How does a physician's accurate understanding ...
Type de document :
Article dans une revue scientifique
PMID :
URL permanente :
Titre :
How does a physician's accurate understanding of a cancer patient's unmet needs contribute to patient perception of physician empathy?
Auteur(s) :
Lelorain, Sophie [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Brédart, Anne [Auteur]
Laboratoire de Psychopathologie et Processus de Santé [LPPS - EA 4057]
Dolbeault, Sylvie [Auteur]
Troubles du comportement alimentaire de l'adolescent [UMR_S 669]
Cano, Alejandra [Auteur]
Bonnaud-Antignac, Angélique [Auteur]
MethodS in Patients-centered outcomes and HEalth ResEarch [SPHERE]
Cousson-Gélie, Florence [Auteur]
Dynamique des capacités humaines et des conduites de santé [EPSYLON]
Sultan, Serge [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Brédart, Anne [Auteur]
Laboratoire de Psychopathologie et Processus de Santé [LPPS - EA 4057]
Dolbeault, Sylvie [Auteur]
Troubles du comportement alimentaire de l'adolescent [UMR_S 669]
Cano, Alejandra [Auteur]
Bonnaud-Antignac, Angélique [Auteur]
MethodS in Patients-centered outcomes and HEalth ResEarch [SPHERE]
Cousson-Gélie, Florence [Auteur]
Dynamique des capacités humaines et des conduites de santé [EPSYLON]
Sultan, Serge [Auteur]
Titre de la revue :
Patient Education and Counseling
Nom court de la revue :
Patient Educ Couns
Numéro :
98
Pagination :
734-741
Date de publication :
2015-06
ISSN :
1873-5134
Discipline(s) HAL :
Sciences cognitives
Résumé en anglais : [en]
OBJECTIVE: Unmet supportive care needs of patients decrease patient perception of physician empathy (PE). We explored whether the accurate physician understanding of a given patient's unmet needs (AU), could buffer the ...
Lire la suite >OBJECTIVE: Unmet supportive care needs of patients decrease patient perception of physician empathy (PE). We explored whether the accurate physician understanding of a given patient's unmet needs (AU), could buffer the adverse effect of these unmet needs on PE. METHODS: In a cross-sectional design, 28 physicians and 201 metastatic cancer patients independently assessed the unmet supportive care needs of patients. AU was calculated as the sum of items for which physicians correctly rated the level of patient needs. PE and covariates were assessed using self-reported questionnaires. Multilevel analyses were carried out. RESULTS: AU did not directly affect PE but acted as a moderator. When patients were highly expressive and when physicians perceived poor rapport with the patient, a high AU moderated the adverse effect of patient unmet needs on PE. CONCLUSION: Physician AU has the power to protect the doctor-patient relationship in spite of high patient unmet needs, but only in certain conditions. PRACTICE IMPLICATIONS: Physicians should be encouraged toward AU but warned that high rapport and patient low emotional expression may impede an accurate reading of patients. In this latter case, they should request a formal assessment of their patients' needs.Lire moins >
Lire la suite >OBJECTIVE: Unmet supportive care needs of patients decrease patient perception of physician empathy (PE). We explored whether the accurate physician understanding of a given patient's unmet needs (AU), could buffer the adverse effect of these unmet needs on PE. METHODS: In a cross-sectional design, 28 physicians and 201 metastatic cancer patients independently assessed the unmet supportive care needs of patients. AU was calculated as the sum of items for which physicians correctly rated the level of patient needs. PE and covariates were assessed using self-reported questionnaires. Multilevel analyses were carried out. RESULTS: AU did not directly affect PE but acted as a moderator. When patients were highly expressive and when physicians perceived poor rapport with the patient, a high AU moderated the adverse effect of patient unmet needs on PE. CONCLUSION: Physician AU has the power to protect the doctor-patient relationship in spite of high patient unmet needs, but only in certain conditions. PRACTICE IMPLICATIONS: Physicians should be encouraged toward AU but warned that high rapport and patient low emotional expression may impede an accurate reading of patients. In this latter case, they should request a formal assessment of their patients' needs.Lire moins >
Langue :
Anglais
Audience :
Non spécifiée
Établissement(s) :
Université de Lille
CNRS
CHU Lille
CNRS
CHU Lille
Équipe(s) de recherche :
Équipe Dynamique Émotionnelle et Pathologies (DEEP)
Date de dépôt :
2019-02-13T14:50:40Z
2020-02-18T15:58:06Z
2020-02-18T15:58:06Z