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Difficult doctor-patient relationships.

P Nisselle

    Australian Family Physician
    |March 18, 2000
    PubMed
    Summary
    This summary is machine-generated.

    Managing difficult doctor-patient relationships requires shifting focus from labeling patients to addressing relational dynamics. This approach empowers doctors with communication strategies for better patient care.

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    Area of Science:

    • General Practice
    • Communication in Healthcare
    • Patient-Doctor Relationship

    Background:

    • Difficult consultations represent 15% of general practice workload.
    • Patient perception of 'difficulty' varies between physicians.
    • Focusing on relationship dynamics is more constructive than labeling patients.

    Purpose of the Study:

    • To reframe 'difficult patients' as challenging doctor-patient relationships.
    • To empower physicians with communication strategies for relationship improvement.
    • To develop effective management approaches for complex consultations.

    Main Methods:

    • Acknowledging and defining the problematic aspects of the relationship.
    • Establishing clear professional boundaries.

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  • Implementing enhanced communication techniques.
  • Utilizing external resources when necessary.

    • Main Results:

    • Shift in perspective from patient-centric to relationship-centric problem-solving.
    • Empowerment of physicians through targeted communication skills.
    • Development of a structured method for managing challenging interactions.

    Conclusions:

    • A systematic approach to managing difficult doctor-patient relationships is presented.
    • Key strategies include boundary setting and advanced communication.
    • External support can be crucial for both parties in resolving complex cases.