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Related Experiment Videos

Management of the difficult patient.

Leonard J Haas1, Jennifer P Leiser, Michael K Magill

  • 1The University of Utah Health Sciences Center, Salt Lake City, Utah 84132, USA. lhaas@dfpm.utah.edu

American Family Physician
|December 14, 2005
PubMed
Summary

Physicians often encounter difficult patients due to behavioral issues. Addressing patient, physician, and system factors, along with communication strategies, can improve patient care relationships.

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Area of Science:

  • Medical Practice
  • Patient-Physician Relationship
  • Healthcare Management

Background:

  • Physicians frequently encounter patients presenting behavioral or emotional challenges impacting care.
  • These difficulties stem from complex interactions between patient, physician, and healthcare system factors.

Purpose of the Study:

  • To identify and analyze the multifaceted factors contributing to patient-physician relationship difficulties.
  • To propose strategies for physicians to effectively manage challenging patient interactions.

Main Methods:

  • Review of patient-related factors including psychiatric and personality disorders.
  • Analysis of physician-related issues such as overwork and communication.
  • Examination of healthcare system influences like productivity pressures and fragmented care.

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Main Results:

  • Patient factors include psychopathology and personality traits.
  • Physician factors involve overwork, communication deficits, and discomfort with uncertainty.
  • System factors encompass productivity demands and fragmented care delivery.

Conclusions:

  • Careful assessment for psychopathology is crucial.
  • Physicians can benefit from peer support and professional care.
  • Enhanced communication techniques and patient involvement can improve relationships.