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COMMENTS AND OPINIONS
The Difficult Clinical Encounter and Bothersome Patient Behaviors—Reply
Perry G. An, MD;
Joseph S. Rabatin, MD;
Linda B. Manwell, MS;
Mark Linzer, MD;
Roger L. Brown, PhD;
Mark D. Schwartz, MD
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In reply
We thank Dr Evans for his comment regarding our recent article.1 His survey findings serve to illuminate and further delineate characteristics of patients involved in difficult encounters with their physicians. We agree that a neutral term is best, and selected difficult encounters rather than difficult patients for this reason. Dr Evans' survey complements our work by adding several additional ways in which encounters are perceived as challenging or difficult by physicians. What strikes us is that among his top 5 issues, 4 (no shows, poor compliance, late arrivals, and not knowing medications) could be addressed through novel mechanisms such as patient navigators2-3 and care managers or simple reminder telephone calls. This suggests to us that in Dr Evans' work and in ours, a crucial message . . . [Full Text of this Article]
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RELATED ARTICLE
Burden of Difficult Encounters in Primary Care: Data From the Minimizing Error, Maximizing Outcomes Study
Perry G. An, Joseph S. Rabatin, Linda B. Manwell, Mark Linzer, Roger L. Brown, Mark D. Schwartz, and for the MEMO Investigators
Arch Intern Med. 2009;169(4):410-414.
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RELATED LETTER
The Difficult Clinical Encounter and Bothersome Patient Behaviors
Randolph Warren Evans
Arch Intern Med. 2009;169(14):1339-1340.
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