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01-02-2021 | Affective Disorder | Concise Research Report

Capturing the Complexities of “Difficult” Patient Encounters Using a Structural Equation Model

Authors: Jeffrey L. Jackson, MD MPH, Cynthia Kay, MD MSc, Cecilia Scholcoff, MD MPH, Dorothy Becher, MPH, Patrick G. O’Malley, MD MPH

Published in: Journal of General Internal Medicine | Issue 2/2021

Excerpt

Up to 15% of patients are experienced as “difficult” by their providers.^1‐3 “Difficult” patients are more likely to have personality disorders,⁴ depression, anxiety, and other mental disorders. ^{2, 3} While most studies focus on patient characteristics, one found that provider factors were important; younger providers and those with a more biomedical orientation reported more encounters as difficult.² …

Hahn SR. Physical symptoms and physician-experienced difficulty in the physician-patient relationship. Ann Intern Med. 2001;134(9 Pt 2):897-904.CrossRef

Hinchey SA, Jackson JL. A cohort study assessing difficult patient encounters in a walk-in primary care clinic, predictors and outcomes. J Gen Intern Med. 2011;26(6):588-594.CrossRef

Jackson JL, Kroenke K. Difficult patient encounters in the ambulatory clinic: clinical predictors and outcomes. Arch Intern Med. 1999;159(10):1069-1075.CrossRef

Hahn SR, Thompson KS, Wills TA, Stern V, Budner NS. The difficult doctor-patient relationship: somatization, personality and psychopathology. J Clin Epidemiol. 1994;47(6):647-657.CrossRef

O’Malley PG JJ, Becher D, Hanson J, Lee JK, Grace KA. Impact of a patient tool to improve interactions in adult primary care: a randomized controlled pilot study. Canadian Family Physician. (In Press).

Title: Capturing the Complexities of “Difficult” Patient Encounters Using a Structural Equation Model
Authors: Jeffrey L. Jackson, MD MPH
Cynthia Kay, MD MSc
Cecilia Scholcoff, MD MPH
Dorothy Becher, MPH
Patrick G. O’Malley, MD MPH
Publication date: 01-02-2021
Publisher: Springer International Publishing
Keywords: Affective Disorder
Affective Disorder
Published in: Journal of General Internal Medicine / Issue 2/2021
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-020-06013-8

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