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 psychiatr
'/>"/>

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

0

GOOD

Page: 1 2

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:5/17/2013)... May 17, 2013 Charlotte’s top professional ... spotlight with children served by the Muscular Dystrophy Association ... on Tuesday, May 21 at Bank of America Stadium ... a unique social event that pairs top professional athletes ... with an “MDA Buddy” (a local child living with ...
(Date:5/17/2013)... 2013 Martinson-Nicholls new slip-resistant ... resilient, slip-resistant renovation tread used on steps that ... or staircase renovation projects, our treads and nosings ... look to compliment building designs. Bold Step is ... for home stairs such as basement or deck ...
(Date:5/17/2013)... -- Alcoholics who smoke have more problems with ... who are nonsmokers, researchers have found. This ... time, according to the study published online May ... Alcoholism: Clinical & Experimental Research . ... "The independent and interactive effects of smoking and ...
(Date:5/17/2013)... By Alan Mozes HealthDay Reporter , , FRIDAY, ... dominant side of your brain may make the call ... on your cellphone. The dominant side of your ... Ninety-five percent of the human population is left-brain dominant, ... holds true for people who are right-brain dominant. In ...
(Date:5/17/2013)... when the U.S. health system is facing both an ... shortage of primary care physicians, one broadly recommended strategy ... of nurse practitioners. In 2010 an Institute of Medicine ... be able to practice to the full extent of ... be able to admit patients to hospitals and hospices, ...
Breaking Medicine News(10 mins):Health News:MDA Hosts Annual Charlotte Muscle Team Event 2Health News:MDA Hosts Annual Charlotte Muscle Team Event 3Health News:New Bold Step Renovation Stair Treads and Nosings from Martinson-Nicholls Add Slip Resistance to Stairs 2Health News:Alcoholics Who Smoke May Face Early Brain Aging 2Health News:Alcoholics Who Smoke May Face Early Brain Aging 3Health News:Cellphone Use May Reveal Your 'Dominant Brain' 2Health News:Cellphone Use May Reveal Your 'Dominant Brain' 3Health News:Study finds disagreement on the role of primary care nurse practitioners 2Health News:Study finds disagreement on the role of primary care nurse practitioners 3Health News:Study finds disagreement on the role of primary care nurse practitioners 4
... Stanford Financial Group,("Stanford") announces the Sir Allen Stanford ... Children,s Hospital in Zurich.,Stanford,s new program will provide ... focused on pediatrics that is unique in,Switzerland., ... consecutive years, Stanford,will fund three Fellowships each year, ...
... of adults with autism are "wired" differently from people ... may be responsible for the social impairments that are ... a team of researchers affiliated with the University of ... socially impaired subjects in the study exhibited the most ...
... by Pfizer which enabled the mass production of penicillin ... National Historic Chemical Landmark by the American Chemical Society (ACS) ... 2008. , The development of deep-tank fermentation represented a ... production of penicillin during World War II and ushered in ...
... year,s ... Take Steps event, KANSAS CITY, Mo., June 12 The ... leader in gastroenterology, is a major sponsor of this,year,s Take Steps event on ... suburb of Kansas City. The 5K walk,begins after the festivities at 7 PM ...
... may thwart metastases, study says , , THURSDAY, June 12 ... of stray cancer cells elsewhere in the body, say ... experiments with mice, the MIT team found that primary ... the growth of distant cancers by mobilizing bone marrow ...
... Martial Arts Schools about Diabetes Awareness, ... Diabetes Foundation,announced the launch of their next ... Action Project (MADDCAP(TM)), a historic,health curriculum designed ... and prevention. The program is the result ...
