{"id":22537,"date":"2023-01-11T14:23:35","date_gmt":"2023-01-11T19:23:35","guid":{"rendered":"https:\/\/participatorymedicine.org\/epatients\/?p=22537"},"modified":"2023-01-11T14:23:35","modified_gmt":"2023-01-11T19:23:35","slug":"how-all-of-us-in-healthcare-can-close-the-empathy-gap","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2023\/01\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html","title":{"rendered":"How All of Us in Healthcare Can Close the Empathy Gap"},"content":{"rendered":"<p>I recently saw <a href=\"https:\/\/www.thecolorofcare.org\/\">The Color of Care<\/a>, a documentary highlighting the disparate and inequitable care received by Black and Brown individuals during the COVID-19 pandemic. During the movie, Executive Producer Oprah Winfrey opined that one of the primary issues with healthcare is the \u201cempathy gap.\u201d Upon hearing the phrase I shot up in my chair, as it felt eerily (and painfully) similar to what I described in my 2019 TEDx talk: <a href=\"https:\/\/www.youtube.com\/watch?v=0bcVfiI1zeM\">Overcoming Invisibility, Improving Healthcare, and Restoring the Doctor-Patient Relationship.<\/a><\/p>\n<p>In my TEDx talk I shared my experiences with the healthcare system as a pediatrician disguised as a family caregiver. While caring for my late father, some of my biggest challenges occurred in medical settings where I had to pierce the shield of invisibility in order to be seen, heard, and validated. For reference, I am a Black woman. As much as I would love to believe that my race had nothing to do with how I (and more importantly, my dad) was treated, I am certain that belief would be rooted in fantasy.<\/p>\n<p>If you\u2019re wondering what broke the invisibility spell I invite you to watch the recording. (Hint: It involves the two letters that follow my last name.)<\/p>\n<p>I issued a challenge to healthcare professionals to spend the first 90 seconds of every clinical encounter engaging in intentional human connection with patients and their families, an experience I coined, The 90-Second Encounter\u2122\ufe0f. This can be as simple as asking questions such as, \u201cWhat is your favorite food\/TV show\/vacation spot?\u201d or \u201cWhat\u2019s the last book you read?\u201d If the patient mentioned a milestone event at the last visit such as an adult child\u2019s wedding) you can follow up by asking them how things went.<\/p>\n<p>Everyone is unhappy about the current state of health care\u2014doctors, nurses, ancillary staff, patients, families. Could it be that the erosion of the sacred doctor-patient relationship is fueling both physician dissatisfaction and burnout AND patient dissatisfaction, mistrust and disengagement? I believe that the perverse focus on efficiency and productivity at the expense of empathy, compassion, and meaningful relationships is the root cause for poor outcomes broadly and health and healthcare disparities specifically.<\/p>\n<p>Empathy is defined as \u201cthe psychological identification with or vicarious experiencing of the emotions, thoughts, or attitudes of another.\u201d Empathy is a required element for establishing trust and developing a therapeutic alliance with patients. A lack of empathy interferes with our ability to provide holistic care that respects a person\u2019s intersectional identities, hopes, fears, and desires.<\/p>\n<p>The empathy gap explains why Black and Brown patients were disproportionately denied emergency medical care and hospital admission at the peak of the COVID-19 pandemic and why there is a long history of health and healthcare disparities for minoritized individuals. The empathy gap illuminates the need for a more diverse workforce, not to check a box, but because we are more likely to demonstrate empathy when we see ourselves in others. If you\u2019re not a believer, there are a wealth of studies that demonstrate improved health outcomes when there is racial and language concordance between the patient and the clinician.<\/p>\n<p>The empathy gap is also a powerful igniter of bias. It allows us (largely unconsciously) to disregard someone\u2019s inherent right to dignity and respect as a fellow member of the human race. The empathy gap breeds rash, misinformed judgment against others.<\/p>\n<p>So what do we do about it? Needless to say, the systems in which medical care is delivered need to be re-examined, disrupted, and transformed. However, I\u2019m not letting my esteemed healthcare colleagues off the hook.<\/p>\n<p>We must deeply acknowledge, examine and challenge our own biases. Why do we believe certain things about groups of people based on their race, ethnicity, socioeconomic status, gender identity, sexual orientation, disability, physical size, or geographic location? What is the source of those beliefs? Are the beliefs rooted in our own personal experiences or based on something we saw on TV or social media, heard from a friend or family member, or maybe even learned from a misguided teacher or culturally uninformed textbook?