Empathy and HealthCare
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Empathy and HealthCare
- CultureOfEmpathy.com
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To drive innovation and manage change, health systems call on design thinking

To drive innovation and manage change, health systems call on design thinking | Empathy and HealthCare | Scoop.it

Current health system practices are not sufficient to address growing rates of obesity and diabetes, health and economic disparities and cost control. "A Design Thinking Framework for Healthcare Management and Innovation" argues that addressing these complex challenges will require leaders that can think, and act, more like designers...

 

The authors describe and offer tools for three key elements of a design thinking framework which include empathy, radical collaboration and rapid prototyping.

 

"By starting with empathy for our patients, families, employees, and communities, design thinking allows innovation to be driven by 'user' experiences and needs rather than top-down expertise, which is often the case," Roberts says.

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In the war on illness, the real victim is empathy 

In the war on illness, the real victim is empathy  | Empathy and HealthCare | Scoop.it

What’s wrong with doctors today? I’m a doctor; I can tell you. Doctors and patients exist in two distinct worlds: the world of the healthy and the world of the sick. The only language that connects these two worlds is kindness and compassion—this is how doctors and patients connect. If you are fluent in this language, you can traverse the divide.

Several studies have shown a sharp decline in empathy by the time students finish medical school. The compassion continues to drop during residency and fellowship, until finally, he or she is a physician with patients depending on them.

The slow but ensured death of empathy in medical education is not an accident.

By Jame Abraham M.D.

 

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Empathy in HealthCare

Dr Jeremy Howick (Senior Research Fellow, Nuffield Department of Primary Care Health Services, University of Oxford) discusses empathy as part of an event organised by Oxford Healthcare Values Partnership.

 

Jeremy Howick

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Addiction, Empathy, and Opioid Alternatives

Addiction, Empathy, and Opioid Alternatives | Empathy and HealthCare | Scoop.it

What gets lost here is the desperation, shame, and self-loathing that accompany drug addiction. Medical doctors must not lose sight of the desperate person behind the behaviors, which can be extremely off-putting and lead to feelings of disgust, helplessness, and even contempt for the drug seeker.

 

Empathy is crucial. Training programs are available and must be prioritized by medical institutions to address this culture-made crisis.

 

When medical professionals aren't equipped with the tools and skills to meet the desperate person behind the wall of addiction, conversations are abruptly ended, and relationships are severed, often before the problem is named and a dedicated team is mobilized to help the individual.

 

True empathy does not mean continuing to write prescriptions. Empathy means asking questions and humanizing the patient, which can result in finding hope for a drug-free future by showing an alternative pathway to recovery....

 

In Massachusetts, the crisis has reached fever pitch. Last year, Governor Charlie Baker convened a task force to make recommendations on the crisis—and one of those must be empathy training for physicians dealing with drug-addicted patients.

 

by Helen Riess, MD

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Physician Healthcare: Thoughts on Empathy Under the Northern Lights : AAFP Leader Voices

Physician Healthcare: Thoughts on Empathy Under the Northern Lights : AAFP Leader Voices | Empathy and HealthCare | Scoop.it

I use empathy as a diagnostic tool. My mind is geared to understand and mirror the emotions of others. Although I use logic and evidence-based medicine, I cannot deny that a large part of my assessment in the exam room is based on my reaction to how the patient feels.

 

Our brains are uniquely wired for precisely this process and the trillions of neural connections along with experience trigger patterns of diagnosis. The way a patient moves onto the exam table, the small facial expressions, eye contact, skin color and the way the heart beats mean as much to me as do the history and lab work. I use all of this information to answer the fundamental question: Is this patient sick or not?

 

John Cullen, M.D., is a member of the AAFP Board of Directors.

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Doctor's empathy boosts patient satisfaction

Doctor's empathy boosts patient satisfaction | Empathy and HealthCare | Scoop.it

Empathetic doctors seem to understand what their patient is going through, which contributes to patient satisfaction. 

