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(Empathic Healthcare) Patients Favor Compassion, Clinician Empathy Over Low Doc Costs

(Empathic Healthcare) Patients Favor Compassion, Clinician Empathy Over Low Doc Costs | Empathy and HealthCare | Scoop.it
A recent survey from HealthTap showed that patients overwhelmingly favor compassion and clinician empathy over lower healthcare costs.

 

Patients would overwhelmingly select a doctor who displays compassion and clinician empathy over one who is less expensive, according to a recent survey from HealthTap obtained via email.

 

The survey, which questioned both patients and providers about the elements most important when ranking doctors, showed that 85 percent of patients value compassion in healthcare. Another 85 percent of patients said that doctors who are knowledgeable deserve high rankings.

 

Patients gave less value to doctors who charge lower prices, the survey found. Thirty-one percent of patients said that low cost was of value when selecting a provider. Forty-eight percent of patient respondents said that short wait times were important to them.

 

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Newspaper Front Page: All Sections

Newspaper Front Page: All Sections | Empathy and HealthCare | Scoop.it


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Empathetic listening can improve health care and treatment recommendations 

Empathetic listening can improve health care and treatment recommendations  | Empathy and HealthCare | Scoop.it
Empathy is an important part of healthcare, especially when treatment plans and decisions are being discussed. A recent study looked at how well pediatric physicians delivered empathetic statements during these care conferences and its influence on family-physician communication.


It is critical for physicians to respond appropriately with empathy to support families during a difficult time. Care conferences are discussions held between physicians and families to discuss medical treatment plans and decisions, and often involve high-stake decision-making, which can be emotionally stressing for the family. Past studies have found that physicians in the adult ICU setting do not commonly show empathy, and are often missing the opportunities to connect with families of the patient. However, this has not been well studied in the paediatric ICU setting.

 

September 24, 2018

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Med students learn empathy through improv 

Med students learn empathy through improv  | Empathy and HealthCare | Scoop.it
The second reason for simulated patients is to teach doctors to empathize and communicate with patients, Shannon said.

"If a health care provider is with a patient and they aren't in agreement, where can that relationship go?" she queried.

Drawing on her seven years of teaching theatre, she applies principals of improv to the exam room.

Improv puts a heavy emphasis on "yes, and."

"If we're in a scene together the only way we can elevate the scene and keep it going is by agreeing," Shannon said.

In theatre, that could look like following your scene partner's lead in a goofy improv exercise. In the exam room, "yes, and" involves listening to the patient and building and showing empathy with them. Empathy can be a gift, Shannon said.
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Empathy- an important tool for doctors - Health Files by Dr. Aruna Muralidhar  

Empathy- an important tool for doctors - Health Files by Dr. Aruna Muralidhar   | Empathy and HealthCare | Scoop.it
There are benefits of empathy for the clinicians as well. Those who have higher empathy levels (being more aware of patients’ emotional needs and responding appropriately to their concerns) experience lesser stress, cynicism and burnout than those with less empathy.

However, there are barriers to empathy. Time pressure and anxiety interfere with eliciting, acknowledging and listening to the concerns. Doctors need to include psychosocial dimensions of the patients’ life in the consultation to be able to communicate better. Cultural barriers, generation gap, preconceived notions on morality and also a prejudiced approach hinder empathy to a large extent. The negative emotions that arise due to tension between the patients and care providers make therapeutic outcomes difficult.
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(Empathic Healthcare) Teaching medical students empathy at URMC 

(Empathic Healthcare) Teaching medical students empathy at URMC  | Empathy and HealthCare | Scoop.it
The standardized patients at URMC this day were all playing the role of a person receiving a diagnosis of terminal, inoperable lung cancer. Their training instructs them to respond the way a real patient would: some cried; some acted numb; some told the students their diagnosis was wrong. After the simulation, they gave the students feedback.

"We get a chance to go back and talk to them after the scenario and tell them what could be different, what should be improved, how I felt about it, how they felt about it," said Ralph Dutcher, who has been acting as a patient in these simulations for years. 
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Characteristics of Physician Empathetic Statements During Pediatric Intensive Care Conferences With Family Members: A Qualitative Study | JAMA  

Conclusions and Relevance  In this analysis, physicians responded with empathy frequently, but responses were buried within other pieces of medical data or missed entirely in nearly one-third of conferences.

 

When physicians responded using unburied empathetic statements and allowed time for family members to respond, they were more likely to learn important information about the family’s fears, values, and motivations.

 

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Empathy from Physicians More Likely to Result in Patient Information from Family

Empathy from Physicians More Likely to Result in Patient Information from Family | Empathy and HealthCare | Scoop.it
An analysis of audio-recorded care conferences between physicians and pediatric patients’ family members found that physicians acknowledge family members' emotions in about three-fourths of all interactions.

