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Cited by 307Empathy and Medical EducationPatient-Provider Communication in HealthcareMedication Adherence and Compliance

The DOI matches its Crossref record; 95 of the 96 references it cites were found in a registry or an index.

A model of empathic understanding and adherence to treatment regimens in practitioner-patient relationships

Squier, Roger W.·1990·Social Science & Medicine
DOI 10.1016/0277-9536(90)90188-x
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Abstract

Empathic understanding in practitioner relationships is postulated as necessary for adherence to therapeutic regimens. It is considered to be one of the most important practitioner relationship skills leading ultimately to patient health benefit. Research literature from a wide-range of health disciplines including personality theory, social psychology, psychotherapy, psycho-analysis, and practitioner-patient communication highlights the key role of empathic processes in personal health care. A model of empathic understanding is described which attempts to integrate the substantive findings in the research literature and seeks to generate new ideas for further investigation. The model addresses theoretical relationships between practitioners' empathic understanding, patients' knowledge of their illness and motivation to get better, adherence to treatment advice, and outcome. Recent work on the selection and training of medical and nursing staff in empathic skills is reviewed. A number of areas for future research are outlined including the effect of individual practitioner differences in the components of empathy, empathic compatibility in practitioner-patient dyads, fluctuations in levels of practitioner empathy during long-term care, specific practitioner behaviours which communicate empathy, and the relationship between factors of patient satisfaction and the perception of empathic understanding.

Overview

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Registry

Crossref · 10.1016/0277-9536(90)90188-x

Cites

95 of 95 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 2

  1. DiMatteo, 1979, Patients' perceptions of physicians' behavior: determinants of patient commitment to the therapeutic relationship, J. Commun. Hlth, 4, 280
  2. Ikemi, 1984, An experimental learning course on teaching humanistic skills to medical students—Effect on empathy and regard for others, Sangyo Ika Daigaku Zasshi, 6, 265

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Metadata

Authors
Squier, R. W.
Corresponding author
Squier, Roger W.
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
1990-01
Volume
30
Issue
3
Pages
325-339
ISSN
0277-9536 (ISSN-L)
DOI
10.1016/0277-9536(90)90188-x
OpenAlex
W2087743410
Cited by
305
References
96
Citations by year
2026: 3 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 12 · 2020: 15 · 2019: 14 · 2018: 8 · 2017: 9 · 2016: 14 · 2015: 9 · 2014: 9 · 2013: 12 · 2012: 21
FWCI
0.50
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Keywords
empathic understanding, medication adherence, practitioner-patient relationship, empathy, disease knowledge, empathy training, patient satisfaction, therapeutic relationship, health care outcomes
MeSH terms
Communication, Education, Medical, Education, Nursing, Empathy, Helping Behavior, Humans, Patient Compliance, Physician-Patient Relations, Psychoanalytic Theory

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