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Abstract(s)
A Medicina Centrada na Pessoa (MCP) é um método clínico que possibilita a abordagem da pessoa como um todo, colocando-a no centro da tomada de decisões, e que pode ser aplicada na prática clínica, através do Método Clínico Centrado na Pessoa (MCCP). Este método envolve a criação de uma relação médico-doente bem-sucedida, que está associada à capacidade empática do médico e à sua perceção pelo utente. O objetivo deste estudo foi determinar a relação entre o MCCP e a empatia, do ponto de vista da pessoa, através da aplicação de duas ferramentas que permitem a sua avaliação: Perceção do Cuidado Centrado na Pessoa (PCCP) e Consultation and Relational Empathy (CARE), respetivamente. Foi realizado um estudo observacional e transversal, que incluiu uma amostra de 147 utentes dos 5 Centros de Saúde do Concelho do Funchal. Os participantes foram convidados a participar no estudo, à saída da sua consulta com o médico interno ou especialista em Medicina Geral e Familiar (MGF), através do preenchimento de um formulário anónimo que continha as duas ferramentas de avaliação: PCCP e CARE, e dados relativamente à sua idade, sexo, nível de escolaridade, situação profissional e presença ou ausência de consulta prévia com esse(a) médico(a). Concluiu-se haver uma relação estatisticamente significativa (p < 0,001), entre as pontuações finais de ambas as ferramentas, com um coeficiente de correlação de Spearman de 0,609, insinuando uma relação positiva entre as duas variáveis: uma maior perceção de MCP associa-se a uma maior perceção de empatia médica, pelo utente. Contudo, admite-se a possibilidade de existir perceção de empatia, sem perceção de MCP ou de perceção de MCP, sem igual perceção de empatia pelo utente.
Person-Centered Care (PCC) is a clinical method that enables the approach of patients as a whole, placing them at the center of decision-making, which can be applied in clinical practice through the Patient-Centered Clinical Method (PCCM). This method involves the establishment of a successful doctor-patient relationship, which is associated with the doctor’s empathic capacity, and its perception by the patient. The aim of this study was to determine the association between PCCM and empathy, from patients’ point of view, through the application of two tools that allow their assessment: Patient Perception of Patient-Centeredness (PPPC) and Consultation and Relational Empathy (CARE), correspondingly. An observational and cross-sectional study was performed, involving a sample of 147 users of all five Health Centers in Funchal. Patients were invited to participate in the study, after leaving their appointment with an intern or specialist in General and Family Medicine (GFM), by filling in an anonymous form that contained the two assessment tools: PPPC and CARE, and data regarding their age, gender, educational level, professional situation and presence or absence of previous appointments with the same doctor. We concluded that there was a statistically significant association (p < 0,001) between the final scores of both tools, with a Spearman coefficient of 0,609, suggesting a positive correlation between the two variables: a greater perception of PCC, by patients, associates with a greater perception of medical empathy. However, we admit the possibility of patients perceiving empathy without perceiving PCC, or perceiving PCC without an equal perception of empathy.
Person-Centered Care (PCC) is a clinical method that enables the approach of patients as a whole, placing them at the center of decision-making, which can be applied in clinical practice through the Patient-Centered Clinical Method (PCCM). This method involves the establishment of a successful doctor-patient relationship, which is associated with the doctor’s empathic capacity, and its perception by the patient. The aim of this study was to determine the association between PCCM and empathy, from patients’ point of view, through the application of two tools that allow their assessment: Patient Perception of Patient-Centeredness (PPPC) and Consultation and Relational Empathy (CARE), correspondingly. An observational and cross-sectional study was performed, involving a sample of 147 users of all five Health Centers in Funchal. Patients were invited to participate in the study, after leaving their appointment with an intern or specialist in General and Family Medicine (GFM), by filling in an anonymous form that contained the two assessment tools: PPPC and CARE, and data regarding their age, gender, educational level, professional situation and presence or absence of previous appointments with the same doctor. We concluded that there was a statistically significant association (p < 0,001) between the final scores of both tools, with a Spearman coefficient of 0,609, suggesting a positive correlation between the two variables: a greater perception of PCC, by patients, associates with a greater perception of medical empathy. However, we admit the possibility of patients perceiving empathy without perceiving PCC, or perceiving PCC without an equal perception of empathy.
Description
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2023
Keywords
Empatia Medicina centrada na pessoa Consultation and relational empathy Perceção do cuidado centrado na pessoa Medicina geral e familiar