A qualitative study of 68 recorded conferences in an urban, pediatric critical care facility reported that physicians missed the opportunity to respond to the emotions of their patient’s family in 26% of all interactions. The study also found that instances where physicians responded with open empathy and with time to allow family members to respond resulted in more important information being shared, from family to physician.
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(Empathic Healthcare) Empathy in Medicine

(Empathic Healthcare) Empathy in Medicine | Empathy and HealthCare | Scoop.it

Empathy improves quality of patient care

Their unique approach to patient care is what sets DOs apart. By committing to the osteopathic philosophy of medicine, you can provide a higher level of service to your patients while boosting your job satisfaction.

Empathy translates to improved patient comprehension. The better your patients comprehend a diagnosis, the better they will comply with your instructions for care.

Your patients could experience better health outcomes since patients who like their physicians are more likely to be compliant with their treatment plan. Diabetic patients with more empathetic physicians, for instance, were significantly more likely to have their illness under control, according to a study published in Academic Medicine.

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(Empathic Healthcare) A Dose Of Empathy Is All Some Patients Need by  Jeremy Howick

(Empathic Healthcare) A Dose Of Empathy Is All Some Patients Need by  Jeremy Howick | Empathy and HealthCare | Scoop.it
A review of 28 trials published in the Journal of the Royal Society of Medicine last week quantifies what many doctors already knew: empathic, positive communication benefits patients.

Two true stories motivated me to do the review. Archie Cochrane reports the first. He was the only doctor in a prisoner of war camp during World War II. One night the Germans dumped a young Soviet prisoner in his ward. The soldier had pleurisy (holes in his lungs) and was screaming. Cochrane didn’t want to wake up the other prisoners, so took him to his private room.

 

He had no morphine, just aspirin, which wasn’t working. He felt desperate. He knew very little Russian and there was no one in the ward who did. He finally instinctively sat down on the bed and took the soldier in his arms. The screaming stopped and the prisoner died peacefully in Cochrane’s arms a few hours later. It was not the pleurisy that caused the screaming but loneliness. He was ashamed of his misdiagnosis and kept the story secret.

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And the greatest of these is empathy – a series of reflections on the NHS at 70

And the greatest of these is empathy – a series of reflections on the NHS at 70 | Empathy and HealthCare | Scoop.it
Empathy is a quality which we learn, literally, at our mother’s breast. Supported by early parental love and support we learn to make the good attachments which are so fundamental to our sense of wellbeing. So many later problems of mental distress and emotional development can be dated back to early difficulties in making attachments.


Yet empathy is often a quality we neglect in the planning and management of healthcare at the expense of more tangible things such as technical knowledge or the narrow counting of activity and outputs. Yet, to use the words of the poet R.S. Thomas it is “the pearl of great price, the one field that had treasure in it.”

 

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Empathy Crisis in Healthcare? Here are 3 Ways to Improve

Empathy Crisis in Healthcare? Here are 3 Ways to Improve | Empathy and HealthCare | Scoop.it

It’s National Nurses Week, and I can’t help thinking about stand-out nurses who have made a difference in my life, or the life of a family member or friend. 

Nurses often demonstrate deep empathy for their patients, and by extension, we might expect that healthcare would be one of the most empathetic industries. In our 2018 State of Workplace Empathy study, we found that 97% of respondents believe it’s important for the healthcare industry to demonstrate empathy. However, a much smaller percentage—just 61%—think that healthcare organizations and companies as a whole are empathetic...

Empathy training. A great way to start the conversation around workplace empathy is to institute a training program. HR departments use training sessions to cover many other expectations around workplace behavior, and empathy is no different.

 

Consider starting with a self-diagnostic test, and potentially holding an empathy training workshop run by your HR department or an outside consultant. Over half of healthcare employees we surveyed (52%) said that empathetic work environments happen because of training, so leaders and HR professionals should take advantage of these types of programs to ensure their employees understand and can demonstrate empathetic behaviors.

 

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(Empathic Healthcare) Standardized Patients Play Active Role in Medical Education

(Empathic Healthcare) Standardized Patients Play Active Role in Medical Education | Empathy and HealthCare | Scoop.it
“Standardized patients are vital in helping us prepare our students for their future careers in health care,” said Mary Claire O’Brien, M.D., the Wake Forest medical school’s senior associate dean for health care education. “Our students are able not only to practice their clinical work but also to learn the importance of building relationships with their patients, empathizing with them and doing what’s best for them physically, emotionally and financially.”
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RACGP - GPs more empathetic than they think, new research shows

RACGP - GPs more empathetic than they think, new research shows | Empathy and HealthCare | Scoop.it
Published in the British Journal of General Practice (BJGP), the study, which took place from December 2016 to February 2017, investigated the correlation between GP perception of delivered empathy and patient-perceived empathy.
 
