Can Fam Physician. 1980 Jun;26:856-9.
Difficult patients are common in family practice and take a toll of physicians which is out of proportion to the frequency or duration of their visits. Recognizing that the problem is in the physician-patient relationship is the first step in physician survival.This article reviews the roles physicians adopt with patients-"doctor as God", "patient in command" and "on the level". It points out strategies and tactics to use with the problem patient and suggests that putting the physician's wellbeing first results in better patient care.
在家庭医疗实践中，难缠的患者很常见，他们给医生带来的压力与他们就诊的频率或持续时间不成比例。认识到问题出在医患关系上是医生生存的第一步。本文回顾了医生与患者之间所扮演的角色——“医生如神”、“患者主导”和“平等相待”。它还指出了应对问题患者的策略和技巧，并建议将医生的福祉放在首位，从而改善患者的护理。
