Improving perceptions of empathy in patients undergoing low-yield computerized tomographic imaging in the emergency department

Michelle P. Lin, Marc A. Probst, Michael A. Puskarich, Erin Dehon, Damon R. Kuehl, Ralph C. Wang, Erik P. Hess, Katie Butler, Michael S. Runyon, Hao Wang, D. Mark Courtney, Brandon Muckley, Cherri Hobgood, Cassandra L. Hall, Jeffrey Kline

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: We assessed emergency department (ED) patient perceptions of how physicians can improve their language to determine patient preferences for 11 phrases to enhance physician empathy toward the goal of reducing low-value advanced imaging. Methods: Multi-center survey study of low-risk ED patients undergoing computerized tomography (CT) scanning. Results: We enroled 305 participants across nine sites. The statement "I have carefully considered what you told me about what brought you here today" was most frequently rated as important (88%). The statement "I have thought about the cost of your medical care to you today" was least frequently rated as important (59%). Participants preferred statements indicating physicians had considered their "vital signs and physical examination" (86%), "past medical history" (84%), and "what prior research tells me about your condition" (79%). Participants also valued statements conveying risks of testing, including potential kidney injury (78%) and radiation (77%). Conclusion: The majority of phrases were identified as important. Participants preferred statements conveying cognitive reassurance, medical knowledge and risks of testing. Practice implications: Our findings suggest specific phrases have the potential to enhance ED patient perceptions of physician empathy. Further research is needed to determine whether statements to convey empathy affect diagnostic testing rates.

Original languageEnglish (US)
JournalPatient Education and Counseling
DOIs
StateAccepted/In press - Jan 1 2017

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Hospital Emergency Service
Physicians
Radiation Injuries
Patient Preference
Vital Signs
Research
Health Care Costs
Physical Examination
Language
Tomography
Kidney

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Improving perceptions of empathy in patients undergoing low-yield computerized tomographic imaging in the emergency department. / Lin, Michelle P.; Probst, Marc A.; Puskarich, Michael A.; Dehon, Erin; Kuehl, Damon R.; Wang, Ralph C.; Hess, Erik P.; Butler, Katie; Runyon, Michael S.; Wang, Hao; Courtney, D. Mark; Muckley, Brandon; Hobgood, Cherri; Hall, Cassandra L.; Kline, Jeffrey.

In: Patient Education and Counseling, 01.01.2017.

Research output: Contribution to journalArticle

Lin, MP, Probst, MA, Puskarich, MA, Dehon, E, Kuehl, DR, Wang, RC, Hess, EP, Butler, K, Runyon, MS, Wang, H, Courtney, DM, Muckley, B, Hobgood, C, Hall, CL & Kline, J 2017, 'Improving perceptions of empathy in patients undergoing low-yield computerized tomographic imaging in the emergency department', Patient Education and Counseling. https://doi.org/10.1016/j.pec.2017.11.012
Lin, Michelle P. ; Probst, Marc A. ; Puskarich, Michael A. ; Dehon, Erin ; Kuehl, Damon R. ; Wang, Ralph C. ; Hess, Erik P. ; Butler, Katie ; Runyon, Michael S. ; Wang, Hao ; Courtney, D. Mark ; Muckley, Brandon ; Hobgood, Cherri ; Hall, Cassandra L. ; Kline, Jeffrey. / Improving perceptions of empathy in patients undergoing low-yield computerized tomographic imaging in the emergency department. In: Patient Education and Counseling. 2017.
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