Researchers found that GPs rate their delivered empathy during consultations consistently and significantly lower than their patients. And GPs’ impressions of the empathy delivered during the consultation do not predict the actual amount of empathy perceived by their patients.
 
The study, Differences between GP perception of delivered empathy and patient-perceived empathy: A cross-sectional study in primary care, obtained questionnaires from 147 consultations by 34 different GPs across 16 primary care practices, analysing all but four of the consultations.
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Pain is real to patient and provider when empathy is present

Pain is real to patient and provider when empathy is present | Empathy and HealthCare | Scoop.it

Developed by philosophers to communicate the idea that one person’s internal experience could be understood by an observer under certain conditions, one of those being empathy, intersubjectivity is a far more appropriate term to describe pain as we understand it today.

 

To declare pain ‘subjective’ perpetuates outdated and inhumane misconceptions, reflecting persistent denial of empathy combined with slow diffusion of knowledge. What is empathy? Listening to others when they tell us about their experiences; with compassion, we respond to alleviate pain.

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Doctors often lack empathy. Robots might have the answer

Doctors often lack empathy. Robots might have the answer | Empathy and HealthCare | Scoop.it
As AI becomes more pervasive in healthcare, can robots learn to show more empathy than doctors?

 

Except medicine requires more than just technical expertise: It needs empathy, too.

 

Empathy has been noticeably lacking in medicine as of late. In the past few decades, doctors have developed a reputation for being coldand aloof, for treating patients as numbers and objects, not human beings with valid lived experiences and unique histories. One of the most common complaints among patients today is the “clinical” attitude of their attending physicians. That word has become synonymous with detached, unempathetic, and impersonal treatment—everything many of us would much rather our attending physician not be.

 

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Can empathy be taught to physicians?

Can empathy be taught to physicians? | Empathy and HealthCare | Scoop.it
We want competent physicians, but we also want compassionate ones.
  • How do we get them?
  • Is it nature or is it nurture?
  • Is it more important to search out more compassionate students, or should we instill compassion somehow in the ones we start along the training pipeline?

 

I think the answer lies in nurturing what nature has already put there.

My background is in pediatric critical care, which I have practiced for thirty-five years. Throughout most of my career, I have taught medical students, residents, and fellows. So I have seen young physicians as they made their way as best they could through the long training process.

 

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Medical Program: An Epidemic of Empathy in Healthcare: How to Deliver Compassionate, Connected Patient Care

Medical Program: An Epidemic of Empathy in Healthcare: How to Deliver Compassionate, Connected Patient Care | Empathy and HealthCare | Scoop.it
Revolutionary advances in medical knowledge have caused doctors to become so focused on their narrow fields of expertise that they often overlook the simplest fact of all: their patients are suffering. 

Dr. John Russell welcomes Dr. Thomas Lee, Chief Medical Officer at Press Ganey and author of An Epidemic of Empathy in Healthcare: How to Deliver Compassionate, Connected Patient Care That Creates a Competitive Advantage. Their discussion focuses on the growing divide between world-class medical treatment and compassionate care, and why the two are not mutually exclusive.
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Empathy in medicine: What we can learn from children

Empathy in medicine: What we can learn from children | Empathy and HealthCare | Scoop.it
In medicine, empathy — or the ability to understand the emotions felt by someone else — helps doctors form meaningful relationships with their patients, which ultimately improves the quality of care.

Many medical students who are attracted to medicine are empathetic at first, but empathy is thought to decline as students advance through their medical education. More specifically, medical students have a harder time connecting emotionally with their patients as their training progresses. Without this emotional sharing, it becomes difficult for doctors to understand their patients or to form the doctor-patient relationships required for high-quality health care.

This begs the question: what can be done to help medical students develop (and retain) this emotional connectedness and empathy with their patients? One potential answer can be found by taking a look at society’s youngest members — children.  

 

Dilshan Pieris

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Workshop: Putting empathy into practice - Jeremy Howick - Tuesday 9 October 2018

Workshop: Putting empathy into practice - Jeremy Howick - Tuesday 9 October 2018 | Empathy and HealthCare | Scoop.it

Evidence suggests that empathy improves patient outcomes and practitioner well-being, yet the extent to which practitioners express empathy is variable.

This workshop will cover the theory and practice of empathy in healthcare, showing how individuals can enhance empathy in their own work and in their organisations.  

Dr Howick and Dr Rees will demonstrate evidence-based knowledge and skills relating to empathy can improve patient benefit and clinician job satisfaction.

