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Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease
Open accessAbstract
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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“Many studies have documented the positive effect of provider empathy on patients, which include increased patient satisfaction, adherence, self-efficacy, perceptions of control, less emotional distress, and better outcomes.87–90”
From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [90]
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“Further to this, Zachariae et al. (2003) found that oncology outpatients (n 454) who perceived greater physician empathy had greater confidence in their ability to cope with disease-related treatments and symptoms.”
BackgroundTian, C. Y., Wong, E. L., Qiu, H., Zhao, S., Wang, K., Cheung, A. W.-L., & Yeoh, E. (2024) · Patient Education and Counseling · doi:10.1016/j.pec.2024.108410 · Cited by 34
Williams, B. A., Brown, T., Boyle, M. J., & Dousek, S. (2012) · Nursing and Health Sciences · doi:10.1111/j.1442-2018.2012.00719.x · Cited by 34
“Previous literature has reported that physician empathy increases patient compliance and satisfaction (Zachariae et al., 2003; Kim et al., 2004).”
BackgroundEmpathy as a Determining Factor for Nursing Career Selection
Penprase, B., Oakley, B. A., Ternes, R., & Driscoll, D. (2013) · Journal of Nursing Education · doi:10.3928/01484834-20130314-02 · Cited by 33
Readability of urologic pathology reports: The need for patient-centered approaches
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“Moreover, effective physician-patient communication has been found to lead to improved patient satisfaction, better enrollment in clinical trials [14], improved patient understanding [15], improved self-efficacy, and reduced emotional distress [16].”
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“0/ empathy has been shown to be associated with improved patient satisfaction and better clinical outcomes [5–8].”
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Effects of a Training Workshop on Suicide Prevention Among Emergency Room Nurses
Kishi, Y., Otsuka, K., Akiyama, K., Yamada, T., Sakamoto, Y., Yanagisawa, Y., Morimura, H., Kawanishi, C., Higashioka, H., Miyake, Y., et al. (2014) · Crisis · doi:10.1027/0227-5910/a000268 · Cited by 31
Communication Predicts Medication Self‐Efficacy in Glaucoma Patients
Carpenter, D. M., Blalock, S. J., Sayner, R., Muir, K. W., Robin, A. L., Hartnett, M. E., Giangiacomo, A., Tudor, G., & Sleath, B. L. (2016) · Optometry and Vision Science · doi:10.1097/opx.0000000000000856 · Cited by 31
“A previous study with Danish cancer patients found that patients who reported that their provider was more attentive also reported greater self-efficacy to manage their disease.(30) Similarly, HIV patients who reported more frequent positive interactions with their physicians had greater adherence self-efficacy.”
ResultAn exploration of empathy and correlates among Taiwanese nurses
Jen‐Che, K. U. O., Cheng, J.-F., Yu‐Lan, C. H. E. N., Livneh, H., & Tsai, T. (2011) · Japan Journal of Nursing Science · doi:10.1111/j.1742-7924.2011.00199.x · Cited by 31
Breast cancer patients’ narratives about positive and negative communication experiences
Thomsen, D. K., Pedersen, A., Johansen, M. B., Jensen, A. B., & Zachariae, R. (2007) · Acta oncologica · doi:10.1080/02841860701261550 · Cited by 35
Self-citationExploring the Impact of Language Concordance on Cancer Communication
Bregio, C., Finik, J. M., Baird, M., Ortega, P., ROTER, D. L., Karliner, L., & Diamond, L. C. (2022) · JCO Oncology Practice · doi:10.1200/op.22.00040 · Cited by 30
Health for the People, by the People
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Using patient storytelling to improve medical students’ empathy in Japan: a pre-post study
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Empathy levels among first year Malaysian medical students: an observational study
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Can doctors predict patients' satisfaction and enablement? A cross-sectional observational study
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Undergraduate nursing students’ ability to empathize: A qualitative study
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“Studies have shown that empathy may lead to greater satisfaction among patients.(5) In addition, empathy is associated with lower levels of burnout among health and social workers.”
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“Effective patient-centered communication in health care delivery fosters patient confidence in the provider and satisfaction with care.(2,3) Patient-centered communication requires several factors that include reflective listening, attentiveness, and empathy as well as intercultural sensitivity, among others.”
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Lundeby, T., Gulbrandsen, P., & Finset, A. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.01.015 · Cited by 28
“There is evidence from a number of studies that empathic behaviors displayed by clinicians may promote several positive patient outcomes, such as the creation of a therapeutic alliance, improved coping, increased trust, improved relationship and satisfaction, increased self-efficacy, decreased anxiety and depression […”
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“Patient’s perceptions of physician empathy are associated with greater patient satisfaction, increased self-efficacy, and reduced emotional distress [11].”
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Francis, L. E., Bowman, K. F., Kypriotakis, G., & Rose, J. H. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2011.01.023 · Cited by 28
“Good relationships with health care providers and family are important contributors to positive psychosocial outcomes for seriously ill patients [29–33] and caregivers [34,35].”
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Understanding of empathetic communication in acute hospital settings: a scoping review
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Sexual Minority Women's Interactions with Breast Cancer Providers
Boehmer, U., & Case, P. (2007) · Women & Health · doi:10.1300/j013v44n02_03 · Cited by 28
Prognostication in Serious Illness
Martin, E. J., & Widera, E. (2020) · Medical Clinics of North America · doi:10.1016/j.mcna.2019.12.002 · Cited by 27
Searching for the erosion of empathy in medical undergraduate students: a longitudinal study
Blanco, J. M., Caballero, F., Montero, S. Á., Plans, M., & Martín, D. M. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-041810 · Cited by 27
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“A Danish study of cancer patients showed that the doctors’ attentiveness was rated as more important than empathy by the patients although both aspects were associated with satisfaction with the contact and with improvement in self-efficacy [19].”
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Cancer‐related self‐efficacy following a consultation with an oncologist
Nielsen, B. K., Mehlsen, M. Y., Jensen, A. B., & Zachariae, R. H. (2013) · Psycho-Oncology · doi:10.1002/pon.3261 · Cited by 26
“’ The Physician– Patient Relationship Inventory has previously been reported to have adequate psychometric properties, and a higher score (range: 12 to 84) indicates greater satisfaction with the physician–patient relationship [18,33].”
BackgroundResultSelf-citation
Metadata
- 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
- Venue
- British Journal of Cancer
- Published
- 2003-03
- Volume
- 88
- Issue
- 5
- Pages
- 658-665
- ISSN
- 0007-0920 (ISSN-L)
- 1532-1827
- 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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