Format

Send to

Choose Destination
Hand (N Y). 2019 Sep 17:1558944719873395. doi: 10.1177/1558944719873395. [Epub ahead of print]

Missed Empathic Opportunities During Hand Surgery Office Visits.

Author information

1
Harvard Medical School, Boston, MA, USA.
2
Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.
3
The University of Texas at Austin, USA.
4
Medical University of Utrecht, The Netherlands.

Abstract

Background: Empathy (conveyance of an understanding of a patient's situation, perspective, and feelings) deepens the therapeutic alliance and leads to better health outcomes. We studied the frequency and nature of empathic opportunities and physician responses in patients visiting a hand surgeon. We also sought patient characteristics associated with the number of patient-initiated-clues and missed opportunities by surgeons. Methods: For this prospective cohort study, we enrolled 83 new, adult patients visiting 1 of 3 hand surgeons during a period of 4 months. All visits were audio-recorded, and empathic opportunities (patient-initiated emotional or social clues) and physician responses were categorized using the model of Levenson et al. Before the visit, patients completed the Newest Vital Sign health literacy test; 3 Patient-Reported Outcomes Measurement Information System-based questionnaires: Upper-Extremity function, Pain Interference, and Depression questionnaires; and a sociodemographic survey. Results: Empathic opportunities were present in 70% of hand surgery office visits. Surgeons responded empathically to about half of the opportunities. Patients with limited health literacy and greater symptoms of depression (small correlation; r = -0.29) were less likely to receive a positive response. Response to an empathic opportunity did not affect visit duration. Conclusions: Hand surgeons often miss empathic opportunities. Future research might address the influence of training physicians to address empathic opportunities on trust, adherence, satisfaction, and outcomes.

KEYWORDS:

empathic opportunities; empathy; hand surgery; limited health literacy; orthopedics

PMID:
31526045
DOI:
10.1177/1558944719873395

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center