Exploring Doctor-Patient Dynamics: The Mediating Role of Doctor's Empathy and the Moderating Effect of Treatment Effectiveness on Doctor-Patient Communication, Trust, and Satisfaction

Authors

  • Hailey Hwiram Kim Marriotts Ridge High School
  • Seontaik Kim

DOI:

https://doi.org/10.47611/jsrhs.v13i1.6345

Keywords:

Doctor-Patient Communication, Empathy, Patient-Doctor Trust, Treatment Effectiveness, Patient Satisfaction

Abstract

This research investigates a conceptual model proposing how doctor-patient communication, doctor’s empathy, and treatment effectiveness influence patient-doctor trust and satisfaction. Conducting quantitative analyses of survey responses from 250 participants in the United States, the study tests these hypotheses. The findings demonstrate that effective doctor-patient communication significantly increases patient-doctor trust and satisfaction. Doctor’s empathy is identified as a crucial mediating factor that intensifies this impact of communication on trust. Interestingly, the study reveals a notable moderating effect of treatment effectiveness, suggesting that higher treatment effectiveness diminishes the dependence on a foundation of doctor-patient trust when achieving patient satisfaction. These findings emphasize the interdependent role of empathetic communication and effective treatment in patient care. The research contributes significantly to healthcare and medicine literature, offering valuable insights for researchers and practitioners focused on understanding and improving patient satisfaction, healthcare delivery, and outcomes.

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AlRuthia, Y., Alwhaibi, M., Almalag, H., Almosabhi, L., Almuhaya, M., Sales, I., . . . & Asiri, Y. (2020). The relationship between trust in primary healthcare providers among patients with diabetes and levels of depression and anxiety. Plos one, 15(9), e0239035.

Altin, S. V., & Stock, S. (2016). The impact of health literacy, patient-centered communication and shared decision-making on patients’ satisfaction with care received in German primary care practices. BMC health services research, 16(1), 1-10.

Amir, N., McCarthy, H. J., & Tong, A. (2021). A working partnership: A review of shared decision‐making in nephrology. Nephrology, 26(11), 851-857.

Asan, O., Yu, Z., & Crotty, B. H. (2021). How clinician-patient communication affects trust in health information sources: Temporal trends from a national cross-sectional survey. Plos one, 16(2), e0247583.

Ashraf, A. A., Colakoglu, S., Nguyen, J. T., Anastasopulos, A. J., Ibrahim, A. M., Yueh, J. H., . . . Lee, B. T. (2013). Patient involvement in the decision-making process improves satisfaction and quality of life in postmastectomy breast reconstruction. Journal of Surgical Research, 184(1), 665-670.

Assefa, Y., Gilks, C. F., Reid, S., van de Pas, R., Gete, D. G., & Van Damme, W. (2022). Analysis of the COVID-19 pandemic: lessons towards a more effective response to public health emergencies. Globalization and Health, 18(1), 10.

Basch, E. (2017). Patient-reported outcomes-harnessing patients' voices to improve clinical care. New England Journal of Medicine, 376(2), 105-108.

Batbaatar, E., Dorjdagva, J., Luvsannyam, A., Savino, M. M., & Amenta, P. (2017). Determinants of patient satisfaction: a systematic review. Perspectives in public health, 137(2), 89-101.

Bennion, M., Hardy, G., Moore, R., & Millings, A. (2017). E-therapies in England for stress, anxiety or depression: what is being used in the NHS? A survey of mental health services. BMJ open, 7(1), e014844.

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912-920.

Bukstein, D. A., Guerra Jr, D. G., Huwe, T., & Davis, R. A. (2020). A review of shared decision-making: a call to arms for health care professionals. Annals of Allergy, Asthma & Immunology, 125(3), 273-279.

Burks, D. J., & Kobus, A. M. (2012). The legacy of altruism in health care: the promotion of empathy, prosociality and humanism. Medical education, 46(3), 317-325.

Byrd, J., Knowles, H., Moore, S., Acker, V., Bell, S., Alanis, N., . . . Wang, H. (2021). Synergistic effects of emergency physician empathy and burnout on patient satisfaction: a prospective observational study. Emergency Medicine Journal, 38(4), 290-296.

Castro, M. C., Massuda, A., Almeida, G., Menezes-Filho, N. A., Andrade, M. V., de Souza Noronha, K. V. M., ... & Atun, R. (2019). Brazil's unified health system: the first 30 years and prospects for the future. The Lancet, 394(10195), 345-356.

Clarke, M. A., Moore, J. L., Steege, L. M., Koopman, R. J., Belden, J. L., Canfield, S. M., . . . Kim, M. S. (2016). Health information needs, sources, and barriers of primary care patients to achieve patient-centered care: A literature review. Health informatics journal, 22(4), 992-1016.

