文章基本信息

标题：Physician empathy: Definition, outcome-relevance and its measurement in patient care and medical education
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作者：Melanie Neumann ; Christian Scheffer ; Diethard Tauschel 等
期刊名称：GMS Zeitschrift für Medizinische Ausbildung
印刷版ISSN：1860-3572
出版年度：2012
卷号：29
页码：1-21
DOI：10.3205/zma000781
出版社：German Medical Science
摘要：Objective: The present study gives a brief introduction into 1. the definition of physician empathy (PE) and 2. its influence on patients’ health outcomes. Furthermore 3. we present assessment instruments to measure PE from the perspective of the patient and medical student. The latter topic will be explored in detail as we conducted a pilot study on the German versions of two self-assessment instruments of empathy, which are mostly used in medical education research, namely the “Jefferson Scale of Physician Empathy, Student Version” (JSPE-S) and the “Interpersonal Reactivity Index” (IRI). Methods: We first present an overview of the current empirical and theoretical literature on the definition and outcome-relevance of PE.Additionally, we conducted basic psychometric analyses of the German versions of the JSPE-S and the IRI.Data for this analyses is based on a cross-sectional pilot-survey in N=44 medical students and N=63 students of other disciplines from the University of Cologne. Results: PE includes the understanding of the patient as well as verbal and non-verbal communication, which should result in a helpful therapeutic action of the physician.Patients’ health outcomes in different healthcare settings can be improved considerably from a high quality empathic encounter with their clinician.Basic psychometric results of the German JSPE-S and IRI measures show first promising results. Conclusion: PE as an essential and outcome-relevant element in the patient-physician relationship requires more consideration in the education of medical students and, thus, in medical education research.The German versions of the JSPE-S and IRI measures seem to be promising means to evaluate these education aims and to conduct medical education research on empathy.
关键词：physician empathy; definition; patient-outcomes; JSPE-S; IRI; CARE