期刊论文详细信息
BMC Medical Education
Measurement and correlates of empathy among female Japanese physicians
Joseph S Gonnella1  Mohammadreza Hojat1  Norio Koide2  Hitomi U Kataoka2 
[1] Center for Research in Medical Education and Health Care, Jefferson Medical College of Thomas Jefferson University, Philadelphia, USA;Department of General Medicine, Okayama University Medical School, Okayama, Japan
关键词: Career development;    Female physicians;    Empathy;   
Others  :  1153630
DOI  :  10.1186/1472-6920-12-48
 received in 2012-01-15, accepted in 2012-06-12,  发布年份 2012
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【 摘 要 】

Background

The measurement of empathy is important in the assessment of physician competence and patient outcomes. The prevailing view is that female physicians have higher empathy scores compared with male physicians. In Japan, the number of female physicians has increased rapidly in the past ten years. In this study, we focused on female Japanese physicians and addressed factors that were associated with their empathic engagement in patient care.

Methods

The Jefferson Scale of Empathy (JSE) was translated into Japanese by using the back-translation procedure, and was administered to 285 female Japanese physicians. We designed this study to examine the psychometrics of the JSE and group differences among female Japanese physicians.

Results

The item-total score correlations of the JSE were all positive and statistically significant, ranging from .20 to .54, with a median of .41. The Cronbach’s coefficient alpha was .81. Female physicians who were practicing in “people-oriented” specialties obtained a significantly higher mean empathy score than their counterparts in “procedure-” or “technology-oriented” specialties. In addition, physicians who reported living with their parents in an extended family or living close to their parents, scored higher on the JSE than those who were living alone or in a nuclear family.

Conclusions

Our results provide support for the measurement property and reliability of the JSE in a sample of female Japanese physicians. The observed group differences associated with specialties and living arrangement may have implications for sustaining empathy. In addition, recognizing these factors that reinforce physicians’ empathy may help physicians to avoid career burnout.

【 授权许可】

   
2012 Kataoka et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS: The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Academic Medicine 2009, 84:1182-1191.
  • [2]Hojat M: Empathy in Patient Care: Antecedents, Development, Measurement, and Outcomes. New York: Springer; 2007.
  • [3]Hojat M, Mangione S, Nasca TJ, Cohen MJM, Gonnella JS, Erdmann JB, Veloski JJ, Magee M: The Jefferson scale of physician empathy: Development and Preliminary psychometric data. Educ Psychol Meas 2001, 61:349-365.
  • [4]Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, Magee M: Physician empathy: Definition, measurement, and relationship to gender and specialty. Am J Psychiatry 2002, 159:1563-1569.
  • [5]Hojat M, Gonnella JS, Mangione S, Nasca TJ, Veloski JJ, Erdmann JB, Callahan CA, Magee M: Empathy in medical students as related to academic performance, clinical competence and gender. Medical Education 2002, 36:522-527.
  • [6]Hojat M, Gonnella JS, Nasca TJ, Mangione S, Veloski JJ, Magee M: The Jefferson Scale of Physician Empathy: Further psychometric data and differences by gender and specialty at item level. Academic Medicine (supplement) 2002, 77:S58-S60.
  • [7]Kaneto C, Toyokawa S, Inoue K, Kobayashi Y: Gender difference in physician workforce participation in Japan. Health Policy 2009, 89:115-123.
  • [8]McMurray JE, Cohen M, Angus G, Harding J, Gavel P, Horvath J, Paice E, Schmittdiel J, Grumbach K: Women in medicine: A four-nation comparison. J Am Med Women Assoc. 2002, 57:185-190.
  • [9]Hojat M, Louis DZ, Maxwell K, Gonnella JS: The Jefferson Scale of Empathy (JSE): An update. Health Policy Newsletter 2011, 24:5-6.
  • [10]Kataoka HU, Koide N, Ochi K, Hojat M, Gonnella JS: Measurement of empathy among Japanese medical students: psychometrics and score differences by gender and level of medical education. Academic Medicine 2009, 84:1192-1197.
  • [11]Anastasia A: Psychological Testing. NJ: McGraw Hill; 1976.
  • [12]Newton BW, Savidge MA, Barber L, Cleveland E, Clardy J, Beeman G, Hart T: Differences in medical students’ empathy. Academic Medicine 2000, 75:1215.
  • [13]Fukuda Y, Harada T: Gender differences in specialty preference and mismatch with real needs in Japanese medical students. BMC Med Educ 2010, 10:15. BioMed Central Full Text
  • [14]Nomura K, Inoue S, Yano E: The shortage of pediatrician workforce in rural areas of Japan. Tohoku J Exp Med 2009, 217:299-305.
  • [15]Roter DL, Hall JA, Aoki Y: Physician gender effects in medical communication: a meta-analytic review. JAMA 2002, 288:756-764.
  • [16]McMurray JE, Linzer M, Konrad TR, Douglas J, Shugerman R, Nelson K: The work lives of women physicians results from the physician work life study. The SGIM Career Satisfaction Study Group. J Gen Intern Med 2000, 15:372-380.
  • [17]Nomura K, Yano E, Fukui T: Gender differences in clinical confidence: a nationwide survey of resident physicians in Japan. Acad Med 2010, 85:647-653.
  • [18]Bergman B, Ahmad F, Stewart DE: Physician Health, Stress and Gender at a University Hospital. J Psychosom Res 2003, 54:171-178.
  • [19]Gjerberg E: Women Doctors in Norway: The Challenging Balance Between Career and Family. Soc Sci Med 2003, 57:1327-1341.
  • [20]Hojat M, Louis DZ, Markham F, Wender R, Rabinowitz C, Gonnella JS: Physicians’ Empathy and Clinical Outcomes for Diabetic Patients. Acad Med 2011, 86:359-364.
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