Evidence map›Paper›PMID 24305037›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2015

In search of compassion: a new taxonomy of compassionate physician behaviours.

Rachel A Cameron, Benjamin L Mazer, Jane M DeLuca, Supriya G Mohile, Ronald M Epstein

Open access · bronzeAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 61 citations in OpenAlex.

  1. Scaling Compassion and Applications in ABA.Behavior analysis in practice · 2026
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  6. Item development for a patient-reported measure of compassionate healthcare in action.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  7. Review
  8. More than a feeling? What does compassion in healthcare 'look like' to patients?Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  9. Review
  10. Communication between neonatologists and parents when prognosis is uncertain.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Article
  11. Article
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  14. Review
  15. Ethological observations of social behavior in the operating room.Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
  16. Article
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  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Rachel A CameronCenter for Communication and Disparities Research, Department of Family Medicine, University of Rochester Medical Center, SC, USA.
Benjamin L MazerCenter for Communication and Disparities Research, Department of Family Medicine, University of Rochester Medical Center, SC, USA.
Jane M DeLucaSchool of Nursing, Clemson University, Clemson, SC, USA.
Supriya G MohileDepartment of Medicine, James Wilmot Cancer Center, University of Rochester Medical Center, Rochester, NY, USA.
Ronald M EpsteinDepartments of Family Medicine, Psychiatry, Oncology, and Nursing, Center for Communication and Disparities Research, University of Rochester Medical Center, Rochester, NY, USA.
University of Rochester Medical Center · USClemson University · US

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
RCT of Patient, Caregiver and Physician Communication Coaching in Advanced CancerR01CA140419 · NCI · UNIVERSITY OF ROCHESTER · PI EPSTEIN, RONALD M., KRAVITZ, RICHARD L · 2011 to 2015
$2.7M
NCI NIH HHS R01 CA140419NCI NIH HHS R01CA140419-01A2NCI NIH HHS UG1 CA189961
6 · The paper itself

Abstract

backgroundCompassion has been extolled as a virtue in the physician-patient relationship as a response to patient suffering. However, there are few studies that systematically document the behavioural features of physician compassion and the ways in which physicians communicate compassion to patients.

objectiveTo develop a taxonomy of compassionate behaviours and statements expressed by the physician that can be discerned by an outside observer.

designQualitative analysis of audio-recorded office visits between oncologists and patients with advanced cancer. SETTING AND

participantsOncologists (n = 23) and their patients with advanced cancer (n = 49) were recruited in the greater Rochester, New York, area. The physicians and patients were surveyed and had office visits audio recorded.

main outcome measuresAudio recordings were listened to for qualitative assessment of communication skills.

resultsOur sensitizing framework was oriented around three elements of compassion: recognition of the patient's suffering, emotional resonance and movement towards addressing suffering. Statements of compassion included direct statements, paralinguistic expressions and performative comments. Compassion frequently unfolded over the course of a conversation rather than being a single discrete event. Additionally, non-verbal linguistic elements (e.g. silence) were frequently employed to communicate emotional resonance. DISCUSSION AND

conclusionsThis study is the first to systematically catalogue instances of compassionate communication in physician-patient dialogues. Further refinement and validation of this preliminary taxonomy can guide future education and training interventions to facilitate compassion in physician-patient interactions.

Indexed as

BeneficenceEmpathyPhysician-Patient RelationsPhysician's RoleAdultAgedCommunicationDelivery of Health CareFemaleHumansMaleMedical OncologyMiddle AgedPhysiciansSurveys and Questionnairescommunicationcompassiononcologypatient suffering

Identifiers

PMID24305037
PMCPMC4051859
OpenAlexW2089225855

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.