ArticleBMC family practice2012
Patient enablement requires physician empathy: a cross-sectional study of general practice consultations in areas of high and low socioeconomic deprivation in Scotland.
Article in BMC family practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 3 of them syntheses that pooled it.
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Who cites it
69 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Personal GP continuity improves healthcare outcomes in primary care populations: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Pooled it
- Pooled it
- Effect of physician attire on patient perceptions of empathy in Japan: a quasi-randomized controlled trial in primary care.BMC family practice · 2021Trial
- Association Between Primary Care Practitioner Empathy and Risk of Cardiovascular Events and All-Cause Mortality Among Patients With Type 2 Diabetes: A Population-Based Prospective Cohort Study.Annals of family medicine · 2019Trial
- Trial
- Effect of facemasks on empathy and relational continuity: a randomised controlled trial in primary care.BMC family practice · 2013Trial
- Article
- Enablement After Consultation in Primary Healthcare: How Do Patients and Doctors Cross-Sectionally Evaluate It in Northern Portugal.Patient preference and adherence · 2025Article
- Multimorbidity and person-centred care in a socioeconomically deprived community: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Primary care transformation in Scotland: a qualitative evaluation of the views of patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Discussion of Emotions Among Newly Diagnosed Non-Hispanic White and Chinese American Patients With Breast Cancer and Their Oncologists.Asian American journal of psychology · 2024Article
- What makes a good general practice consultation? An exploratory pilot study with people from a low socioeconomic background.BJGP open · 2024Article
- Patients' experiences of GP consultations following the introduction of the new GP contract in Scotland: a cross-sectional survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Point-of-care ultrasound (POCUS): Assessing patient satisfaction and socioemotional benefits in the hospital setting.PloS one · 2024Article
- Are primary care consultations in Trinidad patient-centered? A cross-sectional study of patients with non-communicable diseases.BMC primary care · 2023Article
- Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study.BMJ quality & safety · 2023Observational
- Empathy levels among health professional students at a large midwestern public university - a cross-sectional study.BMC medical education · 2023Article
- The importance of setting and therapeutic relationships when delivering chiropractic care to those living with disadvantage.Chiropractic & manual therapies · 2022Observational
- Clinician views on optimism and empathy in primary care consultations: a qualitative interview study.BJGP open · 2022Article
9 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors.
Funding
Abstract
backgroundPatient 'enablement' is a term closely aligned with 'empowerment' and its measurement in a general practice consultation has been operationalised in the widely used patient enablement instrument (PEI), a patient-rated measure of consultation outcome. However, there is limited knowledge regarding the factors that influence enablement, particularly the effect of socio-economic deprivation. The aim of the study is to assess the factors influencing patient enablement in GP consultations in areas of high and low deprivation.
methodsA questionnaire study was carried out on 3,044 patients attending 26 GPs (16 in areas of high socio-economic deprivation and 10 in low deprivation areas, in the west of Scotland). Patient expectation (confidence that the doctor would be able to help) was recorded prior to the consultation. PEI, GP empathy (measured by the CARE Measure), and a range of other measures and variables were recorded after the consultation. Data analysis employed multi-level modelling and multivariate analyses with the PEI as the dependant variable.
resultsAlthough numerous variables showed a univariate association with patient enablement, only four factors were independently predictive after multilevel multivariate analysis; patients with multimorbidity of 3 or more long-term conditions (reflecting poor chronic general health), and those consulting about a long-standing problem had reduced enablement scores in both affluent and deprived areas. In deprived areas, emotional distress (GHQ-caseness) had an additional negative effect on enablement. Perceived GP empathy had a positive effect on enablement in both affluent and deprived areas. Maximal patient enablement was never found with low empathy.
conclusionsAlthough other factors influence patient enablement, the patients' perceptions of the doctors' empathy is of key importance in patient enablement in general practice consultations in both high and low deprivation settings.
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