 

Patients do better and are more satisfied with their care if they believe their doctor is empathetic, a new study suggests.

Researchers asked 112 patients, average age 51, to rate their dealings with their hand surgeon.  The results showed that doctor empathy accounted for 65 percent of patient satisfaction.

Patient satisfaction wasn't influenced by wait time for an appointment or wait time in the office, time spent with the surgeon, resident/fellow involvement, whether or not patients were seeking a second opinion, patients' health knowledge or type of treatment. 

 

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Last Lecture: Empathy can't cure, but it can alleviate suffering on both sides of the stethoscope: Indiana University–Purdue University

Last Lecture: Empathy can't cure, but it can alleviate suffering on both sides of the stethoscope: Indiana University–Purdue University | Empathy and HealthCare | Scoop.it

His interest in empathic communication "took an unexpected turn in 1979, when I lost my mother suddenly due to a preventable communication error involving the delivery of diagnostic information by her physician," Frankel said.

 

"It was devastating, and it transformed my interest in communication theory to one of urgent practical importance. Since that time, my motivation and commitment to improving communication between physicians and patients have been deeply personal as well as scholarly."

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Study: General Practitioners’ Empathy and Health Outcomes: A Prospective Observational Study of Consultations in Areas of High and Low Deprivation

Study: General Practitioners’ Empathy and Health Outcomes: A Prospective Observational Study of Consultations in Areas of High and Low Deprivation | Empathy and HealthCare | Scoop.it

Stewart W. Mercer , and colleagues

What This Study Found

Compared with affluent areas, patients in deprived areas have higher rates of ill health, psychosocial problems, and multimorbidity; more problems to discuss within the same visit time yet less desire for shared decision making; perceive their GPs as less empathetic; and have worse outcomes at one month.

 

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Study: Physician empathy a key driver of patient satisfaction

Study: Physician empathy a key driver of patient satisfaction | Empathy and HealthCare | Scoop.it

A study presented today at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), links patient-perceived physician empathy with improved outcomes and medical care satisfaction.


In the study, 112 new patients (mean age 51) at the Massachusetts General Hospital Department of Orthopaedic Surgery rated personal interaction with their hand surgeon. In addition, patients completed a health literacy test, provided sociodemographic information, and answered questions about pain, upper extremity function and depression.


Sixty-five percent of patient satisfaction was attributed to physician empathy, according to the study. Satisfaction was not affected by wait time for an appointment, wait time in the office, time with the surgeon, resident/fellow involvement, whether or not patients were seeking a second opinion, health literacy, or treatment choice.


Study Abstract


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Simulation-Based Empathetic Communication Curriculum

Simulation-Based Empathetic Communication Curriculum | Empathy and HealthCare | Scoop.it

This is a 1.5-hour empathy curriculum designed for four to five resident participants at a time and includes a simulation scenario followed by a debriefing session, a didactic session, and a role-playing exercise.


The residents are the patient in a simulated scenario where they experience preparations to undergo an urgent cesarean delivery. The simulation experience includes being rushed to the operating room (OR) by an obstetrician and anesthesiologist, the consent process, undergoing a medical history and physical exam, responding to questions and commands imposed by the health care team, hemodynamic monitor application, preparatory OR work, and witnessing emergency team dynamics



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Empathy: The Key to Reaching Clients Affected by Overweight and Obesity

Empathy: The Key to Reaching Clients Affected by Overweight and Obesity | Empathy and HealthCare | Scoop.it
This scenario is also familiar to much of the medical community. In fact, the highly respected Massachusetts General Hospital has launched a training program engineered to teach doctors empathy. This is not a program designed to simply improve “bedside manner,” but, rather, to teach the skill of empathy.

Now, why would physicians, with their wealth of medical knowledge and skill (and very limited time) invest in learning empathy? Because they know that improved disease management and surgery outcomes depend on adherence and that recent studies have revealed that empathy improves adherence results significantly (Di Blasi et al., 2001; Halpern 2001; Stewart 1995; Gerteis et al., 1993).

