Evidence map›Paper›PMID 32821799›Full record

ArticleJournal of patient experience2020

Perception of Physician Empathy Varies With Educational Level and Gender of Patients Undergoing Low-Yield Computerized Tomographic Imaging.

Jeffrey A Kline, Michelle P Lin, Cassandra L Hall, Michael A Puskarich, Erin Dehon, Damon R Kuehl, Ralph C Wang, Erik P Hess, Michael S Runyon, Hao Wang and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of patient experience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. 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

11 authors at 10 institutions in 1 country.

Jeffrey A KlineDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Michelle P LinDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Cassandra L HallDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Michael A PuskarichHennepin County Medical Center, Minneapolis, MN, USA.
Erin DehonDepartment of Emergency Medicine, University of Mississippi, Jackson, MS, USA.
Damon R KuehlDepartment of Emergency Medicine, Virginia Tech-Carilion, Roanoke, VA, USA.
Ralph C WangDepartment of Emergency Medicine, University of California, San Francisco, CA, USA.
Erik P HessDepartment of Emergency Medicine, University of Alabama, Birmingham, AL, USA.
Michael S RunyonDepartment of Emergency Medicine, Carolinas Medical Center, Charlotte, NC, USA.
Hao WangDepartment of Emergency Medicine, John Peter Smith Hospital, Ft. Worth, TX, USA.
D Mark CourtneyDepartment of Emergency Medicine, Northwestern University School of Medicine, Chicago, IL, USA.
Indiana University School of MedicineCarilion Clinic · USCarolinas Medical Center · USHennepin County Medical Center · USIcahn School of Medicine at Mount Sinai · USJohn Peter Smith Hospital · USNorthwestern University · USUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · USUniversity of Mississippi · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLack of empathic communication between providers and patients may contribute to low value diagnostic testing in emergency care. Accordingly, we measured the perception of physician empathy and trust in patients undergoing low-value computed tomography (CT) in the emergency department (ED).

methodsMulticenter study of ED patients undergoing CT scanning, acknowledged by ordering physicians as unlikely to show an emergent condition. Near the end of their visit, patients completed the Jefferson Scale of Patient Perception of Physician Empathy (JSPPPE), Trust in Physicians Survey (TIPS), and the Group Based Medical Mistrust Scale (GBMMS). We stratified results by patient demographics including gender, race, and education.

resultsWe enrolled 305 participants across 9 sites with diverse geographic, racial, and ethnic representation. The median scores (interquartile ranges) for the JSPPPE, TIPS, and GBMMS for all patients were 29 (24-33.5), 55 (47-62), and 18 (12-29). Compared with white patients, nonwhite patients had similar JSPPPE and TIPS scores but had higher (worse) GBMMS scores. Females had significantly lower JSPPPE and TIPS scores than males, and scores were lower (worse) in females with college degrees. Patients in the lowest tier of educational status had the highest (better) JSPPPE and TIPS scores. Scores were invariant with physician characteristics.

conclusionAmong patients undergoing low-value CT scanning in the ED, the degree of patient perception of physician empathy and trust varied based on the patients' level of education and gender. Given this variation, an intervention to increase patient perception of physician empathy should contain individualized strategies to address these subgroups, rather than a one-size-fits-all approach.

Indexed as

emergency medicineempathyimagingtrust

Identifiers

PMID32821799
PMCPMC7410137
OpenAlexW2943508402

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.