Clinical Review

Managing Difficult Patient Encounters

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ACKNOWLEDGEMENT

This work was supported by a grant from the Robert Wood Johnson Foundation.

REFERENCES

1.Hahn SR, Kroenke K, Spitzer RL, et al. The difficult patient: prevalence, psychopathology, and functional impairment. J Gen Intern Med. 1996;11:1-8.

2. An PG, Rabatin JS, Manwell LB, et al. Burden of difficult encounters in primary care: data from the minimizing error, maximizing outcomes study. Arch Intern Med. 2009;169:410-414.

3. Hinchey SA, Jackson JL. A cohort study assessing difficult patient encounters in a walk-in primary care clinic, predictors and outcomes. J Gen Intern Med. 2011;26:588-594.

4. Haas LJ, Leiser JP, Magill MK, et al. Management of the difficult patient. Am Fam Physician. 2005;72:2063-2068.

5. Jackson JL, Kroenke K. Difficult patient encounters in the ambulatory clinic: clinical predictors and outcomes. Arch Intern Med. 1999;159:1069-1075.

6. Ashworth CD, Williamson P, Montano D. A scale to measure physician beliefs about psychosocial aspects of patient care. Soc Sci Med. 1984;19:1235-1238.

7. Leigh H, Stewart D, Mallios R. Mental health and psychiatry training in primary care residency programs. Gen Hosp Psychiatry. 2006;28:189-194.

8. Katon W, Unützer J. Collaborative care models for depression: time to move from evidence to practice. Arch Intern Med. 2006;166:2304-2306.

9. Groves JE. Taking care of the hateful patient. N Engl J Med. 1978;298:883-887.

10. Fortin AH, Dwamena FC, Frankel RM, et al. Smith’s Patient-Centered Interviewing: An Evidence-Based Method. 3rd ed. New York, NY: McGraw-Hill; 2012.

11. Stuart MR, Lieberman JA. The Fifteen Minute Hour: Therapeutic Talk in Primary Care. 4th ed. Milton Keynes, UK: Radcliffe Publishing; 2008.

12. Smith GR Jr, Rost K, Kashner TM. A trial of the effect of a standardized psychiatric consultation on health outcomes and costs in somatizing patients. Arch Gen Psychiatry. 1995;52:238-243.

13. Baker LH, O’Connell D, Platt FW. “What else?” Setting the agenda for the clinical interview. Ann Intern Med. 2005;143:766 -770.

14. Smith RC, Lyles JS, Mettler J, et al. The effectiveness of intensive training for residents in interviewing: a randomized, controlled study. Ann Intern Med. 1998;128:118-126.

15. Paterniti DA, Fancher TL, Cipri CS, et al. Getting to “no”: strategies primary care physicians use to deny patient requests. Arch Intern Med. 2010;170: 381-388.

16. Kroenke K. Unburdening the difficult clinical encounter. Arch Intern Med. 2009;169:333-334.

17. Katon W, Unützer J, Wells K, et al. Collaborative depression care: history, evolution and ways to enhance dissemination and sustainability. Gen Hosp Psychiatry. 2010;32:456-464.

18. Williams M, Angstman K, Johnson I, et al. Implementation of a care management model for depression at two primary care clinics. J Ambul Care Manage. 2011;34:163-173.

19. Lieberman JA III, Stuart MR. The BATHE method: incorporating counseling and psychotherapy into the everyday management of patients. Prim Care Companion J Clin Psychiatry. 1999;1:35-38.

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