The effect of physician empathy on patient-reported outcomes in oncology : a systematic review

Abstract

Background The desire to transition to patient-centered care necessitates an understanding of non-clinical factors and their effects on patient outcomes. In medicine, empathy has generally been associated with positive outcomes including patient satisfaction, compliance, and improvements to the patient-physician relationship. Similarly, these outcomes could be extended to oncology, an emotion-intensive field. This review aims to present an updated understanding of the effect of physician empathy on cancer patient-reported outcomes, and how implementation of physician empathy could create better health for all.

Method Studies that focused on empathy and compassion in cancer care were searched in PubMed, PsychINFO, and Web of Science from 2005 to 2015. The PRISMA checklist was used as a guideline for this review, and the STROBE statement was used to evaluate the quality of individual studies.

Results After considering eligibility, thirteen articles were analyzed in this review. Physician empathy was found to have a positive effect on patient participation, satisfaction and compliance, reduce anxiety and stress in cancer patients, and enhance quality of life.

Conclusion The practice of physician empathy in oncology prompts a multitude of improvements in patient outcomes, and enhancements in communication and the development of the patient-physician alliance should not be overlooked in cancer care. Future research should explore changing patient expectations and appropriateness of measurements of empathy and communication.