Cook, K. S., Cheshire, C., Rice, E. R., & Nakagawa, S. (2013). Social exchange theory. Handbook of social psychology, 61-88.

Dalton, L., Rapa, E., Ziebland, S., Rochat, T., Kelly, B., Hanington, L., ... & Richter, L. (2019). Communication with children and adolescents about the diagnosis of a life-threatening condition in their parent. The Lancet, 393(10176), 1164-1176.

Decety, J. (2020). Empathy in medicine: what it is, and how much we really need it. The American journal of medicine, 133(5), 561-566.

Derksen, F., Bensing, J., & Lagro-Janssen, A. (2013). Effectiveness of empathy in general practice: a systematic review. British journal of general practice, 63(606), e76-e84.

Dyer, N., Sorra, J. S., Smith, S. A., Cleary, P. D., & Hays, R. D. (2012). Psychometric properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) clinician and group adult visit survey. Medical care, 50, S28-S34.

Fusco, N., Bernard, F., Roelants, F., Watremez, C., Musellec, H., Laviolle, B., . . . Boulon, N. (2020). Hypnosis and communication reduce pain and anxiety in peripheral intravenous cannulation: Effect of Language and Confusion on Pain During Peripheral Intravenous Catheterization (KTHYPE), a multicentre randomised trial. British journal of anaesthesia, 124(3), 292-298.

Georgopoulou, S., Nel, L., Sangle, S. R., & D’Cruz, D. P. (2020). Physician–patient interaction and medication adherence in lupus nephritis. Lupus, 29(10), 1168-1178.

Gertsman, S., Ene, I. C., Palmert, S., Liu, A., Makkar, M., Shao, I., . . . Williams, C. (2023). Clinical empathy as perceived by patients with chronic illness in Canada: a qualitative focus group study. Canadian Medical Association Open Access Journal, 11(5), E859-E868.

Gleichgerrcht, E., & Decety, J. (2013). Empathy in clinical practice: how individual dispositions, gender, and experience moderate empathic concern, burnout, and emotional distress in physicians. Plos one, 8(4), e61526.

Hamine, S., Gerth-Guyette, E., Faulx, D., Green, B. B., & Ginsburg, A. S. (2015). Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review. Journal of medical Internet research, 17(2), e52.

Hong, H., & Oh, H. J. (2019). The effects of patient-centered communication: exploring the mediating role of trust in healthcare providers. Health communication.

Kim, C. E., Shin, J. S., Lee, J., Lee, Y. J., Kim, M. R., Choi, A., ... & Ha, I. H. (2017). Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal-based medical service encounters and treatment effectiveness: a cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals. BMC complementary and alternative medicine, 17(1), 1-12.

Kurtz, S. M. (2002). Doctor-patient communication: principles and practices. Canadian Journal of Neurological Sciences, 29(S2), S23-S29.

Lee, M., & Ihm, J. (2021). Empathy and attitude toward communication skill learning as a predictor of patient-centered attitude: a cross-sectional study of dental students in Korea. BMC medical education, 21(1), 1-11.

Licciardone, J. C., Ganta, S., Goehring, L., Wallace, K., & Pu, R. (2022). Analysis of the patient-physician relationship, race, and pain control and physical function among adults with chronic low back pain. JAMA Network Open, 5(6), e2216270-e2216270.

Makoul, G., & van Dulmen, S. (2015). What is effective doctor–patient communication? Review of the evidence. Clinical communication in medicine, 30-39.

Manary, M. P., Boulding, W., Staelin, R., & Glickman, S. W. (2013). The patient experience and health outcomes. The New England journal of medicine.

McDonald, H. P., Garg, A. X., & Haynes, R. B. (2002). Interventions to enhance patient adherence to medication prescriptions: scientific review. Jama, 288(22), 2868-2879.

O'Neill, A., Hughes, C., McClure, P., Rainey, C., McLaughlin, L., & McFadden, S. (2023). Patient engagement with radiation therapists: Patient perspectives, challenges, and opportunities. A systematic review. Radiography.

Peng, Y., Yin, P., Deng, Z., & Wang, R. (2020). Patient–physician interaction and trust in online health community: the role of perceived usefulness of health information and services. International Journal of Environmental Research and Public Health, 17(1), 139.

Petrocchi, S., Iannello, P., Lecciso, F., Levante, A., Antonietti, A., & Schulz, P. (2019). Interpersonal trust in doctor-patient relation: Evidence from dyadic analysis and association with quality of dyadic communication. Social science & medicine, 235, 112391.

Raju, S. A., Ching, H. L., Jalal, M., Lau, M. S., Rej, A., Tai, F. D., ... & Sanders, D. S. (2022). Does reverse mentoring work in the NHS: a feasibility study of clinicians in practice. BMJ open, 12(11), e062361.

