Staley J C
Department of Psychology and Sociology, Southern Arkansas University, Magnolia 71753.
Soc Work. 1991 Jan;36(1):74-9.
Despite almost universal client contact with physicians, social workers have paid little attention to the nature of the physician-patient relationship and its impact on the quality of health care received by their clients. A central concern is the quality of care received by individuals defined by their physicians as "difficult" patients. This article examines physicians' emotional reactions to patients and reviews recent medical literature regarding the role of those reactions in the labeling of the difficult patient. The labeling of a patient as difficult is conceptualized as a relationship problem between physician and patient. Implications for social worker efforts to humanize this relationship are explored, and strategies for increasing social worker collaboration with physicians are presented.
尽管几乎所有客户都与医生有接触，但社会工作者很少关注医患关系的本质及其对客户所接受医疗保健质量的影响。一个核心问题是被医生定义为“难缠”患者的个体所接受的护理质量。本文考察了医生对患者的情绪反应，并回顾了近期医学文献中关于这些反应在难缠患者标签形成中所起作用的内容。将患者标记为难缠被概念化为医患之间的关系问题。探讨了对社会工作者使这种关系人性化努力的影响，并提出了加强社会工作者与医生合作的策略。
