Baughan D M, Revicki D, Nieman L Z
J Fam Pract. 1983 Aug;17(2):233-9.
Residents in a university-based family medicine program perceived patients with diabetes mellitus, hypertension, and obesity as problem patients. The residents' perceptions of 166 patients were compared with information from a chart audit. A resident questionnaire outlined the goals, obstacles, and strategies pertaining to management of these patients as well as residents' perceptions of patient expectations. The results prompted a shift in focus from the problem patient to the problem patient-physician relationship and brought forth improved strategies that hold potential for making a difference in patient and physician satisfaction and outcome of care.
在一个以大学为基础的家庭医学项目中，住院医生将糖尿病、高血压和肥胖患者视为问题患者。将住院医生对166名患者的看法与病历审核信息进行了比较。一份住院医生调查问卷概述了与这些患者管理相关的目标、障碍和策略，以及住院医生对患者期望的看法。结果促使关注点从问题患者转向问题患者与医生的关系，并提出了改进策略，这些策略有可能改善患者和医生的满意度以及护理结果。
