Cited by 601Patient-Provider Communication in HealthcareEmpathy and Medical EducationCancer survivorship and care

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Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease

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Zachariae, R, Pedersen, C G, Jensen, A B, Ehrnrooth, E, Rossen, P B, von der Maase, H·2003·British Journal of Cancer

DOI 10.1038/sj.bjc.6600798PMC PMC2376357

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Abstract

The aim of the study was to investigate the association of physician communication behaviours as perceived by the patient with patient reported satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease in cancer patients. Questionnaires measuring distress, self-efficacy, and perceived control were completed prior to and after the consultation by 454 patients attending an oncology outpatient clinic. After the consultation, the patients also rated the physicians' communicative behaviours by completing a patient-physician relationship inventory (PPRI), and the physicians were asked to estimate patient satisfaction. The overall results showed that higher PPRI scores of physician attentiveness and empathy were associated with greater patient satisfaction, increased self-efficacy, and reduced emotional distress following the consultation. In contrast, lower PPRI scores were associated with reduced ability of the physician to estimate patient satisfaction. The results confirm and expand previous findings, suggesting that communication is a core clinical skill in oncology.

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Figure 1 Personal contact: Mean percentage scores (s.d.) of patient satisfaction (A), the physicians' perception of patient satisfaction (B), and the physicians' satisfaction with his/her own ability to establish contact with the patient (C).CC BY · PubMed Central

Figure 2 Medical aspects: Mean percentage scores (s.d.) of patient satisfaction (A), the physicians' perception of patient satisfaction (B), and the physicians' satisfaction with his/her own ability to handle the medical aspects of the patient's situation (C).CC BY · PubMed Central

Figure 3 Mean percentage PPRI scores (s.d.) on the subscales of Attentiveness and Empathy and mean (s.d.) per cent rated importance of these skills.CC BY · PubMed Central

Figure 4 Mean percent scores (s.d.) of cancer-related self-efficacy, perceived control over disease, and mood prior to (1) and after the consultation (2).CC BY · PubMed Central

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“Physician emotional support has been reported to alleviate patient distress and increase patient perceived efficacy in coping with cancer (Zachariae et al., 2003), which in turn may enhance patient QoL.”
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“Given and Given, 1989; Golin et al., 1996; Miller, 1997; Zachariae et al., 2003).”
Influential
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“First, clinicians’ efforts to acknowledge and explore has some therapeutic value that alleviates some of cancer patients’ emotional distress [6] and responding empathetically to negative emotions does decrease patients’ distress and increases their quality of life [39].”
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“…empathy, caring attitude and a patient-centered and facilitative approach have been reported to favor patients’ satisfaction with care (Wang et al., 2013), psychological adjustment (Gilbar & Zusman, 2007), lower levels of anxiety (Takayama et al., 2001), and distress (Zachariae et al., 2003).”
Background
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“Empathy has been shown to increase self-efficacy and emotional distress during oncological consultations [21].”
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Providers’ Perceptions of Communication Breakdowns in Cancer Care
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“Ethnicity European 26 (67) 21 (91) 20 (87) Non-European 8 (20) 2 (9) 3 (13) Not answered 5 (13) 0 0”
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“Moreover, the benefits of good communication skills are evident in the clinical setting, as patients who rate highly their doctor's communication style have increased cancer related selfefficacy and reduced emotional distress [21].”
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“For instance, Zachariae reported in a large study of oncology patients that higher scores of physician attentiveness and empathy were associated with greater patient satisfaction, increased self-efficacy, and reduced emotional distress following the consultation [42].”
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Empathy promoting interventions for health professionals: a systematic review of RCTs
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“The reason for which clinical empathy has been introduced to health care curricula is related to empathy’s expected positive attributes, including dutifulness, prosaic behavior, moral reasoning, reduced malpractice litigation, improved history taking and physical examination, patient satisfaction, physician satisfacti…”
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Association between Sick Leave Prescribing Practices and Physician Burnout and Empathy
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“Some studies suggest that indicators of empathic involvement in patient care (such as good verbal or nonverbal communication with the patient) and duration of visits may lead to increased patient satisfaction [19][20][21][22] and greater treatment adherence [23][24][25].”
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Improving Interactions with Healthcare Robots: A Review of Communication Behaviours in Social and Healthcare Contexts
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“has shown that patients are easily able to identify empathetic behaviours in their clinician [29], and that these behaviours”
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Contemporary Quality of Life Issues Affecting Gynecologic Cancer Survivors
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Method
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Authors: Zachariae, R., Pedersen, C. G., Jensen, A. B., Ehrnrooth, E., Rossen, P. B., & von der Maase, H.
Affiliations: Aarhus University Hospital (DK)
Corresponding author: Zachariae, R
ORCID: Zachariae, R
Pedersen, C G
Jensen, A B
Venue: British Journal of Cancer
Publisher: Springer Science and Business Media LLC
Published: 2003-03
Volume: 88
Issue: 5
Pages: 658-665
ISSN: 0007-0920 (ISSN-L)
1532-1827
DOI: 10.1038/sj.bjc.6600798
PMC: PMC2376357
OpenAlex: W2058562152
Cited by: 601
References: 40
Citations by year: 2026: 13 · 2025: 17 · 2024: 25 · 2023: 32 · 2022: 47 · 2021: 37 · 2020: 34 · 2019: 27 · 2018: 27 · 2017: 40 · 2016: 30 · 2015: 40 · 2014: 30 · 2013: 41 · 2012: 43
FWCI: 17.82
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-sa
www.springer.com/tdm (unspecified)
Locations: British Journal of Cancer (publishedVersion, cc-by-nc-sa)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Funders: Aarhus Universitet
Aarhus Universitetshospital
Kræftens Bekæmpelse
Topics: Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: patient satisfaction, emotional distress, perceived control, physician empathy, physician-patient relationship
MeSH terms: Humans, Neoplasms, Physician-Patient Relations, Surveys and Questionnaires, Stress, Psychological, Patient Satisfaction, Self Efficacy

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Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease

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