Cached Medicine News:Health News:The Sir Allen Stanford Pediatric Fellowship Program Provides Close To CHF 1 Million to Support Kinderspital Zurich 2Health News:The Sir Allen Stanford Pediatric Fellowship Program Provides Close To CHF 1 Million to Support Kinderspital Zurich 3Health News:The Sir Allen Stanford Pediatric Fellowship Program Provides Close To CHF 1 Million to Support Kinderspital Zurich 4Health News:'Faulty' brain connections may be responsible for social impairments in autism 2Health News:Pfizer's work on penicillin for World War II becomes a National Historic Chemical Landmark 2Health News:Pfizer's work on penicillin for World War II becomes a National Historic Chemical Landmark 3Health News:National Pharmaceutical Company to Sponsor Popular Indianapolis Walk 2Health News:National Pharmaceutical Company to Sponsor Popular Indianapolis Walk 3Health News:Primary Tumors Fuel Growth of Cancer Cells 2Health News:Defeat Diabetes Foundation Announces Martial Arts Defeat Diabetes(R) Community Action Project(TM) 2
(Date:5/17/2013)... , May 17, 2013 Medical devices are ... a biological product. In light of their different mechanisms, ... are much more complicated than drug trails due to ... MD safety instead of evaluating both safety and efficacy ... FDA (which is the same as the SFDA) evaluate ...
(Date:5/17/2013)... May 17, 2013  Sorrento Therapeutics, Inc. (OTCBB: ... Advanced Technology Small Business Technology Transfer Research (STTR) ... and Infectious Diseases (NIAID), a division of the ... of novel human antibody therapeutics to combat ... Staph) infections, including methicillin-resistant S. aureus ...
(Date:5/17/2013)... 17, 2013  Technology advances have had a ... with a constantly evolving communication environment, companies need ... communicating with internal executives. It is challenging, however, ... tactics and tools that are part of today,s ... study, Best Practices, LLC explores the various internal ...
Breaking Medicine Technology:Statistical Challenges in Medical Device Trail Evaluation 2Sorrento Therapeutics, Inc. announces its approach to developing human antibody therapeutics against MRSA receives continued support from the National Institute of Allergy and Infectious Diseases 2Sorrento Therapeutics, Inc. announces its approach to developing human antibody therapeutics against MRSA receives continued support from the National Institute of Allergy and Infectious Diseases 3Sorrento Therapeutics, Inc. announces its approach to developing human antibody therapeutics against MRSA receives continued support from the National Institute of Allergy and Infectious Diseases 4Internal Communication Strategies and Tactics that Resonate with Key Stakeholders and Drive Organizational Effectiveness 2
... today announced that Jeff Abbey , the ... of its Arcelis™ dendritic cell-based immunotherapy at 3:30 ... Conference in New York. In addition, Charles ... president of research and development, will participate in a panel ...
... 18 URAC, a leading independent health care quality ... (MRM) program the Bronze Award in Health Information/Decision Support ... Empowerment and Protection Awards. The awards honor programs that ... The Oklahoma Health Care Authority (OHCA) and Oklahoma Department ...
Cached Medicine Technology:Argos Therapeutics to Present Overview of its Arcelis™ Dendritic Cell-based Immunotherapy, Participate in Panel Discussion at Inaugural Cancer Immunotherapy Conference 2Health Care Coordination Program Honored With URAC National Best Practices Award 2Health Care Coordination Program Honored With URAC National Best Practices Award 3Health Care Coordination Program Honored With URAC National Best Practices Award 4
... ARUP Laboratories is a national reference laboratory ... research and development. ARUP offers an extensive ... medical tests in clinical and anatomic pathology. ... Laboratories' clients include more than half of ...
... ARUP Laboratories is a national reference ... laboratory research and development. ARUP offers an ... unique medical tests in clinical and anatomic ... ARUP Laboratories' clients include more than half ...
... national reference laboratory and a worldwide leader ... offers an extensive test menu of highly ... and anatomic pathology. Owned by the University ... than half of the nation's university teaching ...
... reference laboratory and a worldwide leader in ... an extensive test menu of highly complex ... anatomic pathology. Owned by the University of ... half of the nation's university teaching hospitals ...
Medicine Products: