The difficult patient - Prevalence, psychopathology, and functional impairment

Steven R. Hahn, Kurt Kroenke, Robert L. Spitzer, David Brody, Janet B W Williams, Mark Linzer, Frank Verloin deGruy

Research output: Contribution to journalArticle

230 Citations (Scopus)

Abstract

OBJECTIVE: To determine the proportion of primary care patients who are experienced by their physicians as "difficult," and to assess the association of difficulty with physical and mental disorders, functional impairment, health care utilization, and satisfaction with medical care. DESIGN: Survey. SETTING: Four primary care clinics. PATIENTS: Six-hundred twenty-seven adult patients. MEASUREMENTS: Physician perception of difficulty (Difficult Doctor-Patient Relationship Questionnaire), mental disorders and symptoms (Primary Care Evaluation of Mental Disorders, [PRIME-MD]), functional status (Medical Outcomes Study Short-Form Health Survey [SF-20]), utilization of and satisfaction with medical care by patient self-report. RESULTS: Physicians rated 96 (15%) of their 627 patients as difficult (site range 11-20%). Difficult patients were much more likely than not-difficult patients to have a mental disorder (67% vs 25%, p

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalJournal of General Internal Medicine
Volume11
Issue number1
DOIs
StatePublished - Jan 1996
Externally publishedYes

Fingerprint

Psychopathology
Mental Disorders
Primary Health Care
Physicians
Patient Acceptance of Health Care
Health Surveys
Self Report
Patient Care
Outcome Assessment (Health Care)

Keywords

  • Difficult Doctor-Patient Relationship Questionnaire (DDPRQ)
  • difficult patients
  • Doctor-patient relationship
  • PRIME-MD
  • psychopathology

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Hahn, S. R., Kroenke, K., Spitzer, R. L., Brody, D., Williams, J. B. W., Linzer, M., & deGruy, F. V. (1996). The difficult patient - Prevalence, psychopathology, and functional impairment. Journal of General Internal Medicine, 11(1), 1-8. https://doi.org/10.1007/BF02603477

The difficult patient - Prevalence, psychopathology, and functional impairment. / Hahn, Steven R.; Kroenke, Kurt; Spitzer, Robert L.; Brody, David; Williams, Janet B W; Linzer, Mark; deGruy, Frank Verloin.

In: Journal of General Internal Medicine, Vol. 11, No. 1, 01.1996, p. 1-8.

Research output: Contribution to journalArticle

Hahn, SR, Kroenke, K, Spitzer, RL, Brody, D, Williams, JBW, Linzer, M & deGruy, FV 1996, 'The difficult patient - Prevalence, psychopathology, and functional impairment', Journal of General Internal Medicine, vol. 11, no. 1, pp. 1-8. https://doi.org/10.1007/BF02603477
Hahn, Steven R. ; Kroenke, Kurt ; Spitzer, Robert L. ; Brody, David ; Williams, Janet B W ; Linzer, Mark ; deGruy, Frank Verloin. / The difficult patient - Prevalence, psychopathology, and functional impairment. In: Journal of General Internal Medicine. 1996 ; Vol. 11, No. 1. pp. 1-8.
@article{b565b101a94d4281a18f3f4d65d6b667,
title = "The difficult patient - Prevalence, psychopathology, and functional impairment",
abstract = "OBJECTIVE: To determine the proportion of primary care patients who are experienced by their physicians as {"}difficult,{"} and to assess the association of difficulty with physical and mental disorders, functional impairment, health care utilization, and satisfaction with medical care. DESIGN: Survey. SETTING: Four primary care clinics. PATIENTS: Six-hundred twenty-seven adult patients. MEASUREMENTS: Physician perception of difficulty (Difficult Doctor-Patient Relationship Questionnaire), mental disorders and symptoms (Primary Care Evaluation of Mental Disorders, [PRIME-MD]), functional status (Medical Outcomes Study Short-Form Health Survey [SF-20]), utilization of and satisfaction with medical care by patient self-report. RESULTS: Physicians rated 96 (15{\%}) of their 627 patients as difficult (site range 11-20{\%}). Difficult patients were much more likely than not-difficult patients to have a mental disorder (67{\%} vs 25{\%}, p",
keywords = "Difficult Doctor-Patient Relationship Questionnaire (DDPRQ), difficult patients, Doctor-patient relationship, PRIME-MD, psychopathology",
author = "Hahn, {Steven R.} and Kurt Kroenke and Spitzer, {Robert L.} and David Brody and Williams, {Janet B W} and Mark Linzer and deGruy, {Frank Verloin}",
year = "1996",
month = "1",
doi = "10.1007/BF02603477",
language = "English (US)",
volume = "11",
pages = "1--8",
journal = "Journal of General Internal Medicine",
issn = "0884-8734",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - The difficult patient - Prevalence, psychopathology, and functional impairment

AU - Hahn, Steven R.

AU - Kroenke, Kurt

AU - Spitzer, Robert L.

AU - Brody, David

AU - Williams, Janet B W

AU - Linzer, Mark

AU - deGruy, Frank Verloin

PY - 1996/1

Y1 - 1996/1

N2 - OBJECTIVE: To determine the proportion of primary care patients who are experienced by their physicians as "difficult," and to assess the association of difficulty with physical and mental disorders, functional impairment, health care utilization, and satisfaction with medical care. DESIGN: Survey. SETTING: Four primary care clinics. PATIENTS: Six-hundred twenty-seven adult patients. MEASUREMENTS: Physician perception of difficulty (Difficult Doctor-Patient Relationship Questionnaire), mental disorders and symptoms (Primary Care Evaluation of Mental Disorders, [PRIME-MD]), functional status (Medical Outcomes Study Short-Form Health Survey [SF-20]), utilization of and satisfaction with medical care by patient self-report. RESULTS: Physicians rated 96 (15%) of their 627 patients as difficult (site range 11-20%). Difficult patients were much more likely than not-difficult patients to have a mental disorder (67% vs 25%, p

AB - OBJECTIVE: To determine the proportion of primary care patients who are experienced by their physicians as "difficult," and to assess the association of difficulty with physical and mental disorders, functional impairment, health care utilization, and satisfaction with medical care. DESIGN: Survey. SETTING: Four primary care clinics. PATIENTS: Six-hundred twenty-seven adult patients. MEASUREMENTS: Physician perception of difficulty (Difficult Doctor-Patient Relationship Questionnaire), mental disorders and symptoms (Primary Care Evaluation of Mental Disorders, [PRIME-MD]), functional status (Medical Outcomes Study Short-Form Health Survey [SF-20]), utilization of and satisfaction with medical care by patient self-report. RESULTS: Physicians rated 96 (15%) of their 627 patients as difficult (site range 11-20%). Difficult patients were much more likely than not-difficult patients to have a mental disorder (67% vs 25%, p

KW - Difficult Doctor-Patient Relationship Questionnaire (DDPRQ)

KW - difficult patients

KW - Doctor-patient relationship

KW - PRIME-MD

KW - psychopathology

UR - http://www.scopus.com/inward/record.url?scp=0030050015&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030050015&partnerID=8YFLogxK

U2 - 10.1007/BF02603477

DO - 10.1007/BF02603477

M3 - Article

C2 - 8691281

AN - SCOPUS:0030050015

VL - 11

SP - 1

EP - 8

JO - Journal of General Internal Medicine

JF - Journal of General Internal Medicine

SN - 0884-8734

IS - 1

ER -