Podcast
Questions and Answers
What percentage of adult patient encounters involve difficult patient-clinician encounters?
What percentage of adult patient encounters involve difficult patient-clinician encounters?
- 15-30% (correct)
- 60-70%
- 40-50%
- 5-10%
Who may feel frustrated after difficult patient-clinician encounters?
Who may feel frustrated after difficult patient-clinician encounters?
- The patient
- Both the physician and the patient
- The physician (correct)
- The nurse
How are patients labeled as 'difficult'?
How are patients labeled as 'difficult'?
- Based on their insurance coverage
- Based on the feelings they invoke in clinicians (correct)
- Based on their age
- Based on their medical history
What contributes to difficult clinical encounters?
What contributes to difficult clinical encounters?
What kind of patients may make a doctor-patient relationship difficult?
What kind of patients may make a doctor-patient relationship difficult?
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Study Notes
Difficult Patient-Clinician Encounters
- 15-20% of adult patient encounters involve difficult patient-clinician encounters.
Consequences of Difficult Encounters
- Clinicians may feel frustrated after difficult patient-clinician encounters.
Labeling Difficult Patients
- Patients are often labeled as 'difficult' based on their behavior, such as being demanding, non-adherent, or having unmet expectations.
Contributing Factors
- Factors that contribute to difficult clinical encounters include:
- Clinician factors: lack of communication skills, time constraints, and burnout
- Patient factors: complex medical conditions, mental health issues, and unrealistic expectations
- System factors: high workload, inadequate resources, and poor continuity of care
Challenging Patient Groups
- Patients who may make a doctor-patient relationship difficult include:
- Those with substance abuse issues
- Those with psychiatric disorders
- Those with chronic pain
- Those with complex, multi-morbid conditions
- Those from diverse cultural backgrounds with language or cultural barriers
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