Ralston, K. A., Hauser, B., Paskins, Z., & Ralston, S. H. (2022). Effective communication and the osteoporosis care gap. Journal of Bone and Mineral Research, 37(11), 2049-2054.

Saba, G. W., Wong, S. T., Schillinger, D., Fernandez, A., Somkin, C. P., Wilson, C. C., & Grumbach, K. (2006). Shared decision making and the experience of partnership in primary care. The Annals of Family Medicine, 4(1), 54-62.

Shan, L., Li, Y., Ding, D., Wu, Q., Liu, C., Jiao, M., . . . Hao, J. (2016). Patient satisfaction with hospital inpatient care: effects of trust, medical insurance and perceived quality of care. Plos one, 11(10), e0164366.

Shi, M., & Du, T. (2020). Associations of emotional intelligence and gratitude with empathy in medical students. BMC medical education, 20(1), 1-8.

Smith, D. R., Dolk, F. C. K., Pouwels, K. B., Christie, M., Robotham, J. V., & Smieszek, T. (2018). Defining the appropriateness and inappropriateness of antibiotic prescribing in primary care. Journal of Antimicrobial Chemotherapy, 73(suppl_2), ii11-ii18.

Sobierajski, T., Rzymski, P., Małecka, I., & Augustynowicz, E. (2023). Trust in Physicians in the Context of HPV Vaccination of Children from the Perspective of Social Exchange Theory: A Representative Study of Polish Parents. Vaccines, 11(10), 1618.

Spring, B. (2007). Evidence‐based practice in clinical psychology: What it is, why it matters; what you need to know. Journal of clinical psychology, 63(7), 611-631.

Street Jr, R. L., Makoul, G., Arora, N. K., & Epstein, R. M. (2009). How does communication heal? Pathways linking clinician–patient communication to health outcomes. Patient education and counseling, 74(3), 295-301.

Szeverenyi, C., Kekecs, Z., Johnson, A., Elkins, G., Csernatony, Z., & Varga, K. (2018). The use of adjunct psychosocial interventions can decrease postoperative pain and improve the quality of clinical care in orthopedic surgery: a systematic review and meta-analysis of randomized controlled trials. The Journal of Pain, 19(11), 1231-1252.

Tan, L., Le, M. K., Yu, C. C., Liaw, S. Y., Tierney, T., Ho, Y. Y., . . . Ngeow, C. (2021). Defining clinical empathy: a grounded theory approach from the perspective of healthcare workers and patients in a multicultural setting. BMJ open, 11(9), e045224.

Tan, S. S.-L., & Goonawardene, N. (2017). Internet health information seeking and the patient-physician relationship: a systematic review. Journal of medical Internet research, 19(1), e9.

Torres, E., Vasquez-Parraga, A. Z., & Barra, C. (2009). The path of patient loyalty and the role of doctor reputation. Health marketing quarterly, 26(3), 183-197.

Van der Velden, A., Bell, J., Sessa, A., Duerden, M., & Altiner, A. (2013). Sore throat: effective communication delivers improved diagnosis, enhanced self‐care and more rational use of antibiotics. International Journal of Clinical Practice, 67, 10-16.

Vaughn, V. M., Flanders, S. A., Snyder, A., Conlon, A., Rogers, M. A., Malani, A. N., . . . Nagel, J. (2019). Excess antibiotic treatment duration and adverse events in patients hospitalized with pneumonia: a multihospital cohort study. Annals of internal medicine, 171(3), 153-163.

Wanzer, M. B., Booth-Butterfield, M., & Gruber, K. (2004). Perceptions of health care providers' communication: relationships between patient-centered communication and satisfaction. Health communication, 16(3), 363-384.

Ward, P. (2018). Trust and communication in a doctor-patient relationship: a literature review. Arch Med, 3(3), 36.

Wong, E., Mavondo, F., & Fisher, J. (2020). Patient feedback to improve quality of patient-centred care in public hospitals: a systematic review of the evidence. BMC health services research, 20, 1-17.

Wu, Q., Jin, Z., & Wang, P. (2022). The relationship between the physician-patient relationship, physician empathy, and patient trust. Journal of general internal medicine, 37(6), 1388-1393.

Zgierska, A., Rabago, D., & Miller, M. M. (2014). Impact of patient satisfaction ratings on physicians and clinical care. Patient preference and adherence, 437-446.

Published

02-29-2024

How to Cite

Kim, H., & Kim, S. (2024). Exploring Doctor-Patient Dynamics: The Mediating Role of Doctor’s Empathy and the Moderating Effect of Treatment Effectiveness on Doctor-Patient Communication, Trust, and Satisfaction. Journal of Student Research, 13(1). https://doi.org/10.47611/jsrhs.v13i1.6345

Issue

Section

HS Research Articles