived autonomy and satisfaction.Results: Patients whose physicians were rated as more empathic had higher rates of high satisfaction than patients whose physicians were less empathic (29% vs 11%; P = .004). Patients whose physicians made any reflective statements had higher rates of high autonomy support than those whose physicians did not (46% vs 30%; P = .006).Conclusions: When physicians used reflective statements, patients were more likely to perceive high autonomy support. When physicians were empathic, patients were more likely to report high satisfaction with the physician. These results suggest that physician training in MI techniques could potentially improve patient perceptions and outcomes. (J Am Board Fam Med 2011;24:665-672.)