Table 1.
Competence: “My provider gets it” | Warmth: “My provider gets me” | |
---|---|---|
Definition | Patient perceptions of competence, i.e., displays of efficiency, knowledge, and skill | Patient perceptions of warmth, i.e., displays of personal engagement, connection, and care for the patient |
Key question in assessments of this dimension | Does the provider understand the diagnosis, treatment, and procedures? | Does the provider understand me as a person? |
Examples of general qualities | Education, diagnostic ability, general medical and procedural knowledge, confidence, articulateness, clarity of explanations, use of technology | General friendliness and social engagement (e.g., smiling, making eye contact), introducing themselves, being polite to co-workers |
Examples of patient-specific qualities | Knowledge of patients’ family history, experience with similar patients, answering patients’ specific questions and concerns | Knowledge of the patient as a person (i.e., outside of the healthcare context), understanding of patient values, active listening, feeling that the provider respects and does not judge the patient |
Qualities bridging warmth and competence | Use of patient-friendly language, individualization of patient explanations and/or care, engagement of patients in their own care and/or decision-making |
We define patient-specific qualities as providers’ qualities, such as knowledge of important aspects of a patient’s life outside of the healthcare context (warmth) and experience working with similar patients (competence), that reflect knowledge of the specific patient’s individual needs, desires, and/or perspectives, as opposed to more general qualities of providers, such as general friendliness (warmth) and general medical knowledge (competence), that do not necessarily require knowledge of the specific patient’s individual needs, desires, and/or perspectives.