Topics include: 

  • The evidence linking empathy with improved patient, practitioner, and system outcomes.
  • How healthcare can support the develop of empathic practice.
  • The facilitators and barriers to delivering empathic care
    Personal strategies for enhancing empathic care 

 

Develop a personal plan to enhance empathy in your day-to-day work. 
 
key speakers:
Dr Jeremy Howick

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(Empathic Healthcare) Is your empathy at risk? 

(Empathic Healthcare) Is your empathy at risk?  | Empathy and HealthCare | Scoop.it

You entered into your profession as a health professional because you have a calling to help others using knowledge and skills in communication, healing, listening, physical manipulation, technical or clinical skills.
 
Helping takes many forms. Patients value health professionals who listen to them and communicate in ways that are easily understood. This shows an interest in connecting, respect and courtesy. It increases their trust and confidence in your ability to support them. To know how to really help someone requires empathy.

What is empathy?

Empathy is an innate quality and a learned skill that we access when we feel interested, curious and a desire to connect with others.

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‘We beat the empathy out of them’: 5 tips for training a generation of radiologists to avoid burnout

‘We beat the empathy out of them’: 5 tips for training a generation of radiologists to avoid burnout | Empathy and HealthCare | Scoop.it
In an era where half of U.S. physicians are, in some way, professionally burned out, medical program directors and administrators are looking for ways to prevent the current generation of medical students from meeting a similar fate—and they’re finding the problem might be rooted in education. 

 

“Our students are incredible—full of curiosity, creativity and hope, with the intellect and grit to make a difference,” Fleming said. “Early in my career, I heard a colleague say, ‘Students enter medical school with a desire to change the world, and we beat the empathy out of them by the end of their third year.”

 

Devote curricular time to wellness.

 

Fleming said Vanderbilt also delivers a wellness curriculum within the learning community structure and offers designated curricular time to wellness activities, which “openly demonstrates institutional understanding that maintaining personal health and well-being is a necessary responsibility in a physician’s professional life.”

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Empathy Crisis in Healthcare? Here are 3 Ways to Improve

Empathy Crisis in Healthcare? Here are 3 Ways to Improve | Empathy and HealthCare | Scoop.it

It’s National Nurses Week, and I can’t help thinking about stand-out nurses who have made a difference in my life, or the life of a family member or friend. 

Nurses often demonstrate deep empathy for their patients, and by extension, we might expect that healthcare would be one of the most empathetic industries. In our 2018 State of Workplace Empathy study, we found that 97% of respondents believe it’s important for the healthcare industry to demonstrate empathy. However, a much smaller percentage—just 61%—think that healthcare organizations and companies as a whole are empathetic...

Empathy training. A great way to start the conversation around workplace empathy is to institute a training program. HR departments use training sessions to cover many other expectations around workplace behavior, and empathy is no different.

 

Consider starting with a self-diagnostic test, and potentially holding an empathy training workshop run by your HR department or an outside consultant. Over half of healthcare employees we surveyed (52%) said that empathetic work environments happen because of training, so leaders and HR professionals should take advantage of these types of programs to ensure their employees understand and can demonstrate empathetic behaviors.

 

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The Importance of Empathy in Medicine 

The Importance of Empathy in Medicine  | Empathy and HealthCare | Scoop.it
Empathy is a skill not sufficiently reinforced and encouraged in the healthcare field. I would argue empathy is essential to providing good quality care. For the 5-year-old with a terminal cancer, we generally have no trouble feeling empathetic, but the reality of medicine is that most patients are more complicated.

 

Their medical conditions often result from a combination of lifestyle choices, emotional issues, socioeconomic factors and genetics. As healthcare professionals, it is essential that we do not judge these patients. We tend to attribute many medical conditions to poor choices, but in reality it is impossible to understand all of the factors that led an individual to his or her lifestyle choices, and it is equally impossible to exactly determine the cause of many medical issues.

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(Empathic Healthcare) Elizabeth Morrison: The Impact of Empathy in Healthcare 

Elizabeth Morrison: The Impact of Empathy in Healthcare
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Some health care firms focus on empathy to keep people healthier

Some health care firms focus on empathy to keep people healthier | Empathy and HealthCare | Scoop.it
During the past decade, some health care businesses have begun to experiment with new ways to keep people healthier and out of the hospital by improving the relationships between medical professionals and patients.

This push for more empathetic care springs from a change in how health care providers get paid. Keeping people healthy can be more lucrative than treating sick people.

The Penn Center for Community Health Workers, based in West Philadelphia, hires and trains its staff to work with people in their homes and neighborhoods to help patients figure out how to deal with their health problems. To build strong connections quickly, the Center looks to match patients who cycle in out and out the hospital — often related to medical illness, poverty and mental health concerns — with community health workers from similar upbringings. The belief is the more these front-line workers have in common with their patients, the more patients will trust them.
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