Roles of Physicians and Health Care Systems in “Difficult” Clinical Encounters

Physicians are, by definition, contributing partners in "difficult" patient-physician encounters. Although research on relevant physician qualities is limited, common themes mirror the more extensive literature on physician burnout. Focusing on primary care, we discuss physician-level factors in difficult encounters related to psychosocial attitudes and self-awareness, communication skills, and practice environments. Potential approaches to mitigating these factors include changes to medical training, such as structured peer case discussion groups and communication skills development, and changes to workplace environments, such as integrated mental health. Modifying physician-level factors in difficult encounters could ease perceived difficulties and improve outcomes for both physicians and patients

Family medicine · Health care · Medical diagnosis · Mental health · Perspective (graphical · Primary care · Psychiatry · Scholarship · Healthcare cost, quality, practices · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes · Psychology

• Who Deserves Access to Care in Children's Hospitals

  Open Access•Amy Brown, Amy E Caruso Brown et al.•The Hastings Center Report•2018

  Incluir item

• Beyond Patient-Provider Relationships

  Open Access•Amber Thompson, Rebecca L Utz et al.•Qualitative Health Research•2022

  Incluir item

• Collaborative Management of Chronic Illness

  Open Access•MICHAEL VON KORFF, Jessie Gruman et al.•Annals of Internal Medicine•1997

  Incluir item

• Developing Physician Communication Skills For Patient-Centered Care

  Wendy Levinson, Cara S Lesser et al.•Health Affairs•2010

  Incluir item

• Controlled Interventions to Reduce Burnout in Physicians

  Open Access•Maria Panagioti, Efharis Panagopoulou et al.•JAMA Internal Medicine•2017

  Incluir item

• Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease

  Sherrie H Kaplan, Sheldon Greenfield et al.•Medical Care•1989

  Incluir item

• Patient-Centered Medical Home Implementation and Primary Care Provider Turnover

  Philip W Sylling, Edwin S Wong et al.•Medical Care•2014

  Incluir item