So, why is empathy important to health and fitness professionals? As Dr. Cedric Bryant, Chief Science Officer at ACE, explains, “Healthcare is the ultimate team sport.” As physicians increasingly recognize the skill of empathy as the key to adherence, they will be more confident in working with health and fitness professionals who demonstrate and share their view of the skill of empathy.
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Should We Train Doctors for Empathy?

Should We Train Doctors for Empathy? | Empathy and HealthCare | Scoop.it
Following a wave of research suggesting the benefits of emotionally attuned physicians, the medical field is exploring ways to cultivate empathy.


In light of the research, Kirch wants to produce more doctors who show care and sensitivity toward their patients. To this end, one of the steps he and the AAMC are taking is to screen for them: They have revised the MCAT, the admission test for medical school, so that the test now includes a new section measuring student knowledge on the behavioral, social, and psychological elements of health care—a way to gauge applicants’ understanding of how a patient’s background, psychology, and experience impacts their health. Kirch sees this change as important for the development of empathic, effective healers.


By Jill Suttie | July 8, 2015 

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Why Kindness Heals: empathy for a patient -- listening, connecting, and validating them

Why Kindness Heals: empathy for a patient -- listening, connecting, and validating them | Empathy and HealthCare | Scoop.it
While some clinicians don't appreciate this reality, research has demonstrated that when a physician or nurse shows empathy for a patient -- listening, connecting, and validating them -- the patient is more likely to recover faster across a wide variety of medical conditions to even include surgery.


One study has demonstrated that an empathetic interaction with a physician can have as much of a positive impact on one's risk of heart attack as taking an aspirin a day.

James R. Doty, M.D.

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Patient Experience, Empathy Innovation Summit - Empathy Amplified Award

Patient Experience, Empathy Innovation Summit - Empathy Amplified Award | Empathy and HealthCare | Scoop.it
Patient care is more than just healing — it’s building a connection that encompasses mind, body and soul. If you could stand in someone else’s shoes . . . hear what they hear. See what they see. Feel what they feel. Would you treat them differently?

Empathy is the ability to imagine oneself in another’s place and to communicate that understanding back to. The Empathy Amplified Award is an annual award created to recognize those that embody empathy and relationship centered care beyond what is expected in their role.

 

By delivering care with our hearts and minds, the empathy we convey to our patients, families, and to each other, creates a culture that embraces the human experience…the very core of healthcare.
 

Objectives:

  • Recognize a caregiver (healthcare professional, frontline staff, social workers, teams, etc.) who consistently demonstrates an exceptional ability to communicate empathy
  • Celebrate those who innovate in their role to deliver empathy consistently
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Empathetic doctors: It is never just in your mind (and exposing Descartes' error)  

Empathetic doctors: It is never just in your mind (and exposing Descartes' error)   | Empathy and HealthCare | Scoop.it

Empathetic doctors who communicate well can improve patient outcomes as much as some blockbuster drugs. A common response to this statement is: “Maybe being nice improves someone’s psychology, but it can’t improve biomechanical problems”.

In fact dozens of studies show that patients’ expectations (for example after being given a placebo, or a positive suggestion such as “this pill is really going to make you better”) can improve both symptoms and biological causes of pain, anxiety,  Parkinson’s Disease, and many other conditions.

 

Jeremy Howick. CEBM Research Fellow

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6 Ways to Start Practicing Self-Compassion — Even If You Believe You’re Undeserving

6 Ways to Start Practicing Self-Compassion — Even If You Believe You’re Undeserving | Empathy and HealthCare | Scoop.it

But the good news is that we can learn to cultivate self-compassion. Which is vital. Self-compassion helps us to meet life’s challenges in a supportive way, said Amy Finlay-Jones, Ph.D, a clinical psychologist, compassion teacher, and researcher who specializes in self-compassion. In fact, according to research, self-compassion has a measurable effect on our mental health and well-being, she said. 

