题目内容
Healthcare providers have no professional and ethical obligations to care for 'difficult patients' because of the fiduciary nature of the clinician-patient relationship.
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Patients who, for medical or non-medical reasons, appear ungrateful or frivolously utilize medical care are most likely to be described as 'difficult'. They may continue to seek medical attention but heed the advice they are given.
Angry, defensive, fatigued, harried, dogmatic, or arrogant physicians are less likely to see patient encounters as difficult.
Data suggests that some physicians are less likely to describe difficult patient encounters when they have "lower job satisfaction, less experience, [and] poorer psychosocial attitudes".
Physicians may have a hard time adjusting their practice to accommodate patients who seem overly dependent or physicians who feel helpless or annoyed when the patient's ailments are improved by social factors (family conflict, poverty, addiction, etc.).
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