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Physician empathy and patient enablement: survey in the Portuguese primary health care

BACKGROUND: Empathy is the capacity to understand and resonate with the experiences of other people. Patient enablement is the degree to which a patient feels strengthened in terms of being able to deal with, understand and manage their disease. METHODS: Secondary cross-sectional analysis of existin...

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Autores principales: Simões, José Augusto, Prazeres, Filipe, Maricoto, Tiago, Simões, Pedro Augusto, Lourenço, Joana, Romano, João Pedro, Santiago, Luiz Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463900/
https://www.ncbi.nlm.nih.gov/pubmed/33738481
http://dx.doi.org/10.1093/fampra/cmab005
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author Simões, José Augusto
Prazeres, Filipe
Maricoto, Tiago
Simões, Pedro Augusto
Lourenço, Joana
Romano, João Pedro
Santiago, Luiz Miguel
author_facet Simões, José Augusto
Prazeres, Filipe
Maricoto, Tiago
Simões, Pedro Augusto
Lourenço, Joana
Romano, João Pedro
Santiago, Luiz Miguel
author_sort Simões, José Augusto
collection PubMed
description BACKGROUND: Empathy is the capacity to understand and resonate with the experiences of other people. Patient enablement is the degree to which a patient feels strengthened in terms of being able to deal with, understand and manage their disease. METHODS: Secondary cross-sectional analysis of existing data from 2 independent datasets (456 primary health care patients), with the application of two validated questionnaires, Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE) and Patient Enablement Instrument (PEI). OBJECTIVE: Evaluate medical empathy and patients’ enablement after consultation with their family doctors and to verify if there was an association between these two concepts. RESULTS: The median value of JSPPPE-VP score was 6.60 (interquartile range 1.00) and of PEI/ICC score was of 1.83 (interquartile range 0.67). Regarding empathy (JSPPPE-VP), patients taking chronic medication had a slight but significantly higher median score than patients not taking them (6.70 versus 6.60, P = 0.049), although regression modelling did not confirm any relevant predictor of JSPPPE-VP score. Regarding enablement (PEI/ICC), we found significantly higher scores on younger patients, as well as, on more educated and professionally active ones (P < 0.001). Multivariable linear regression and Poisson regression modelling confirmed such variables as statistically significant potential predictors. CONCLUSIONS: A significant positive association was found between empathy score (JSPPPE-VP) and enablement score (PEI/ICC), when adjusted to sociodemographic cofactors. On this linear regression model, age category and educational level were also significantly associated with empathy score, with the same pattern found on bivariate analysis.
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spelling pubmed-84639002021-09-27 Physician empathy and patient enablement: survey in the Portuguese primary health care Simões, José Augusto Prazeres, Filipe Maricoto, Tiago Simões, Pedro Augusto Lourenço, Joana Romano, João Pedro Santiago, Luiz Miguel Fam Pract Epidemiology BACKGROUND: Empathy is the capacity to understand and resonate with the experiences of other people. Patient enablement is the degree to which a patient feels strengthened in terms of being able to deal with, understand and manage their disease. METHODS: Secondary cross-sectional analysis of existing data from 2 independent datasets (456 primary health care patients), with the application of two validated questionnaires, Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE) and Patient Enablement Instrument (PEI). OBJECTIVE: Evaluate medical empathy and patients’ enablement after consultation with their family doctors and to verify if there was an association between these two concepts. RESULTS: The median value of JSPPPE-VP score was 6.60 (interquartile range 1.00) and of PEI/ICC score was of 1.83 (interquartile range 0.67). Regarding empathy (JSPPPE-VP), patients taking chronic medication had a slight but significantly higher median score than patients not taking them (6.70 versus 6.60, P = 0.049), although regression modelling did not confirm any relevant predictor of JSPPPE-VP score. Regarding enablement (PEI/ICC), we found significantly higher scores on younger patients, as well as, on more educated and professionally active ones (P < 0.001). Multivariable linear regression and Poisson regression modelling confirmed such variables as statistically significant potential predictors. CONCLUSIONS: A significant positive association was found between empathy score (JSPPPE-VP) and enablement score (PEI/ICC), when adjusted to sociodemographic cofactors. On this linear regression model, age category and educational level were also significantly associated with empathy score, with the same pattern found on bivariate analysis. Oxford University Press 2021-03-19 /pmc/articles/PMC8463900/ /pubmed/33738481 http://dx.doi.org/10.1093/fampra/cmab005 Text en © The Author(s) 2021. Published by Oxford University Press. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Epidemiology
Simões, José Augusto
Prazeres, Filipe
Maricoto, Tiago
Simões, Pedro Augusto
Lourenço, Joana
Romano, João Pedro
Santiago, Luiz Miguel
Physician empathy and patient enablement: survey in the Portuguese primary health care
title Physician empathy and patient enablement: survey in the Portuguese primary health care
title_full Physician empathy and patient enablement: survey in the Portuguese primary health care
title_fullStr Physician empathy and patient enablement: survey in the Portuguese primary health care
title_full_unstemmed Physician empathy and patient enablement: survey in the Portuguese primary health care
title_short Physician empathy and patient enablement: survey in the Portuguese primary health care
title_sort physician empathy and patient enablement: survey in the portuguese primary health care
topic Epidemiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463900/
https://www.ncbi.nlm.nih.gov/pubmed/33738481
http://dx.doi.org/10.1093/fampra/cmab005
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