Self-compassion is “the intentional cultivation of a relationship with oneself that is respectful, kind and compassionate,” said Celedra Gildea, Ph.D, a psychotherapist in Portland, Ore., who leads Mindful Self-Compassion, Compassion Cultivation Training and Mindfulness groups. Below are six ways you can start cultivating self-compassion, even if you’ve been berating yourself for years.

 

By Margarita Tartakovsky, M.S.

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Here's Why We Struggle To Make Connections With Our Doctors - And Why That Needs To Change ASAP

Here's Why We Struggle To Make Connections With Our Doctors - And Why That Needs To Change ASAP | Empathy and HealthCare | Scoop.it
Americans don’t always trust their doctors, and here’s the proof: a 2012 survey found that just

 

In the case of medicine, it’s a disservice not to offer courses that focus on empathy, communication and relationships, according to Emiliana Simon-Thomas, science director at the Greater Good Science Center.

 

“Imagine telling someone they were going to compete in the Olympics as a runner, but rely on life experience to prepare them,” Simon-Thomas says. “Here we are putting [new doctors] in a position where they are confronted with pain and suffering all day. To not prepare them for that is unfair.”

 

Educators in the medical field agree, and more and more medical schools have started to incorporate the doctor-patient relationship into the curriculum.

 

Emory University Medical Center, Duke University Medical Center and Stony Brook University School of Medicine offer training in “medical humanism.

 

Oncotalk, a course required of Duke’s oncology fellows, and Empathetics, a series of online courses for physicians, are part of a larger effort to teach doctors clinical empathy and improve the relationship between patients and their doctors.

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Physician empathy boosts patient satisfaction

Physician empathy boosts patient satisfaction | Empathy and HealthCare | Scoop.it
A compassionate physician is the most important element of a positive patient experience, according to a recent study.

Researchers found that patients had better health outcomes and were more pleased with their care when they felt their doctor was empathetic.

According to the study, published in the Journal of Hand Surgery, surveyed patients said that empathy from their hand surgeon amounted to nearly two-thirds of their overall satisfaction.

Medical skills are significant in hand and orthopedic surgery, but “this study shows that physician empathy is the best opportunity to improve the patient experience,” said principal investigator Dr. David Ring, an orthopedic surgeon at Massachusetts General Hospital, in a news release.

 

By Kallie Kouvelis

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Physician empathy associated with decreased patient anxiety

Physician empathy associated with decreased patient anxiety | Empathy and HealthCare | Scoop.it

When hospitalists responded to patients with empathy, those patients experienced decreases in anxiety and rated their experiences with the hospitalist more positively, according to findings presented at the Society of Hospital Medicine Annual Meeting.

 

Rachel Weiss, MD, UCSF Medical Center, San Francisco, and colleagues also found that empathic responses were not associated with length of the patient encounter.

"Experts identify empathic responses to patient expressions of negative emotion — such as anxiety, sadness, and anger — as a key component of patient-centered communication, yet evidence on the impact of empathy on patient-reported outcomes in the hospital is limited," Weiss and colleagues reported in their abstract.

The researchers recorded the audio of 76 patient encounters with 27 physicians at two academic hospitals and surveyed patients about the encounters both before and after. They categorized hospitalist responses as empathic, neutral or nonempathic and evaluated patient anxiety before and after the encounter using the 60-point State Anxiety Scale. They also measured encounter length and patient ratings of the hospitalist and the encounter.

 

Weiss R, et al. Hospitalist Empathy Is Associated with Decreased Patient Anxiety and Higher Ratings of Communication in Admission Encounters. Presented at: Society for Hospital Medicine Annual Meeting; March 6-9, 2016; San Diego.

 

image http://bit.ly/dP1O76

 

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EJ Morris's curator insight, March 27, 2016 6:20 PM
Many people  don't  CARE how much someone  knows.. UNTIL they know how much they Care !
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Lori Gruen: Justice and Empathy Beyond the Human

Lori Gruen: Justice and Empathy Beyond the Human | Empathy and HealthCare | Scoop.it
Author and philosopher Lori Gruen speaks about “Justice and Empathy Beyond the Human.” She talks with Eric Alan about the ability of chimpanzees and other animals to teach us about better relationships.

