scholarly journals The influence of patient perception of physician empathy on patient satisfaction among attending physicians working with residents in an emergent care setting

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Ryan Kirby ◽  
Heidi C. Knowles ◽  
Anant Patel ◽  
Naomi Alanis ◽  
Colton Rice ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Care Setting ◽  
Patient Perception ◽  
Physician Empathy ◽  
Attending Physicians

Patient perception of physician empathy in stroke telemedicine

2020 ◽  
pp. 1357633X1989923 ◽  
Author(s):  
William P Cheshire ◽  
Kevin M Barrett ◽  
Benjamin H Eidelman ◽  
Elizabeth A Mauricio ◽  
Josephine F Huang ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Acute Stroke ◽  
Stroke Care ◽  
Patient Perception ◽  
Secondary Outcome ◽  
Acute Stroke Care ◽  
Satisfaction Measure ◽  
Clinical Encounters ◽  
Strongly Agree ◽  
Physician Empathy

Introduction We assessed patients’ perceptions of physician empathy during telemedicine consultations as compared to in-person consultations during clinical encounters for acute stroke. Methods This prospective cohort study was undertaken at a comprehensive stroke centre hub in collaboration with a distant community hospital spoke site. Eligible participants presented to hub or spoke emergency departments with suspected acute stroke within three hours of symptom onset. Participants were evaluated at the hub site in person or at the remote site via telemedicine by the same group of neurologists. Following acute care decisions, single-visit data including participant-reported assessments of physician empathy were collected within 24 h. The primary outcome was the Consultation and Relational Empathy score. The secondary outcome for the telemedicine cohort was the Telemedicine Patient Satisfaction Measure score. Results Between 31 May 2013–13 March 2019, 70 patients completed the study. Fifty patients were seen by telemedicine and 20 patients were seen in person. Median Consultation and Relational Empathy scores (with a possible score of 10–50) were 49 (range 27–50) for telemedicine and 45 (range 26–50) for in-person consultations (Wilcoxon rank sum p = 0.18). Each item of the Consultation and Relational Empathy questionnaire was rated very good or excellent by at least 87% of participants in the telemedicine group. The median Telemedicine Patient Satisfaction Measure score was 54 (range 12–60), with each item rated agree or strongly agree by at least 84% of participants. Discussion We found no difference between telemedicine and in-person visits in patient perception of physician empathy in acute stroke care. Therefore, we conclude that empathy can be conveyed by facial expression, voice and attentiveness in a telemedicine encounter and, in the setting of acute stroke care, does not require physical touch or proximity.

Synergistic effects of emergency physician empathy and burnout on patient satisfaction: a prospective observational study

2020 ◽  
pp. emermed-2019-209393
Author(s):  
Jennifer Byrd ◽  
Heidi Knowles ◽  
Sephonie Moore ◽  
Victoria Acker ◽  
Sarah Bell ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Observational Study ◽  
Emergency Physician ◽  
Prospective Observational Study ◽  
Synergistic Effects ◽  
Multivariate Logistic Regression Analysis ◽  
Patient Perception ◽  
Strong Positive Correlation ◽  
Physician Empathy ◽  
Spearman’S Correlation

BackgroundPhysician empathy and burnout have been shown to be independently associated with patient satisfaction. However, their correlations were uncertain in previous studies. We aimed to determine correlations among empathy, burnout, and patient satisfaction, and further analyse interactions among these factors.MethodA single centre prospective observational study was conducted from December 2018 to August 2019 at JPS Health Network, USA. Emergency physician (EP) self-assessed empathy and burnout were measured by the Jefferson Scale of Empathy (JSE) and the Copenhagen Burnout Inventory (CBI) separately. We assessed patient perception of physician empathy and patient satisfaction with their treating physician by the Jefferson Scale of Patient Perception of Physician Empathy and a patient assessed satisfaction survey. Spearman’s correlation was used to determine associations among JSE, patient assessed physician empathy, CBI and patient satisfaction. Additionally, JSE, patient assessed physician empathy and CBI predictive of patient satisfaction were measured by multivariate logistic regression analysis.ResultsA total of 28 EPs and 423 patients were enrolled. Patient satisfaction had a weak correlation with JSE (ρ=0.11) but showed a strong correlation with patient assessed physician empathy (ρ=0.60). CBI showed no correlation with patient satisfaction (ρ<0.1). However, when JSE, patient assessed physician empathy and CBI were analysed together in relation to patient satisfaction, adjusted odds ratios (AOR) was 3.85 (95% CI 1.36 to 10.88) with high patient assessed physician empathy alone; AOR was 7.17 (2.62–19.67) when high patient assessed physician empathy was combined with low CBI; and AOR was 8.37 (3.07–22.83) when high patient assessed physician empathy, low CBI and high JSE were combined.ConclusionPatient assessed physician empathy had a strong positive correlation with patient satisfaction. Moreover, higher patient satisfaction was achieved from EPs of high patient assessed physician empathy, low CBI and high JSE, indicating a positive synergistic effect. These findings suggest different interventions might be applied to EPs of different wellness features to maximise patient satisfaction.

