ArticleInternational journal of environmental research and public health2021
The Patient, the Physician, or the Relationship: Who or What Is "Difficult", Exactly? an Approach for Managing Conflicts between Patients and Physicians.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
9 citing papers in PubMed.
- Exploring the Interplay Between Emotions and Medical Decision-Making: Insights from an Empirical Patient-Centred Study.Healthcare (Basel, Switzerland) · 2026Article
- Challenges to Compassion for Patients Considered 'Difficult' to Care for: A Qualitative Content Analysis.Journal of advanced nursing · 2026Article
- The impact of digital stress on suicide ideation among medical postgraduates: the chain mediating role of emotion regulation and meaning in life.BMC psychology · 2025Article
- Psychological Experiences of Ocular Trauma and Traumatic Dental Injury Victims of Police Violence.Dentistry journal · 2025Article
- 10 Limits to Forgiveness in Health Care.Health care analysis : HCA : journal of health philosophy and policy · 2025Article
- Cultural competence in refugee healthcare: exploring the training needs and challenges of healthcare professionals in Greece.Health education research · 2025Article
- Personalized care for complex lives: initial outcomes of a behaviorally-informed complex care intervention.BMC health services research · 2024Article
- Patients' Satisfaction Regarding Oral Healthcare Services in the North-East Region of Romania: A Preliminary Questionnaire Survey.Healthcare (Basel, Switzerland) · 2024Article
- Quality of life, mentalization, and perception of challenging patient encounters in dentistry: A cross-sectional study.BDJ open · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
It is the patient who consults, often at the last minute, the one you sigh over when you see his or her name on your list, the one who makes you feel powerless, and whom you would like to refer to a colleague. Every practicing physician has experienced being involved in a dialog of the deaf, with a patient refusing physicians' recommendations, in a therapeutic dead end. Faced with such patients, the physician tries to convey scientific evidence to untangle the situation. When it does not work, he looks for other arguments, raises his voice, and avoids looking the patient in the eyes. When he is out of resources, trying to sound professional, he uses a sentence such as "I understand and respect your beliefs, but I am telling you what I learned in medical school!". At the same time, his non-verbal behavior betrays more than a hint of irritation. Far from being caricatures, such situations generally result in the physician diagnosing or labeling the patient as "difficult." This label is affixed on more than one patient in ten, and for all sorts of reasons. How, then, do you re-establish a relationship of trust? Or, even better, how do you avoid such labeling?
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.