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Related Experiment Videos

[Difficult patients in primary care: a quantitative and qualitative study].

X Mas Garriga1, J M Cruz Doménech, N Fañanás Lanau

  • 1Especialistas en Medicina de Familia y Comunitaria. ABS Santa Eulàlia Sud. L'Hospitalet de Llobregat. Barcelona. España. 22716xmg@comb.es

Atencion Primaria
|April 12, 2003
PubMed
Summary

Difficult patients (DP) are uncommon but evoke significant physician frustration. Training in clinical interviewing is recommended to improve management of these challenging individuals.

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Area of Science:

  • Primary Care Medicine
  • Psychiatry
  • Medical Education

Context:

  • Difficult patients (DP) present unique challenges in urban healthcare settings.
  • Identifying and understanding the profile of DP is crucial for effective patient care.
  • Physician experiences and opinions regarding DP management are vital for improving healthcare delivery.

Purpose:

  • To identify difficult patients (DP) and describe their demographic and clinical profiles.
  • To explore the opinions and emotional experiences evoked in physicians by DP.
  • To assess the perceived need for specific training in managing DP.

Summary:

  • A descriptive, cross-sectional study identified 82 difficult patients (DP), representing 2.3% of visits.
  • DP were predominantly women, with a mean age of 57.8 years, often presenting with multiple medical and psychiatric diagnoses.

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  • Physicians reported irritability and frustration, highlighting the significant emotional impact of DP despite their low prevalence.

    • Impact:

    • DP, though quantitatively infrequent, impose a substantial emotional burden on healthcare providers.
    • Physicians feel their current skills for managing DP are limited, underscoring a need for enhanced strategies.
    • The study emphasizes the necessity of specific training in clinical interviewing to better manage difficult patients.