Causal Effect Analysis of Demographic Concordance on Patient Perception of Physician Trust and Respect in an Emergency Care Setting

2021 ◽  
Author(s):  
Amy F Ho ◽  
Yuan Zhou ◽  
Jessica J Kirby ◽  
Md Mamumur Rahman ◽  
Kathryn Tessitore ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Emergency Care ◽  
Race And Ethnicity ◽  
Care Setting ◽  
Causal Effect ◽  
Patient Perception ◽  
Patient Perceptions ◽  
Effect Analysis ◽  
Physician Trust ◽  
And Control

Abstract Objectives: Patient perceptions of physician trust and respect are important factors for patient satisfaction evaluations. We aim to determine the causal effect on patient-physician demographic concordance and patient perceptions of physician trust and respect in an emergency care setting. A near real-time patient satisfaction survey was sent via telephone to patients within 72 hours of discharge from an Emergency Department (ED). Patient-trust-physician (PTP) and physician-show-respect (PSR) scores were measured. Patient and physician demographics (age, gender, race, and ethnicity) were matched. We employed genetic matching to assign patients appropriately to the treatment (demographic concordance) and control (demographic discordance) groups. Causal effect was analyzed to determine the direct effect of patient-physician demographic concordance on PTP/PSR scores. Result: We enrolled 1815 patients. The treatment effect of patient-physician demographic concordance on patient perception of physician trust and respect ranged from -0.02 to -0.2 (p>0.05). In general, patient-physician demographic concordance has minimal effect on patient perceptions of physician trust and respect.

scholarly journals Patient Suggestions to Improve Emergency Physician Empathy and Communication

2021 ◽  
Vol 8 ◽  
pp. 237437352199698
Author(s):  
Sophia Aguirre ◽  
Kristen M Jogerst ◽  
Zachary Ginsberg ◽  
Sandeep Voleti ◽  
Puneet Bhullar ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Emergency Physician ◽  
Active Listening ◽  
Patient Relationship ◽  
Emergency Physicians ◽  
Future Improvement ◽  
Survey Responses ◽  
Physician Empathy

Emergency physician empathy and communication is increasingly important and influences patient satisfaction. This study investigated if there is a need for improvement in provider empathy and communication in our emergency department and what areas could be targeted for future improvement. Patients cared for by emergency physicians with the lowest satisfaction scores were surveyed within 1 week of discharge. Patients rated their emergency provider’s empathy and communication and provided feedback on the patient–provider interaction. Compared to survey responses nationally, our providers fell between the 10th and 25th percentiles for all questions, except question 5 (making a plan of action with [the patient]) which was between the 5th and 10th percentile. Areas most frequently cited for improvement were “wanting to know why” (N = 30), “time is short” (N = 15), and “listen to the patient” (N = 13). Survey percentiles and open-ended suggestions demonstrate a need for providers to give thorough explanations, spend more time with the patient, and demonstrate active listening. These themes can be used to strengthen the provider–patient relationship.

scholarly journals Effect of medical student teaching on patient satisfaction in a managed care setting

2000 ◽  
Vol 15 (7) ◽  
pp. 457-461 ◽  
Author(s):  
Steven R. Simon ◽  
Antoinette S. Peters ◽  
Cindy L. Christiansen ◽  
Robert H. Fletcher
Keyword(s):  
Patient Satisfaction ◽  
Medical Student ◽  
Managed Care ◽  
Student Teaching ◽  
Care Setting ◽  
Medical Student Teaching

Multi-institutional intervention to improve patient perception of physician empathy in emergency care

2021 ◽  
pp. emermed-2020-210757
Author(s):  
Katie Pettit ◽  
Anne Messman ◽  
Nathaniel Scott ◽  
Michael Puskarich ◽  
Hao Wang ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Intervention Group ◽  
Mean Difference ◽  
Patient Perception ◽  
Control Group ◽  
Control Group Design ◽  
Modest Improvement ◽  
T1 And T2 ◽  
Trust In Physicians ◽  
Physician Empathy

