Quantitative measurement of empathy and analysis of its correlation to clinical factors in korean patients with chronic diseases
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Background Empathy is the core of the physician-patient relationship. The Consultation and Relational Empathy (CARE) measure is a useful tool for assessing patient-rated empathy. There have been scarce data on empathy in chronic disease patients in Korea. We aim to evaluate empathy using the Korean CARE measure in patients from various clinical environments and the factors influencing the degree of empathy in patients with chronic disease. Methods Data were collected from patients with chronic diseases. Patients were from primary, secondary, and tertiary clinics. Characteristics of the patients, physicians, and disease status were collected. The difference in CARE score was studied according to the clinical factors. Results A total of 162 patients with chronic diseases were included. About 60% of patients were male. The mean age was 62 years. They had an average number of 2.6 diseases. More than half of patients experienced overt cardiovascular disease. About half of them had a history of hospitalization due to cardiovascular disease. The overall average CARE score was 45.6 ± 7.0. The CARE score was not significantly different according to the characteristics of the patient, physician, or disease status. Regarding marital status, the CARE score was significantly lower for the small number of patients (n = 4, 2.5%) who refused to provide their marital status than for other groups. Except for four patients, there was no significant difference in the CARE score among married, unmarried, or divorced groups. This trend was maintained in hypertensive patients. Conclusions The Korean CARE measure could assess patient-rated empathy in various clinical practices. The empathy of patients was high regardless of multiple factors.
Abstract
Background Empathy is the core of the physician-patient relationship. The Consultation and Relational Empathy (CARE) measure is a useful tool for assessing patient-rated empathy. There have been scarce data on empathy in chronic disease patients in Korea. We aim to evaluate empathy using the Korean CARE measure in patients from various clinical environments and the factors influencing the degree of empathy in patients with chronic disease. Methods Data were collected from patients with chronic diseases. Patients were from primary, secondary, and tertiary clinics. Characteristics of the patients, physicians, and disease status were collected. The difference in CARE score was studied according to the clinical factors. Results A total of 162 patients with chronic diseases were included. About 60% of patients were male. The mean age was 62 years. They had an average number of 2.6 diseases. More than half of patients experienced overt cardiovascular disease. About half of them had a history of hospitalization due to cardiovascular disease. The overall average CARE score was 45.6 ± 7.0. The CARE score was not significantly different according to the characteristics of the patient, physician, or disease status. Regarding marital status, the CARE score was significantly lower for the small number of patients (n = 4, 2.5%) who refused to provide their marital status than for other groups. Except for four patients, there was no significant difference in the CARE score among married, unmarried, or divorced groups. This trend was maintained in hypertensive patients. Conclusions The Korean CARE measure could assess patient-rated empathy in various clinical practices. The empathy of patients was high regardless of multiple factors.
참고문헌 (26)
- "Chronic disease management research & development"[URL]
- Kim Hyeon Chang, "Korea hypertension fact sheet 2021: analysis of nationwide population-based data with special focus on hypertension in women", Clinical Hypertension, 28, pp.1~1 (2022), 대한고혈압학회[DOI]
- Sang-Hyun Ihm, "Interventions for Adherence Improvement in the Primary Prevention of Cardiovascular Diseases: Expert Consensus Statement", Korean Circulation Journal, 52(1), pp.1~33 (2022), 대한심장학회[DOI]
- Mercer SW, "The consultation and relational empathy(CARE)measure : development and preliminary validation and reliability of an empathy-based consultation process measure", Fam Pract, 21, pp.699~705 (2004)
- Mercer SW, "The chineseversion of the CARE measure reliably differentiates between doctors in primary care : a cross-sectional study in Hong Kong", BMC Fam Pract, 12, pp.43~ (2011)
- Aomatsu M, "Validity and reliability of the japanese version of the CARE measure in a general medicine outpatient setting", Fam Pract, 31, pp.118~126 (2014)
- van Dijk I, "Reliability and validity of the dutch version of the Consultation and Relational Empathy measure in primary care", Fam Pract, 34, pp.119~124 (2017)
- Park KY, "Validity and reliability of a korean version of the Consultation and Relational Empathy(CARE)measure", BMC Med Educ, 22, pp.403~ (2022)
- Coplan A, "Empathy: philosophical and psychological perspectives", pp.2~18 (2011), Oxford University Press
- Riess H, "The science of empathy", J Patient Exp, 4, pp.74~77 (2017)
- Kim SS, "The effects of physician empathy on patient satisfaction and compliance", Eval Health Prof, 27, pp.237~251 (2004)
- Hojat M, "Physicians’ empathy and clinical outcomes for diabetic patients", Acad Med, 86, pp.359~364 (2011)
- Kim SS, "Patient-perceived communication styles of physicians in rehabilitation : the effect on patient satisfaction and compliance in Korea", Am J Phys Med Rehabil, 87, pp.998~1005 (2008)
- Choi SM, "Effect of verbal empathy and touch on anxiety relief in patients undergoing flexible bronchoscopy : can empathy reduce patients’. anxiety?", Respiration, 92, pp.380~388 (2016)
- La Monica EL, "Construct validity of an empathy instrument", Res Nurs Health, 4, pp.389~400 (1981)
- Hojat M, "Physician empathy : definition, components, measurement, and relationship to gender and specialty", Am J Psychiatry, 159, pp.1563~1569 (2002)
- Reynolds W, "The measurement and development of empathy in nursing" (2000), Routledge
- Hanževački M, "Reliability and validity of the croatian version of Consultation and Relational Empathy(CARE)measure in primary care setting", Croat Med J, 56, pp.50~56 (2015)
- Mercer SW, "Validity and reliability of the CARE measure in secondary care", Clin Gov Int J, 13, pp.269~283 (2008)
- Howick J, "How empathic is your healthcare practitioner? : a systematic review and meta-analysis of patient surveys", BMC Med Educ, 17, pp.136~ (2017)
- Roberts BW, "Socioeconomic, racial and ethnic differences in patient experience of clinician empathy : results of a systematic review and meta-analysis", PLoS ONE, 16, pp.e0247259~ (2021)
- August KJ, "Marital status and gender differences in managing a chronic illness : the function of health-related social control", Soc Sci Med, 71, pp.1831~1838 (2010)
- 임현지, "Marital Status and Health Behavior in Middle-aged Korean Adults", Korean Journal of Family Medicine, 33(6), pp.390~397 (2012), 대한가정의학회
- Leung CY, "Association of marital status with total and cause-specific mortality in Asia", JAMA Netw Open, 5, pp.e2214181~ (2022)
- Schultz WM, "Marital status and outcomes in patients with cardiovascular disease", J Am Heart Assoc, 6, pp.e005890~ (2017)
- Dambha-Miller H, "Association between primary care practitioner empathy and risk of cardiovascular events and all-cause mortality among patients with type 2 diabetes : a population-based prospective cohort study", Ann Fam Med, 17, pp.311~318 (2019)