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Article: Effect of facemasks on empathy and relational continuity: A randomised controlled trial in primary care

TitleEffect of facemasks on empathy and relational continuity: A randomised controlled trial in primary care
Authors
KeywordsContinuity of patient care
Empathy
General practice
Primary health care
Public health
Issue Date2013
Citation
BMC Family Practice, 2013, v. 14 How to Cite?
AbstractBackground: There is limited evidence to support the use of facemasks in preventing infection for primary care professionals. Negative effects on communication has been suggested when the physician wears a facemask. As communication skills and doctor patient relationship are essential to primary care consultations, the effects of doctor's facemask wearing were explored. Method. A randomised controlled study was conducted in primary care to explore the effects of doctors wearing facemasks on patients' perception of doctors' empathy, patient enablement and patient satisfaction. Primary care doctors were randomized to mask wearing and non mask wearing clinical consultations in public primary care clinics in Hong Kong. Patients' views were gathered using the Consultation and Relational Empathy (CARE) Measure, Patient Enablement Instrument (PEI) and an overall satisfaction rating scale. The effects of face mask wearing were investigated using multilevel (hierarchical) modelling. Results: 1,030 patients were randomised to doctor-mask wearing consultations (n = 514) and non mask wearing consultations (n = 516). A significant and negative effect was found in the patients' perception of the doctors' empathy (CARE score reduction -0.98, p-value = 0.04). In the more established doctor-patient relationship, the effect of doctors' mask wearing was more pronounced (CARE score reduction -5.67, p-value = 0.03). Conclusion: This study demonstrates that when doctors wearing a facemask during consultations, this has a significant negative impact on the patient's perceived empathy and diminish the positive effects of relational continuity. Consideration should be taken in planning appropriate use of facemasks in infectious disease policy for primary care and other healthcare professionals at a national, local or practice level. Clinical trial registration. This trial was registered on Chinese Clinical Trial Register (ChiCTR). Registration no.: ChiCTR-TTRCC-12002519. URL: http://www.chictr.org/ en/proj/show.aspx?proj=3486. Due to administrative error, registration of trial did not take place until after the trial started on 1st August 2011 and registration number was released on 21st September 2012. © 2013 Wong et al.; licensee BioMed Central Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/205790
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, Carmen-
dc.contributor.authorYip, Benjamin Hon Kei-
dc.contributor.authorMercer, Stewart W.-
dc.contributor.authorGriffiths, Siân Meryl-
dc.contributor.authorKung, Kenny-
dc.contributor.authorWong, Martincs-
dc.contributor.authorChor, Josette S Y-
dc.contributor.authorWong, Samuel Y. S.-
dc.date.accessioned2014-10-06T08:02:22Z-
dc.date.available2014-10-06T08:02:22Z-
dc.date.issued2013-
dc.identifier.citationBMC Family Practice, 2013, v. 14-
dc.identifier.urihttp://hdl.handle.net/10722/205790-
dc.description.abstractBackground: There is limited evidence to support the use of facemasks in preventing infection for primary care professionals. Negative effects on communication has been suggested when the physician wears a facemask. As communication skills and doctor patient relationship are essential to primary care consultations, the effects of doctor's facemask wearing were explored. Method. A randomised controlled study was conducted in primary care to explore the effects of doctors wearing facemasks on patients' perception of doctors' empathy, patient enablement and patient satisfaction. Primary care doctors were randomized to mask wearing and non mask wearing clinical consultations in public primary care clinics in Hong Kong. Patients' views were gathered using the Consultation and Relational Empathy (CARE) Measure, Patient Enablement Instrument (PEI) and an overall satisfaction rating scale. The effects of face mask wearing were investigated using multilevel (hierarchical) modelling. Results: 1,030 patients were randomised to doctor-mask wearing consultations (n = 514) and non mask wearing consultations (n = 516). A significant and negative effect was found in the patients' perception of the doctors' empathy (CARE score reduction -0.98, p-value = 0.04). In the more established doctor-patient relationship, the effect of doctors' mask wearing was more pronounced (CARE score reduction -5.67, p-value = 0.03). Conclusion: This study demonstrates that when doctors wearing a facemask during consultations, this has a significant negative impact on the patient's perceived empathy and diminish the positive effects of relational continuity. Consideration should be taken in planning appropriate use of facemasks in infectious disease policy for primary care and other healthcare professionals at a national, local or practice level. Clinical trial registration. This trial was registered on Chinese Clinical Trial Register (ChiCTR). Registration no.: ChiCTR-TTRCC-12002519. URL: http://www.chictr.org/ en/proj/show.aspx?proj=3486. Due to administrative error, registration of trial did not take place until after the trial started on 1st August 2011 and registration number was released on 21st September 2012. © 2013 Wong et al.; licensee BioMed Central Ltd.-
dc.languageeng-
dc.relation.ispartofBMC Family Practice-
dc.subjectContinuity of patient care-
dc.subjectEmpathy-
dc.subjectGeneral practice-
dc.subjectPrimary health care-
dc.subjectPublic health-
dc.titleEffect of facemasks on empathy and relational continuity: A randomised controlled trial in primary care-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1186/1471-2296-14-200-
dc.identifier.pmid24364989-
dc.identifier.scopuseid_2-s2.0-84890849716-
dc.identifier.volume14-
dc.identifier.eissn1471-2296-
dc.identifier.isiWOS:000329527500001-

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