Health Affairs, 27, no. 5 (2008): 1422-1428
doi: 10.1377/hlthaff.27.5.1422
© 2008 by Project HOPE
 
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Narrative Matters

On Caring For ‘Difficult’ Patients

Tony Miksanek


The first 100 words of the full text of this article appear below.

LETS BE BLUNT. It’s hard to care for difficult patients. It’s sometimes impossible to actually like them. This species of sick individuals tends to strain time, patience, and resources. They often generate a cascade of phone calls. They sometimes demand a heap of medically unnecessary tests. They occasionally refuse recommended treatment. Many have unreasonable expectations. Some whine and gripe incessantly. A few threaten to sue. Almost all of them need at least thirty minutes—and want sixty minutes—of face time with the doctor at every encounter instead of the usual fifteen minutes the schedule actually allows.

In . . . [Full Text of this Article]

   Willy: Refusing Recommendations And Calling The Shots
 
   Mrs. Thomasina: Worried But Well And Demanding Lots Of Testing
 
   Max: Angry, Pessimistic, And Running Out Of Options
 
   Realities
 


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