Placebo prescription and empathy of the physician: A cross-sectional study

Autor: João Braga-Simões, Patrício Soares Costa, John Yaphe
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: European Journal of General Practice, Vol 23, Iss 1, Pp 98-104 (2017)
Druh dokumentu: article
ISSN: 1381-4788
1751-1402
13814788
DOI: 10.1080/13814788.2017.1291625
Popis: Background: Empathy in the patient–physician relationship is a major component in an effective placebo treatment, as in every medical treatment. Understanding the role of empathy of the physician in the placebo effect may help dissect some of the context variables responsible for the effectiveness of the placebo. Objectives: To determine the frequency of placebo prescription, doctors’ beliefs, motivation, and attitudes to placebos in general practice in northern Portugal and to test the association between placebo prescription and physician empathy. Methods: A cross-sectional study was conducted between November 2014 and January 2015 among general practice specialists and interns from 14 health centres in a northern Portuguese health region. The self-report questionnaire included the Portuguese version of the Jefferson scale of physician empathy (JSPE) and a questionnaire about placebo prescription. Associations between demographic variables, JSPE score, prescription of placebo, and the attitudes to placebo score were tested with the chi-squared statistic, student t-tests for independent samples, and Pearson correlation. Results: The study included 93 general practitioners (GP) (response rate: 74%). Placebos were prescribed by 73% (n = 68) of the respondents. GPs who prescribe placebo are significantly younger (mean age = 38.4 years; SD = 11.1; t (90) = 2.98, P
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