Navigation Links
'Difficult' patients more likely to experience worse symptoms
Date:1/26/2011

'Difficult' patient-clinician encounters have a negative impact on patients' health outcomes in the short-term, according to a new study by Sheri Hinchey from the Tripler Army Medical Centre in Honolulu and Jeffrey Jackson from the Zablocki VA Medical Centre in Milwaukee. Their findings1 show that nearly 18 percent of patients are perceived as difficult by their physicians and are less likely to trust or be satisfied with their doctor. Importantly, these patients are also more likely to report worse symptoms two weeks after the consultation. Hinchey and Jackson's work has just been published online in the Journal of General Internal Medicine2.

To date, the majority of studies looking at 'difficult' patients has focused on patient characteristics alone. Hinchey and Jackson's work builds on the existing research by looking at a fuller picture, taking into account both patient and clinician factors associated with being considered 'difficult', as well as assessing the impact on patient health outcomes.

A total of 750 adults who attended a primary care walk-in clinic took part. Before the consultation, the authors assessed their symptoms, expectations, general health, how they functioned physically, socially and emotionally as well as whether these adults had mental disorders. Immediately after their visit, participants were asked about their satisfaction with the encounter, any unmet expectations as well as their levels of trust in their doctor. Two weeks later, symptoms were checked again. In addition, clinicians were asked to rate how difficult the encounter was after each visit.

The authors found that nearly 18 percent of patients were perceived as 'difficult'. Both patient and physician characteristics contributed to 'difficult' encounters. In particular, 'difficult' patients had more symptoms, worse functional status, used the clinic more frequently and were more likely to have an underlying psychiatric disorder than non-difficult patients. Clinicians with a more open communication style and those with more experience reported fewer difficult encounters.

As a result, patients emerging from difficult encounters were less satisfied, had lower trust in their clinician and a greater number of unmet expectations. Two weeks later, they were also more likely to experience worsening of their symptoms.


'/>"/>

Contact: Renate Bayaz
renate.bayaz@springer.com
49-622-148-78531
Springer
Source:Eurekalert  

Related medicine news :

1. Widening our perceptions of reading and writing difficulties
2. Parents experience difficulty with consent process in pediatric cancer trials
3. Difficult Dialogues Initiative promotes diversity at MU, around country
4. Difficult childhoods lead to teenage drinking
5. Seeking Contentment During Difficult Times
6. Putting New Medical Guidelines Into Practice Often Difficult
7. Sickle Cell Disease Tied to Cognitive Difficulties
8. My kid wouldnt do that -- study shows parents difficulty with teen sexuality
9. Difficulty trusting and reaching out to others may shorten diabetes patients lives
10. Quitting smoking especially difficult for select groups
11. Patients infected with HIV have higher drop-out rate for liver transplantation
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
'Difficult' patients more likely to experience worse symptoms
(Date:5/3/2016)... ... May 03, 2016 , ... Branches, Inc. is proud to ... Climb children and youth programs in South Miami. Macy’s is a wonderful community partner ... Grow Program provides afterschool tutoring, mentoring, enrichment and academic support to elementary students 5 ...
(Date:5/3/2016)... ... May 03, 2016 , ... Hydra Skin Sciences, a ... its Allegro Anti-aging Cream, a revolutionary new anti-aging skin care product that ... repair damaged skin, has sold over seventy-five thousand units worldwide within the first two ...
(Date:5/3/2016)... WA (PRWEB) , ... May 03, 2016 , ... Dave ... Pediatric Interim Care Center (PICC) annual fundraiser luncheon on Friday, May 20. ... that helps the smallest victims of drug abuse,” said Newberry. , PICC is a ...
(Date:5/2/2016)... , ... May 03, 2016 , ... ... its FDA approved sSOIP telemedicine stethoscope software that enables the stethoscope stream to ... called PCP-SSP and works with RNK’s flagship PCP-USB stethoscope. , Remote auscultation involves ...
(Date:5/2/2016)... ... May 02, 2016 , ... ProElectric Cartoon is a package of 30 ... choose from a variety of electric styles including zap, sizzles, and more. Easily alter ... dof blur, three dimensional rotation, and much more. ProElectric Cartoon’s simplistic style makes it ...
Breaking Medicine News(10 mins):
(Date:4/29/2016)... India , April 29, 2016 ... Pipeline Review, H1 2016" market research report that ... complete with comparative analysis at various stages, therapeutics ... route of administration (RoA) and molecule type, along ... releases. It also reviews key players involved in ...
(Date:4/29/2016)... April 29, 2016 Glycotope GmbH, ... today announces the appointment of Dr. Alfredo Zurlo ... is an oncologist with many years clinical experience and ... industries. His last role was at Mologen AG where ... Executive Board. Previously Dr. Zurlo held various positions at ...
(Date:4/28/2016)... , April 28, 2016  While Abbott,s ... complement the company,s valve repair and stent business, ... also places Abbott more firmly into patient monitoring.  ... the fastest growing device areas, with double-digit growth ... recent report,  Advanced Remote Patient Monitoring ...
Breaking Medicine Technology: