Universität zu Köln

Steinhausen, Simone, Ommen, Oliver, Antoine, Sunya-Lee, Koehler, Thorsten, Pfaff, Holger ORCID: 0000-0001-9154-6575 and Neugebauer, Edmund (2014). Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy. Patient Prefer. Adherence, 8. S. 1239 - 1254. ALBANY: DOVE MEDICAL PRESS LTD. ISSN 1177-889X

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Abstract

Purpose: To investigate accident casualties' long-term subjective evaluation of treatment outcome 6 weeks and 12 months after discharge and its relation to the experienced surgeon's empathy during hospital treatment after trauma in consideration of patient-, injury-, and health-related factors. The long-term results are compared to the 6-week follow-up outcomes. Patients and methods: Two hundred and seventeen surgery patients were surveyed at 6 weeks, and 206 patients at 12 months after discharge from the trauma surgical general ward. The subjective evaluation of medical treatment outcome was measured 6 weeks and 12 months after discharge with the respective scale from the Cologne Patient Questionnaire. Physician Empathy was assessed with the Consultation and Relational Empathy Measure. The correlation between physician empathy and control variables with the subjective evaluation of medical treatment outcome 12 months after discharge was identified by means of logistic regression analysis under control of sociodemographic and injury-related factors. Results: One hundred and thirty-six patients were included within the logistic regression analysis at the 12-month follow-up. Compared to the 6-week follow-up, the level of subjective evaluation of medical treatment outcome was slightly lower and the association with physician empathy was weaker. Compared to patients who rated the empathy of their surgeon lower than 31 points, patients with ratings of 41 points or higher had a 4.2-fold higher probability to be in the group with a better medical treatment outcome (3.5 and above) on the Cologne Patient Questionnaire scale 12 months after discharge from hospital (P=0.009, R-2=33.5, 95% confidence interval: 1.440-12.629). Conclusion: Physician empathy is the strongest predictor for a higher level of trauma patients' subjective evaluation of treatment outcome 6 weeks and 12 months after discharge from the hospital. Interpersonal factors between surgeons and their patients are possible key levers for improving patient outcomes in an advanced health system. Communication trainings for surgeons might prepare them to react appropriately to their patients' needs and lead to satisfactory outcomes for both parties.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Steinhausen, Simone UNSPECIFIED UNSPECIFIED UNSPECIFIED Ommen, Oliver UNSPECIFIED UNSPECIFIED UNSPECIFIED Antoine, Sunya-Lee UNSPECIFIED UNSPECIFIED UNSPECIFIED Koehler, Thorsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Neugebauer, Edmund UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-449672
DOI:	10.2147/PPA.S62925
Journal or Publication Title:	Patient Prefer. Adherence
Volume:	8
Page Range:	S. 1239 - 1254
Date:	2014
Publisher:	DOVE MEDICAL PRESS LTD
Place of Publication:	ALBANY
ISSN:	1177-889X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; REPORTED PSYCHOSOCIAL CARE; SEVERE MULTIPLE INJURIES; MAJOR TRAUMA; SOCIOECONOMIC DEPRIVATION; FUNCTIONAL CONSEQUENCES; PSYCHOMETRIC EVALUATION; SATISFACTION; HEALTH; WORK Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/44967