Literature DB >> 15772120

Relevance and practical use of the Consultation and Relational Empathy (CARE) Measure in general practice.

Stewart W Mercer1, Alex McConnachie, Margaret Maxwell, David Heaney, Graham C M Watt.   

Abstract

BACKGROUND: The Consultation and Relational Empathy (CARE) Measure has been developed as a tool for assessing the patients' perceptions of relational empathy in the consultation.
OBJECTIVES: The present paper provides performance data on the CARE measure in a large sample of general practice consultations in areas of high and low deprivation.
METHODS: The CARE Measure was included in a self-completed questionnaire study involving 3044 patients attending 26 GPs in 26 different practices (16 in areas of high socio-economic deprivation and 10 in low deprivation areas, in the west of Scotland).
RESULTS: GPs and patients, in both high and low deprivation settings, endorsed the relevance of the CARE Measure. Overall, 76% of patients rated the measure as being 'very important' to their current consultation. Higher rating of importance were observed in older patients, patients consulting with psycho-social problems, patients with long-standing illness or disability, and patients with significant emotional distress. Few patients rated individual CARE Measure items as being 'not applicable' to their current consultation; only 3.1% of patients felt that more than 2 of the 10 items in the measure did not apply to their current consultation. Mean values were not influenced by deprivation, gender, reason for consulting, chronic illness, or emotional distress. Correlational analysis indicated that a sample size of 50 patients is sufficient to reliably estimate mean CARE score for an individual GP.
CONCLUSIONS: These results indicate that the CARE Measure is considered by GPs and patients alike as being of direct relevance to everyday consultations in general practice, in both high and low deprivation settings. The measures is stable across patient groups and a reliable estimate of perceived GP empathy requires 50 completed questionnaires per doctor.

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Year:  2005        PMID: 15772120     DOI: 10.1093/fampra/cmh730

Source DB:  PubMed          Journal:  Fam Pract        ISSN: 0263-2136            Impact factor:   2.267


  80 in total

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Authors:  Carlos Roberto Jaén; Benjamin F Crabtree; Raymond F Palmer; Robert L Ferrer; Paul A Nutting; William L Miller; Elizabeth E Stewart; Robert Wood; Marivel Davila; Kurt C Stange
Journal:  Ann Fam Med       Date:  2010       Impact factor: 5.166

2.  Patient outcomes at 26 months in the patient-centered medical home National Demonstration Project.

Authors:  Carlos Roberto Jaén; Robert L Ferrer; William L Miller; Raymond F Palmer; Robert Wood; Marivel Davila; Elizabeth E Stewart; Benjamin F Crabtree; Paul A Nutting; Kurt C Stange
Journal:  Ann Fam Med       Date:  2010       Impact factor: 5.166

3.  Evaluation of patient centered medical home practice transformation initiatives.

Authors:  Benjamin F Crabtree; Sabrina M Chase; Christopher G Wise; Gordon D Schiff; Laura A Schmidt; Jeanette R Goyzueta; Rebecca A Malouin; Susan M C Payne; Michael T Quinn; Paul A Nutting; William L Miller; Carlos Roberto Jaén
Journal:  Med Care       Date:  2011-01       Impact factor: 2.983

4.  Religion, health, and questions of meaning.

Authors:  Sonal Singh
Journal:  MedGenMed       Date:  2005-08-17

5.  Identifying and predicting subgroups of information needs among cancer patients: an initial study using latent class analysis.

Authors:  Melanie Neumann; Markus Wirtz; Nicole Ernstmann; Oliver Ommen; Alfred Längler; Friedrich Edelhäuser; Christian Scheffer; Diethard Tauschel; Holger Pfaff
Journal:  Support Care Cancer       Date:  2010-07-01       Impact factor: 3.603

6.  Monoanion inhibition and 35Cl nuclear magnetic resonance studies of renal dipeptidase.

Authors:  L G Ferren; R L Ward; B J Campbell
Journal:  Biochemistry       Date:  1975-12-02       Impact factor: 3.162

7.  General Practitioners' Empathy and Health Outcomes: A Prospective Observational Study of Consultations in Areas of High and Low Deprivation.

Authors:  Stewart W Mercer; Maria Higgins; Annemieke M Bikker; Bridie Fitzpatrick; Alex McConnachie; Suzanne M Lloyd; Paul Little; Graham C M Watt
Journal:  Ann Fam Med       Date:  2016-03       Impact factor: 5.166

Review 8.  Effectiveness of empathy in general practice: a systematic review.

Authors:  Frans Derksen; Jozien Bensing; Antoine Lagro-Janssen
Journal:  Br J Gen Pract       Date:  2013-01       Impact factor: 5.386

9.  The inverse care law: clinical primary care encounters in deprived and affluent areas of Scotland.

Authors:  Stewart W Mercer; Graham C M Watt
Journal:  Ann Fam Med       Date:  2007 Nov-Dec       Impact factor: 5.166

10.  Acupuncture, or non-directive counselling versus usual care for the treatment of depression: a pilot study.

Authors:  Sylvia Schroer; Hugh Macpherson
Journal:  Trials       Date:  2009-01-09       Impact factor: 2.279

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