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Missed Empathic Opportunities During Hand Surgery Office Visits.

Bastiaan T van Hoorn1, Mariano E Menendez2, Michael Mackert3

  • 1Harvard Medical School, Boston, MA, USA.

Hand (New York, N.Y.)
|September 19, 2019
PubMed
Summary

Hand surgeons frequently miss opportunities to respond empathically to patients. Patients with lower health literacy or depression symptoms were less likely to receive empathetic responses, impacting care.

Keywords:
empathic opportunitiesempathyhand surgerylimited health literacyorthopedics

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Area of Science:

  • Medical Sociology
  • Patient-Physician Communication
  • Health Psychology

Background:

  • Empathy enhances therapeutic alliance and patient health outcomes.
  • Understanding empathic opportunities and physician responses is crucial in healthcare.
  • Hand surgery patient visits present unique communication dynamics.

Purpose of the Study:

  • To determine the frequency and nature of empathic opportunities in hand surgery consultations.
  • To analyze hand surgeons' responses to these empathic opportunities.
  • To identify patient characteristics associated with empathic opportunities and missed responses.

Main Methods:

  • Prospective cohort study of 83 new adult patients visiting hand surgeons.
  • Audio-recording of all patient visits for analysis.
  • Utilized Levenson et al. model for categorizing empathic opportunities and responses.
  • Assessed patient health literacy, upper-extremity function, pain interference, depression, and sociodemographics.

Main Results:

  • Empathic opportunities occurred in 70% of hand surgery visits.
  • Hand surgeons responded empathically in approximately 50% of these opportunities.
  • Limited health literacy and higher depression symptoms correlated with fewer positive empathic responses.
  • Empathic responses did not significantly alter visit duration.

Conclusions:

  • Hand surgeons frequently miss opportunities for empathic communication.
  • Further research should explore physician training interventions for addressing empathic opportunities.
  • Improving empathic responses may positively influence patient trust, adherence, satisfaction, and outcomes.