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dc.contributor.authorLundy, Jenna-Marie
dc.contributor.authorBikker, Annemieke
dc.contributor.authorHiggins, Maria
dc.contributor.authorWatt, Graham C
dc.contributor.authorLittle, Paul
dc.contributor.authorHumphris, Gerald Michael
dc.contributor.authorMercer, Stewart W
dc.identifier.citationLundy , J-M , Bikker , A , Higgins , M , Watt , G C , Little , P , Humphris , G M & Mercer , S W 2015 , ' General practitioners’ patient-centredness and responses to patients’ emotional cues and concerns : relationships with perceived empathy in areas of high and low socioeconomic deprivation ' Journal of Compassionate Health Care , vol. 2 , 2 . DOI: 10.1186/s40639-015-0011-6en
dc.identifier.otherPURE: 175304263
dc.identifier.otherPURE UUID: e5d51d2a-e1f2-4e82-b609-c3aee24be726
dc.description.abstractBackground: Physician empathy is important to patients across the socio-economic spectrum. However, whether socioeconomic status (SES) influences how patients’ judge physician empathy is not known. We investigated how patients’ perceptions of their general practitioners’ (GPs) empathy related to objectively measured patient-centeredness of the GPs and their detection and response to emotional cues. Methods: Secondary analysis of 112 videoed consultations of 8 GPs with the high and low empathy scores as rated by patients using the Consultation and Relational Empathy (CARE) Measure working in high or low deprivation settings in Scotland. Objective assessment involved the Measure of Patient-Centredness (MPCC) which has 3 components (exploring disease and illness experience, understanding the whole person, and finding common ground) and the Verona coding system (which measures emotional cues, concerns and responses). Results: GPs rated by patients as being empathic were more patient-centred overall than those rated as less empathic, in both high (p = 0.03) and low deprivation areas (p = 0.05). In high deprivation areas, perceived empathy was related to finding common ground (p = 0.02) whereas in low deprivation areas it was related to understanding the whole person (p= 0.01). In high deprivation areas, empathic GPs also had significantly different responses to emotional cues and concerns than GPs perceived as having low empathy. Conclusion: Socioeconomic status appears to affect how patients judge practitioner empathy. This study emphasises the importance of finding common ground and detecting and responding actively to emotional cues in consultations in high deprivation areas. Further research on a larger sample is warranted.en
dc.relation.ispartofJournal of Compassionate Health Careen
dc.rights© 2015 Lundy et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.en
dc.subjectPrimary Careen
dc.subjectGeneral Practiceen
dc.subjectR Medicineen
dc.subjectHM Sociologyen
dc.titleGeneral practitioners’ patient-centredness and responses to patients’ emotional cues and concerns : relationships with perceived empathy in areas of high and low socioeconomic deprivationen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.description.statusPeer revieweden

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