BackgroundPhysician empathy has been linked to increased patient satisfaction, improved patient outcomes and reduced provider burnout. Our objective was to test the effectiveness of an educational intervention to improve physician empathy and trust in the ED setting.MethodsPhysician participants from six emergency medicine residencies in the US were studied from 2018 to 2019 using a pre–post, quasi-experimental non-equivalent control group design with randomisation at the site level. Intervention participants at three hospitals received an educational intervention, guided by acognitivemap (the ‘empathy circle’). This intervention was further emphasised by the use of motivational texts delivered to participants throughout the course of the study. The primary outcome was change in E patient perception of resident empathy (Jefferson scale of patient perception of physician empathy (JSPPPE) and Trust in Physicians Scale (Tips)) before (T1) and 3–6 months later (T2).ResultsData were collected for 221 residents (postgraduate year 1–4.) In controls, the mean (SD) JSPPPE scores at T1 and T2 were 29 (3.8) and 29 (4.0), respectively (mean difference 0.8, 95% CI: −0.7 to 2.4, p=0.20, paired t-test). In the intervention group, the JSPPPE scores at T1 and T2 were 28 (4.4) and 30 (4.0), respectively (mean difference 1.4, 95% CI: 0.0 to 2.8, p=0.08). In controls, the TIPS at T1 was 65 (6.3) and T2 was 66 (5.8) (mean difference −0.1, 95% CI: −3.8 to 3.6, p=0.35). In the intervention group, the TIPS at T1 was 63 (6.9) and T2 was 66 (6.3) (mean difference 2.4, 95% CI: 0.2 to 4.5, p=0.007). Hierarchical regression revealed no effect of time×group interaction for JSPPPE (p=0.71) nor TIPS (p=0.16).ConclusionAn educational intervention with the addition of text reminders designed to increase empathic behaviour was not associated with a change in patient-perceived empathy, but was associated with a modest improvement in trust in physicians.

scholarly journals Virtual Scribe Services Decrease Documentation Burden Without Affecting Patient Satisfaction: A Randomized Controlled Trial

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0010
Author(s):  
Savannah Benko ◽  
Alex Idarraga ◽  
Daniel D. Bohl ◽  
Kamran S. Hamid
Keyword(s):  
Patient Satisfaction ◽  
Controlled Trial ◽  
A Priori ◽  
Sample Size Calculation ◽  
Smart Device ◽  
Foot And Ankle ◽  
Sufficient Time ◽  
Encounter Time ◽  
Physician Empathy ◽  
Physician Patient

Category: Other Introduction/Purpose: Scribes are utilized as a means to reduce administrative burden on surgeons and enhance the physician- patient interaction. Virtual scribe services (VSS) are a contemporary take on the scribe that use a HIPAA-compliant smart device to record patient encounters for transmission, remote transcription, and insertion into the electronic medical record. The purpose of this study was to determine if the use of a VSS could decrease the total time an orthopaedic surgeon spends on documentation without diminishing the patient experience when compared to traditional post-encounter dictation (TD). Methods: Patients presenting for a first-time visit with an orthopaedic foot and ankle surgeon were consented and randomized to VSS or TD prior to the physician-patient encounter. Time spent with the patient in the exam room and time used to document away from the patient were recorded. A validated post-encounter survey assessed patient satisfaction, perception of physician empathy, understanding of the plan, and perception of the amount of time spent with the physician on scales of 0 to 10. An a priori sample size calculation with an alpha level set at 0.05 and power of 80% estimated that 50 patients were necessitated to demonstrate a 2-minute difference in time spent documenting away from the patient. Comparisons were made using a two-sample Student’s t-test. Results: Of the 50 patients enrolled, 25 were randomized to VSS. No differences in demographic characteristics were identified between cohorts (p>0.05 for each). Time spent documenting away from the patient differed between VSS and TD (1.19±0.65 minutes for VSS versus 5.80±1.70 minutes for TD, p<0.001) as did time elapsed between the end of the visit and the start of dictation (0±0 for VSS versus 123±70 minutes for TD, p<0.001). There was a trend towards more time spent with the patient in the VSS group than in the TD group (14.25±5.86 minutes versus 11.37±5.07 minutes, p=0.069). There were no differences between groups in survey responses regarding satisfaction, empathy, understanding, or perception of sufficient time spent with the physician (p>0.05 for each; Table 1). Conclusion: VSS in an orthopaedic foot and ankle practice decreases documentation time by approximately 4 minutes per new patient compared to TD, resulting in 2 hours of reclaimed physician time for every 30 new patients. With VSS, documentation is completed during the visit versus TD which is dictated on average 2 hours later. A validated survey identified no differences in patient satisfaction, perception of physician empathy and sufficient time spent with the physician, or understanding of the plan with VSS versus TD. Orthopaedic surgeons should consider VSS a HIPAA-compliant documentation option with time savings and no measurable difference in patient satisfaction.

scholarly journals Adherence to Prescription Opioid Monitoring Guidelines among Residents and Attending Physicians in the Primary Care Setting

Pain Medicine ◽  
2015 ◽  
Vol 16 (3) ◽  
pp. 480-487 ◽  
Author(s):  
Laila Khalid ◽  
Jane M. Liebschutz ◽  
Ziming Xuan ◽  
Shernaz Dossabhoy ◽  
Yoona Kim ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Prescription Opioid ◽  
Attending Physicians
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