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Related Experiment Videos

A challenging patient, an innovative solution.

Jaishree Hariharan1, Kathryn M Denson

  • 1Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA. jharihar@mcw.edu

WMJ : Official Publication of the State Medical Society of Wisconsin
|January 24, 2006
PubMed
Summary

Managing complex patient cases involving psychosocial and physical symptoms requires a team model approach. A physician-patient contract improves communication, accountability, and healthcare system efficiency.

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Area of Science:

  • Healthcare Management
  • Psychosomatic Medicine
  • Patient-Physician Relationship

Background:

  • Complex cases involving psychosocial and physical symptoms present diagnostic and management challenges.
  • Large healthcare systems with multiple providers and resources can exacerbate these difficulties.
  • Effective strategies are needed to navigate intricate patient care scenarios.

Observation:

  • A 28-year-old patient's 2.5-year management journey highlighted the interplay of psychosocial factors and physical symptoms.
  • The case underscored the complexities within a large healthcare system involving numerous professionals and resources.
  • An excessive utilization of healthcare services was noted in the patient's case.

Findings:

  • A "team model" approach, coupled with a physician-patient partnership agreement, was implemented.

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  • This structured approach fostered mutual trust, communication, and accountability.
  • The intervention led to a 60% reduction in medication costs and decreased emergency department visits and phone calls.
  • Successful treatment of the patient's depression and anxiety was achieved, resulting in a positive health outcome.

    • Implications:

    • The team model and partnership agreement offer a viable strategy for managing complex patients in large healthcare systems.
    • This approach can enhance patient outcomes while optimizing healthcare resource utilization.
    • Implementing structured physician-patient relationships can mitigate challenges associated with fragmented care and improve overall patient well-being.