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The Role of Empathy in Therapeutic Relationships

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  Issue: December 2023  |  December 8, 2023

As much as my eyes rolled during that mandatory five-hour session, my eyes were also opened to a fundamental dichotomy of our healthcare system. The healthcare system is a machine that churns tangible revenue while we clinicians are human beings who produce intangible results. Harmonizing the two creates a precarious balance. Patients are the key to swinging the balance toward a humanistic direction.

Rheumatologists and other clinicians must be dedicated to building that sense of empathy within ourselves and within our healthcare systems, not to improve such metrics as patient satisfaction scores or revenue for our institutions, but because it is fundamentally the right thing to do. That certainly is my takeaway from five hours of mandatory training.

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Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS, is the director of the rheumatology fellowship training program at the University of Iowa, Iowa City, and the physician editor of The Rheumatologist. Follow him on X @BharatKumarMD.

References

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  2. Nembhard IM, David G, Ezzeddine I, et al. A systematic review of research on empathy in health care. Health Serv Res. 2023 Apr;58(2):250–263. doi: 10.1111/1475-6773.14016. Epub 2022 Jul 15.
  3. Sinclair S, Beamer K, Hack TF, et al. Sympathy, empathy, and compassion: A grounded theory study of palliative care patients’ understandings, experiences, and preferences. Palliat Med. 2017 May;31(5):437–447. doi: 10.1177/0269216316663499. Epub 2016 Aug 17.
  4. Sympathy noun—Definition, pictures, pronunciation and usage notes. Oxford Advanced American Dictionary. OxfordLearnersDictionaries.com.
  5. Empathy noun—Definition, pictures, pronunciation and usage notes. Oxford Advanced American Dictionary. OxfordLearnersDictionaries.com.
  6. Raina R. Moving crisis to opportunities: A corporate perspective on the impact of compassionate empathic behaviour on the well-being of employees. JGBC. 2022;17(2):239–255.
  7. Jahromi VK, Tabatabaee SS, Abdar ZE, Rajabi M. Active listening: The key of successful communication in hospital managers. Electron Physician. 2016 Mar 25;8(3):2123–2128.
  8. Flugelman MY. History-taking revisited: Simple techniques to foster patient collaboration, improve data attainment, and establish trust with the patient. GMS J Med Educ. 2021 Sep 15;38(6):Doc109.
  9. Riess H. The science of empathy. J Patient Exp. 2017 Jun;4(2):74–77.
  10. Herrando C, Constantinides E. Emotional contagion: A brief overview and future directions. Front Psychol. 2021 Jul 16;12:712606.
  11. Frankel R, Altschuler A, George S, et al. Effects of exam-room computing on clinician-patient communication: A longitudinal qualitative study. J Gen Intern Med. 2005 Aug;20(8):677–682.
  12. Wisniewska I, Richard Holt G. Burnout in academic medicine: A peripandemic assessment. Perm J. 2023 Jun 15;27(2):150–159.
  13. Challita M. From empathic mind to moral behaviour: The ‘who,’ ‘why’ and ‘how.’ Med Health Care Philos. 2016 Dec;19(4):517–522.
  14. Klim G, Boyd KC, Roberts L, Taylor EJ. Social empathy and associated factors among nurses: An observational study. Holist Nurs Pract. 2023 Jan–Feb 01;37(1):6–14.
  15. Yip K, Navarro-Millán I. Racial, ethnic, and healthcare disparities in rheumatoid arthritis. Curr Opin Rheumatol. 2021 Mar 1;33(2):117–121.
  16. Williams JN, Drenkard C, Lim SS. The impact of social determinants of health on the presentation, management and outcomes of systemic lupus erythematosus. Rheumatology (Oxford). 2023 Mar 29;62(Suppl 1):i10–i14.

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