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Patient "problems" stem from patient traits, physician factors, and healthcare system issues. Addressing these can improve care quality and reduce conflicts in outpatient settings.
Area of Science:
- Healthcare Management
- Patient Experience
- Medical Sociology
Context:
- Patient dissatisfaction and conflict in healthcare settings are often linked to systemic and individual factors.
- Outpatient facilities face unique challenges due to organizational structure and physician workload.
- Understanding the multifactorial nature of patient-provider conflict is crucial for improving care delivery.
Purpose:
- To identify and categorize the primary causes contributing to patients being perceived as
- problems
- within healthcare interactions.
- To analyze how physician-related factors and healthcare system deficiencies exacerbate patient difficulties.
- To propose actionable strategies for mitigating conflicts and enhancing the quality of care for all patients.
Summary:
- Patient
- problems
- arise from three main areas: inherent patient characteristics (e.g., psychological issues), physician-related factors (e.g., fatigue, communication skills), and healthcare system issues (e.g., physician workload, inadequate patient information).
- Poor outpatient facility organization directly impacts care quality, leading to patient complaints and conflicts, even without medical errors.
- The study offers practical recommendations to assist healthcare providers in managing challenging patient interactions and preventing conflicts.
Impact:
- Implementing proposed recommendations can lead to improved patient satisfaction and reduced provider stress.
- Enhancing healthcare system organization and physician support can mitigate factors contributing to patient-provider conflict.
- This research provides a framework for healthcare institutions to proactively address systemic issues affecting patient care and experience.
Abstract:
A patient may become a "problem" owing to three groups of causes acting either independently or together. Group 1 is characteristic features of the patient including psychological problems and borderline psychiatric disorders. Group 2 is related to the physician's activity (overfatigue, poor communicative skills, etc.). Group 3 is comprised by the causes related to the peculiarities of the healthcare system structure and organization (overworked physicians, insufficient time that they can spend in direct care to an individual patient, inadequate information the patients acquire from non-medical sources). Poor organization of work in an outpatient facility inevitably deteriorates the quality of the provided care. The patients attending it begin making complaints against the personnel which leads to conflicts even in the absence of serious medical errors. Practical recommendations are proposed designed to help the "problem patients" to obtain quality medical aid and avoid conflict situations.
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