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

Bibliographic Data

ID15745895
AuthorsElizabeth S Goldsmith (0000-0002-7480-3880, Health Services Research & Development, corresponding author), Erin E Krebs (0000-0003-0843-7410, Minneapolis VA Health Care System)
Year2017
Volume19
Issue4
Pages381-390
Publication date2017-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe AMA Journal of Ethic (JOURNAL)
Journal identifiersISSN: 2376-6980 • E-ISSN: 2376-6980
PublisherAmerican Medical Association (PUBLISHER • US)
DOI10.1001/journalofethics.2017.19.4.pfor1-1704
PMID28430573
OpenAlexW2604813090
LanguageEN
Citations received2
References cited5

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

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Unique citing works2
Citations per year0,25
Citation span2018 - 2022 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2
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