General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland -- a pilot prospective study using structural equation modeling.
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| Title: | General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland -- a pilot prospective study using structural equation modeling. |
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| Authors: | Mercer SW (AUTHOR), Neumann M (AUTHOR), Wirtz M (AUTHOR), Fitzpatrick B (AUTHOR), Vojt G (AUTHOR) |
| Source: | Patient Education & Counseling. Nov2008, Vol. 73 Issue 2, p240-245. 6p. |
| Abstract: | Objective: The aim of this pilot prospective study was to investigate the relationships between general practitioners (GPs) empathy, patient enablement, and patient-assessed outcomes in primary care consultations in an area of high socio-economic deprivation in Scotland.Methods: This prospective study was carried out in a five-doctor practice in an area of high socio-economic deprivation in Scotland. Patients' views on the consultation were gathered using the Consultation and Relational Empathy (CARE) Measure and the Patient Enablement Instrument (PEI). Changes in main complaint and well-being 1 month after the contact consultation were gathered from patients by postal questionnaire. The effect of GP empathy on patient enablement and prospective change in outcome was investigated using structural equation modelling.Results: 323 patients completed the initial questionnaire at the contact consultation and of these 136 (42%) completed and returned the follow-up questionnaire at 1 month. Confirmatory factor analysis confirmed the construct validity of the CARE Measure, though omission of two of the six PEI items was required in order to reach an acceptable global data fit. The structural equation model revealed a direct positive relationship between GP empathy and patient enablement at contact consultation and a prospective relationship between patient enablement and changes in main complaint and well-being at 1 month.Conclusion: In a high deprivation setting, GP empathy is associated with patient enablement at consultation, and enablement predicts patient-rated changes 1 month later. Further larger studies are desirable to confirm or refute these findings.Practice implications: Ways of increasing GP empathy and patient enablement need to be established in order to maximise patient outcomes. Consultation length and relational continuity of care are known factors; the benefit of training and support for GPs needs to be further investigated. [ABSTRACT FROM AUTHOR] |
| Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 105594092 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland -- a pilot prospective study using structural equation modeling. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Mercer+SW%22">Mercer SW</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Neumann+M%22">Neumann M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wirtz+M%22">Wirtz M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fitzpatrick+B%22">Fitzpatrick B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vojt+G%22">Vojt G</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Nov2008, Vol. 73 Issue 2, p240-245. 6p. – Name: Abstract Label: Abstract Group: Ab Data: Objective: The aim of this pilot prospective study was to investigate the relationships between general practitioners (GPs) empathy, patient enablement, and patient-assessed outcomes in primary care consultations in an area of high socio-economic deprivation in Scotland.Methods: This prospective study was carried out in a five-doctor practice in an area of high socio-economic deprivation in Scotland. Patients' views on the consultation were gathered using the Consultation and Relational Empathy (CARE) Measure and the Patient Enablement Instrument (PEI). Changes in main complaint and well-being 1 month after the contact consultation were gathered from patients by postal questionnaire. The effect of GP empathy on patient enablement and prospective change in outcome was investigated using structural equation modelling.Results: 323 patients completed the initial questionnaire at the contact consultation and of these 136 (42%) completed and returned the follow-up questionnaire at 1 month. Confirmatory factor analysis confirmed the construct validity of the CARE Measure, though omission of two of the six PEI items was required in order to reach an acceptable global data fit. The structural equation model revealed a direct positive relationship between GP empathy and patient enablement at contact consultation and a prospective relationship between patient enablement and changes in main complaint and well-being at 1 month.Conclusion: In a high deprivation setting, GP empathy is associated with patient enablement at consultation, and enablement predicts patient-rated changes 1 month later. Further larger studies are desirable to confirm or refute these findings.Practice implications: Ways of increasing GP empathy and patient enablement need to be established in order to maximise patient outcomes. Consultation length and relational continuity of care are known factors; the benefit of training and support for GPs needs to be further investigated. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.pec.2008.07.022 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 240 Titles: – TitleFull: General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland -- a pilot prospective study using structural equation modeling. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Mercer SW – PersonEntity: Name: NameFull: Neumann M – PersonEntity: Name: NameFull: Wirtz M – PersonEntity: Name: NameFull: Fitzpatrick B – PersonEntity: Name: NameFull: Vojt G IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2008 Type: published Y: 2008 Identifiers: – Type: issn-print Value: 07383991 Numbering: – Type: volume Value: 73 – Type: issue Value: 2 Titles: – TitleFull: Patient Education & Counseling Type: main |
| ResultId | 1 |