<\/p>\n<p>What would happen if we all made the brave decision to open our hearts and to engage in a meaningful way with others?<\/p>\n<p>We can each contribute to closing the empathy gap by expanding our capacity to be curious, loving and kind. At a time when gas and food prices are high, interest rates are rising and a recession looms ahead\u2013\u2013this, my friends, costs you absolutely nothing.<\/p>\n<p><em>Nicole T. Rochester, MD is founder of <\/em><a href=\"http:\/\/yourgpsdoc.com\/\"><em>Your GPS Doc, LLC<\/em><\/a><em>, a p<\/em><em>hysician-owned health advocacy and health equity consulting firm. A Board-certified pediatrician, Dr. Rochester is a healthcare<\/em><em> navigation expert. This column is adapted from a blog post on www.yourgpsdoc.com.<\/em><\/p>\n<p>Would you like to see more articles like this?\u00a0 Please consider supporting the Society by joining here: <a href=\"https:\/\/participatorymedicine.org\/memberships\/\">https:\/\/participatorymedicine.org\/memberships\/<\/a>.\u00a0 Thank you!<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I recently saw The Color of Care, a documentary highlighting the disparate and inequitable care received by Black and Brown individuals during the COVID-19 pandemic. During the movie, Executive Producer [&hellip;]<\/p>\n","protected":false},"author":460,"featured_media":22540,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[8216,1,8351,8257,8338,8341,7,2],"tags":[],"coauthors":[8358],"class_list":["post-22537","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doctor-issues","category-general","category-health-equity","category-health-literacy","category-participatory-medicine","category-patient-empowerment","category-positive-patterns","category-trendsprinciples"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How All of Us in Healthcare Can Close the Empathy Gap - SPM Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/participatorymedicine.org\/epatients\/2023\/01\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How All of Us in Healthcare Can Close the Empathy Gap - SPM Blog\" \/>\n<meta property=\"og:description\" content=\"I recently saw The Color of Care, a documentary highlighting the disparate and inequitable care received by Black and Brown individuals during the COVID-19 pandemic. During the movie, Executive Producer [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/participatorymedicine.org\/epatients\/2023\/01\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html\" \/>\n<meta property=\"og:site_name\" content=\"SPM Blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/participatorymedicine\" \/>\n<meta property=\"article:published_time\" content=\"2023-01-11T19:23:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2023\/01\/Rochester-photo_cropped_sm.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"264\" \/>\n\t<meta property=\"og:image:height\" content=\"312\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Nicole Rochester MD\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@s4pm\" \/>\n<meta name=\"twitter:site\" content=\"@s4pm\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nicole Rochester MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2023\\\/01\\\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2023\\\/01\\\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html\"},\"author\":{\"name\":\"Eric Bersh\",\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/#\\\/schema\\\/person\\\/13f671aba7f8cdcd8dd874f3f68a4081\"},\"headline\":\"How All of Us in Healthcare Can Close the Empathy Gap\",\"datePublished\":\"2023-01-11T19:23:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2023\\\/01\\\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html\"},\"wordCount\":826,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2023\\\/01\\\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2023\\\/01\\\/Rochester-photo_cropped_sm.jpg\",\"articleSection\":[\"Doctor issues\",\"General\",\"Health Equity\",\"Health Literacy\",\"Participatory Medicine\",\"Patient Empowerment\",\"Positive Patterns\",\"Trends &amp; Principles\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2023\\\/01\\\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2023\\\/01\\\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html\",\"url\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2023\\\/01\\\/how-all-of-us-in-healthcare-can-close-the-empathy-gap.html\",\"name\":\"How All of Us in Healthcare Can Close the Empathy Gap - 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