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首页> 外文期刊>Academic Medicine: Journal of the Association of American Medical Colleges >The relationship between physician empathy and disease complications: An empirical study of primary care physicians and their diabetic patients in Parma, Italy
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The relationship between physician empathy and disease complications: An empirical study of primary care physicians and their diabetic patients in Parma, Italy

机译：医师共情与疾病并发症之间的关系：对意大利帕尔马市初级保健医师及其糖尿病患者的一项实证研究

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Purpose: To test the hypothesis that scores of a validated measure of physician empathy are associated with clinical outcomes for patients with diabetes mellitus. Method: This retrospective correlational study included 20,961 patients with type 1 or type 2 diabetes mellitus from a population of 284,298 adult patients in the Local Health Authority, Parma, Italy, enrolled with one of 242 primary care physicians for the entire year of 2009. Participating physicians' Jefferson Scale of Empathy scores were compared with occurrence of acute metabolic complications (hyperosmolar state, diabetic ketoacidosis, coma) in diabetes patients hospitalized in 2009. Results: Patients of physicians with high empathy scores, compared with patients of physicians with moderate and low empathy scores, had a significantly lower rate of acute metabolic complications (4.0, 7.1, and 6.5 per 1,000 patients, respectively, P < .05). Logistic regression analysis showed physicians' empathy scores were associated with acute metabolic complications: odds ratio (OR) = 0.59 (95% confidence interval [CI], 0.37-0.95, contrasting physicians with high and low empathy scores). Patients' age (≥69 years) also contributed to the prediction of acute metabolic complications: OR = 1.7 (95% CI, 1.2-1.4). Physicians' gender and age, patients' gender, type of practice (solo, association), geographical location of practice (mountain, hills, plain), and length of time the patient had been enrolled with the physician were not associated with acute metabolic complications. Conclusions: These results suggest that physician empathy is significantly associated with clinical outcome for patients with diabetes mellitus and should be considered an important component of clinical competence.
机译：目的：为了检验这样的假设：对糖尿病患者来说，经过验证的医师共情指标的得分与临床结局有关。方法：这项回顾性相关研究包括来自意大利帕尔马市地方卫生局的284,298名成人患者中的20,961名1型或2型糖尿病患者，该患者在2009年全年参与了242名初级保健医生之一的研究。比较了2009年住院的糖尿病患者的Jefferson移情量表与急性代谢并发症（高渗状态，糖尿病性酮症酸中毒，昏迷）的发生情况。移情评分的急性代谢并发症发生率明显较低（分别为每1000名患者4.0、7.1和6.5，P <.05）。 Logistic回归分析显示，医师的共情得分与急性代谢并发症相关：比值比（OR）= 0.59（95％置信区间[CI]为0.37-0.95，相比之下，共情得分高或低的医师）。患者年龄（≥69岁）也有助于预测急性代谢并发症：OR = 1.7（95％CI，1.2-1.4）。医师的性别和年龄，患者的性别，执业类型（独奏，协会），执业地理位置（山脉，丘陵，平原）以及患者就医的时间与急性代谢并发症无关。结论：这些结果表明，医师的同情心与糖尿病患者的临床结局显着相关，应被视为临床能力的重要组成部分。

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