Abstract
Although the chapter title and some of the references included here will use the phrases “difficult patient” or “frustrating patient” – or even “hateful patient” – it should be made clear that this is not the author’s preferred term. Any doctor/patient interaction by definition involves at least two parties, both of whom have personalities, preconceptions, and prior experiences that are incorporated into current interactions. Difficulties in physician/patient interactions also incorporate patient, physician, and healthcare system factors [1]. For these reasons, phrases such as difficult or challenging patient interactions are preferred.
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References
Haas LJ, Leiser JP, Magill MK, Sanyer ON. Management of the difficult patient. Am Fam Physician. 2005;72(10):2063–8.
AAFP. http://www.aafp.org/about/the-aafp/family-medicine-specialty.html. Accessed 21 Dec 2014.
Lin EH, Katon W, Von Korff M, Bush T, Lipscomb P, Russo J, et al. Frustrating patients: physician and patient perspectives among distressed high users of medical services. J Gen Intern Med. 1991;6(3):241–6.
Hahn SR, Kroenke K, Spitzer RL, Brody D, Williams JB, Linzer M, et al. The difficult patient: prevalence, psychopathology, and functional impairment. J Gen Intern Med. 1996;11(1):1–8.
Blake V. When is a patient-physician relationship established? Virtual Mentor. 2012;14(5):403–6.
Berger M. Chronically diseased patients and their doctors. Med Teach. 2002;24(6):642–4.
Pembroke N. Human dimension in medical care: insights from Buber and Marcel. South Med J. 2010;103(12):1210–3.
Levinson W, Roter DL, Mullooly JP, Dull VT, Frankel RM. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA. 1997;277(7):553–9.
van Mook WN, Gorter SL, Kieboom W, Castermans MG, de Feijter J, de Grave WS, et al. Poor professionalism identified through investigation of unsolicited healthcare complaints. Postgrad Med J. 2012;88(1042):443–50.
Berry LL, Parish JT, Janakiraman R, Ogburn-Russell L, Couchman GR, Rayburn WL, et al. Patients’ commitment to their primary physician and why it matters. Ann Fam Med. 2008;6(1):6–13.
Kaplan SH, Greenfield S, Ware Jr JE. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care. 1989;27(3 Suppl):S110–27.
Kelley JM, Kraft-Todd G, Schapira L, Kossowsky J, Riess H. The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2014;9(4), e94207.
Jackson JL, Kroenke K. Difficult patient encounters in the ambulatory clinic: clinical predictors and outcomes. Arch Intern Med. 1999;159(10):1069–75.
Steinmetz D, Tabenkin H. The ‘difficult patient’ as perceived by family physicians. Fam Pract. 2001;18(5):495–500.
An PG, Rabatin JS, Manwell LB, Linzer M, Brown RL, Schwartz MD, et al. Burden of difficult encounters in primary care: data from the minimizing error, maximizing outcomes study. Arch Intern Med. 2009;169(4):410–4.
Boutin-Foster C, Charlson ME. Problematic resident-patient relationships: the patient’ s perspective. J Gen Intern Med. 2001;16(11):750–4.
Elder N, Ricer R, Tobias B. How respected family physicians manage difficult patient encounters. J Am Board Fam Med. 2006;19(6):533–41.
Groves JE. Taking care of the hateful patient. N Engl J Med. 1978;298(16):883–7.
Strous RD, Ulman AM, Kotler M. The hateful patient revisited: relevance for 21st century medicine. Eur J Intern Med. 2006;17(6):387–93.
Schafer S, Nowlis DP. Personality disorders among difficult patients. Arch Fam Med. 1998;7(2):126–9.
Angstman KB, Rasmussen NH. Personality disorders: review and clinical application in daily practice. Am Fam Physician. 2011;84(11):1253–60.
Levinson W, Stiles WB, Inui TS, Engle R. Physician frustration in communicating with patients. Med Care. 1993;31(4):285–95.
Mathers N, Jones N, Hannay D. Heartsink patients: a study of their general practitioners. Br J Gen Pract. 1995;45(395):293–6.
Krebs EE, Garrett JM, Konrad TR. The difficult doctor? Characteristics of physicians who report frustration with patients: an analysis of survey data. BMC Health Serv Res. 2006;6:128.
Keating NL, Green DC, Kao AC, Gazmararian JA, Wu VY, Cleary PD. How are patients’ specific ambulatory care experiences related to trust, satisfaction, and considering changing physicians? J Gen Intern Med. 2002;17(1):29–39.
Cannarella Lorenzetti R, Jacques CH, Donovan C, Cottrell S, Buck J. Managing difficult encounters: understanding physician, patient, and situational factors. Am Fam Physician. 2013;87(6):419–25.
Kemp White M, Keller VF. Difficult clinician-patient relationships. JCOM. 1998;5(5):32–6.
Walker EA, Unutzer J, Katon WJ. Understanding and caring for the distressed patient with multiple medically unexplained symptoms. J Am Board Fam Pract. 1998;11(5):347–56.
Kleinman A, Eisenberg L, Good B. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978;88(2):251–8.
Lang F, Floyd MR, Beine KL. Clues to patients’ explanations and concerns about their illnesses. A call for active listening. Arch Fam Med. 2000;9(3):222–7.
Jackson JL, Kroenke K. The effect of unmet expectations among adults presenting with physical symptoms. Ann Intern Med. 2001;134(9 Pt 2):889–97.
Pomm HA, Shahady E, Pomm RM. The CALMER approach: teaching learners six steps to serenity when dealing with difficult patients. Fam Med. 2004;36(7):467–9.
Sanyer ON, Fortenberry K. Using mindfulness techniques to improve difficult clinical encounters. Am Fam Phys. 2013;87(6):402.
Halpern J. Empathy and patient-physician conflicts. J Gen Intern Med. 2007;22(5):696–700.
Balint M. The doctor, his patient and the illness. 2nd ed. London: Churchill Livingstone; 2005.
Kjeldmand D, Holmstrom I. Balint groups as a means to increase job satisfaction and prevent burnout among general practitioners. Ann Fam Med. 2008;6(2):138–45.
Brookfield SD. Assessing critical thinking. New Dir Adult Continuing Educ. 1997;1997(75):17–29.
Edgoose JY, Regner CJ, Zakletskaia LI. BREATHE OUT: a randomized controlled trial of a structured intervention to improve clinician satisfaction with “difficult” visits. J Am Board Fam Med. 2015;28(1):13–20.
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Ryan, M. (2015). Care of the Difficult Patient. In: Paulman, P., Taylor, R. (eds) Family Medicine. Springer, Cham. https://doi.org/10.1007/978-1-4939-0779-3_61-1
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DOI: https://doi.org/10.1007/978-1-4939-0779-3_61-1
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Latest
Care of the Challenging Patient- Published:
- 08 January 2021
DOI: https://doi.org/10.1007/978-1-4939-0779-3_61-2
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Original
Care of the Difficult Patient- Published:
- 29 June 2015
DOI: https://doi.org/10.1007/978-1-4939-0779-3_61-1