Physician empathy and subjective evaluation of medical treatment outcome in trauma surgery patients

Steinhausen, Simone; Ommen, Oliver; Thüm, Sonja; Lefering, Rolf; Koehler, Thorsten; Neugebauer, Edmund; Pfaff, Holger

doi:10.1016/j.pec.2013.12.007

Cited by 48 publications

(58 citation statements)

References 43 publications

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“…High levels of empathy are positively correlated with improved patient outcomes [10,11]. The quantification of empathy in physicians and medical students has thus become an important dimension of medical education.…”

Section: Introductionmentioning

confidence: 99%

Simulation-based end-of-life care training during surgical clerkship: assessment of skills and perceptions

Parikh¹,

Brown²,

White³

et al. 2015

Journal of Surgical Research

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Section: Introductionmentioning

confidence: 99%

Simulation-based end-of-life care training during surgical clerkship: assessment of skills and perceptions

Parikh¹,

Brown²,

White³

et al. 2015

Journal of Surgical Research

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“…Adverse events occurring after receiving a dental implant were associated with worse patient-reported medical treatment outcomes 33. The authors found that the subjective evaluation of medical treatment outcome 6 weeks after discharge correlates positively with living with a partner and negatively with having a mental disorder during hospitalization 28. Though the subjective evaluation of medical treatment outcome by trauma patients might be influenced by further treatment and disease-specific or biopsychosocial factors, no published evidence was found on additional influencing factors 22.…”

Section: Introductionmentioning

confidence: 99%

“…The subjective evaluation of the medical treatment outcome is similar to the concept of “treatment satisfaction” described by Revicki,23 as both constructs assess “the level of satisfaction with […] health status outcomes” and we assume a link with patients’ expectations for treatment 23–25. The “subjective evaluation of medical treatment outcome” scale (SEMTO) of the Cologne Patient Questionnaire is a brief generic instrument to capture these data and might be sensitive to interpersonal aspects of health care 26–28. Interhuman aspects in delivering medical treatment still seem to be underestimated in surgery 29.…”

Section: Introductionmentioning

confidence: 99%

“…Patients need to be carefully prepared for their altered circumstances, ie, helped to adjust their expectations towards a more realistic notion of their treatment outcome 24,31. The authors have published the short-term results on the subjective evaluation of treatment outcome (6 weeks after discharge) regarding the correlation with physician empathy, showing that the latter was connected with a higher probability for better subjective treatment outcomes 28. It is desirable that positive effects of treatment should be robust over a longer period.…”

Section: Introductionmentioning

confidence: 99%

“…Physician’s ability “to understand the patient’s situation, perspective and feelings, to communicate that understanding and check its accuracy, and to act on that understanding with the patient in a helpful (therapeutic) way” as well as the physician’s sensitivity to patient concerns […] 28,32…”

Section: Introductionmentioning

confidence: 99%

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Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy

Steinhausen¹,

Ommen²,

Antoine³

et al. 2014

PPA

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PurposeTo investigate accident casualties’ long-term subjective evaluation of treatment outcome 6 weeks and 12 months after discharge and its relation to the experienced surgeon’s empathy during hospital treatment after trauma in consideration of patient-, injury-, and health-related factors. The long-term results are compared to the 6-week follow-up outcomes.Patients and methodsTwo hundred and seventeen surgery patients were surveyed at 6 weeks, and 206 patients at 12 months after discharge from the trauma surgical general ward. The subjective evaluation of medical treatment outcome was measured 6 weeks and 12 months after discharge with the respective scale from the Cologne Patient Questionnaire. Physician Empathy was assessed with the Consultation and Relational Empathy Measure. The correlation between physician empathy and control variables with the subjective evaluation of medical treatment outcome 12 months after discharge was identified by means of logistic regression analysis under control of sociodemographic and injury-related factors.ResultsOne hundred and thirty-six patients were included within the logistic regression analysis at the 12-month follow-up. Compared to the 6-week follow-up, the level of subjective evaluation of medical treatment outcome was slightly lower and the association with physician empathy was weaker. Compared to patients who rated the empathy of their surgeon lower than 31 points, patients with ratings of 41 points or higher had a 4.2-fold higher probability to be in the group with a better medical treatment outcome (3.5 and above) on the Cologne Patient Questionnaire scale 12 months after discharge from hospital (P=0.009, R2=33.5, 95% confidence interval: 1.440–12.629).ConclusionPhysician empathy is the strongest predictor for a higher level of trauma patients’ subjective evaluation of treatment outcome 6 weeks and 12 months after discharge from the hospital. Interpersonal factors between surgeons and their patients are possible key levers for improving patient outcomes in an advanced health system. Communication trainings for surgeons might prepare them to react appropriately to their patients’ needs and lead to satisfactory outcomes for both parties.

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Comprehensive Framework of Firearm Violence Survivor Care

et al. 2023

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ImportanceFirearm violence is a public health crisis placing significant burden on individuals, communities, and health care systems. After firearm injury, there is increased risk of poor health, disability, and psychopathology. The newest 2022 guidelines from the American College of Surgeons Committee on Trauma require that all trauma centers screen for risk of psychopathology and provide referral to intervention. Yet, implementing these guidelines in ways that are responsive to the unique needs of communities and specific patient populations, such as after firearm violence, is challenging.ObservationsThe current review highlights important considerations and presents a model for trauma centers to provide comprehensive care to survivors of firearm injury. This model highlights the need to enhance standard practice to provide patient-centered, trauma-informed care, as well as integrate inpatient and outpatient psychological services to address psychosocial needs. Further, incorporation of violence prevention programming better addresses firearm injury as a public health concern.Conclusions and RelevanceUsing research to guide a framework for trauma centers in comprehensive care after firearm violence, we can prevent complications to physical and psychological recovery for this population. Health systems must acknowledge the socioecological context of firearm violence and provide more comprehensive care in the hospital and after discharge, to improve long-term recovery and serve as a means of tertiary prevention of firearm violence.

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Physician empathy and subjective evaluation of medical treatment outcome in trauma surgery patients

Cited by 48 publications

References 43 publications

Simulation-based end-of-life care training during surgical clerkship: assessment of skills and perceptions

Simulation-based end-of-life care training during surgical clerkship: assessment of skills and perceptions

Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy

Comprehensive Framework of Firearm Violence Survivor Care

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