[What are the barriers for doctors to stop medication?]

Area of Science:

• Medical Practice
• Patient Care

Background:

• Physicians encounter dilemmas when managing medication withdrawal and diagnosing complex diseases.
• Uncertainty regarding patient data, medication tapering knowledge, and potential consequences pose challenges.

Purpose of the Study:

• To explore the multifaceted dilemmas faced by physicians in medication management and disease diagnosis.
• To identify factors influencing physician decision-making and patient outcomes.

Main Methods:

• Qualitative analysis of physician-reported challenges in medication management and diagnosis.
• Exploration of communication, shared decision-making, and emotional responses during patient interactions.

Main Results:

• Physicians experience vulnerability in communication, shared decision-making, and managing patient resistance or aggression.
• Organizational barriers like time constraints and lack of care continuity impede effective practice.
• Feelings of disappointment and failure can arise from complex patient cases.

Conclusions:

• Effective team collaboration, including discussions on treatment goals and physician behavior, is crucial.
• Personal reflection on strategies and limitations is necessary for physicians to maintain high-quality care.
• Addressing physician dilemmas requires a supportive environment that acknowledges communication and organizational challenges.