 

She appears on Thursday, March 10th on the UO campus, as part of Oregon Humanities Center’s year-long focus on

 

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Patients' perceptions of physicians' empathy may affect health outcomes

Patients' perceptions of physicians' empathy may affect health outcomes | Empathy and HealthCare | Scoop.it

Professor Stewart W. Mercer, the lead author, said: "This new paper adds to evidence already shown that the outcomes of the consultations are worse in such patients in deprived areas, and that an empathic patient-centred approach leads to better outcomes."


The paper also demonstrates the "inverse care law," the principle which holds that the availability of good medical care tends to vary inversely with the need for it in the population served.

 

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How Social Network Science can Foster Empathy among MD’s

Dr. Thomas Lee, Chief Medical Officer of Press-Ganey, a company that surveys hospital patients, discusses his very recent book, AN EPIDEMIC OF EMPATHY IN HEALTHCARE: How to Deliver Compassionate, Connected Patient Care That Creates a Competitive Advantage (McGraw-Hill; November, 2015), and his work in improving the patient experience.
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Clinical Empathy: A Neglected Force for Improving Care

Clinical Empathy: A Neglected Force for Improving Care | Empathy and HealthCare | Scoop.it

'When clinicians learn techniques that foster communication with patients, the results can be greater compliance, improved outcomes — and even increased physician satisfaction. 


At A Glance

  • Empathy and better communication from healthcare providers are associated with better patient outcomes.
  • Responding to patients’ facial expressions and body language, asking open-ended questions, and exploring their motivations can establish a rapport that increases patient compliance.
  • Physicians trained in effective communication techniques report greater satisfaction themselves.


Better Outcomes with Empathy

A Joint Commission on Accreditation of Healthcare Organizations report found that communication failures were a root cause of more than 70% of serious adverse health outcomes in hospitals.


And conversely, studies have shown that clinical empathy is clearly associated with better patient outcomes. In two studies of diabetes patients, researchers administered the Jefferson Scale of Empathy to physicians and grouped them according to whether they scored high, medium, or low on empathy skill. The researchers studied diabetes because it has clear patient outcomes that can be tracked in electronic health records.


By Eric Seaborg

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The Case for Empathy by Helen Riess Director of the Empathy and Relational Science Program

The Case for Empathy by  Helen Riess Director of the Empathy and Relational Science Program | Empathy and HealthCare | Scoop.it

Presented by Helen Riess, MD, Chief Scientific Officer, Empathetics; Associate Professor-Part Time of Psychiatry at Harvard Medical School and Director of the Empathy and Relational Science Program at MGH

Dr. Helen Riess will share her research regarding the case for empathy which leads to improved provider-patient communication and patient satisfaction scores. Empathy training helps doctors and nurses more accurately interpret and translate emotional communications, and it can lead to greater trust, safety and satisfaction for patients and medical professionals. The benefits enjoyed by clinicians who have improved their ability to communicate with empathy include:

Higher patient satisfaction ratings
Improved quality of interactions with patients, families and colleagues
Greater patient adherence to treatment and better medical outcomes
Enhanced clinician well-being
Increased job satisfaction and reduced burnout
Lower risk of malpractice claims

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"Automated Empathy" works surprisingly well in healthcare

"Automated Empathy" works surprisingly well in healthcare | Empathy and HealthCare | Scoop.it

Health care startup made a wild pitch to Cara Waller, CEO of the Newport Orthopedic Institute in Newport Beach. The company said it could get patients more engaged by “automating” physician empathy.

It “almost made me nauseous,” she said. How can you automate something as deeply personal as empathy?

But Waller needed help. Her physicians, who perform as many as 500 surgeries a year, manage large numbers of patients at various stages of treatment and recovery. They needed a better way to communicate with patients and track their progress.


BY BARBARA FEDER OSTROV

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