Challenging incidents in health centers and how to deal with it: Physician–Patient bad interactions


  • Feroza Fatima Specialisit Dermatologist, PHCC, Qatar
  • Waad Ibrahim Kadori Consultant Dermatologist, PHCC Qatar



challenging interactions, communication skills, confidentiality


The physician-patient rapport is the basis of patient care and can have profound implications on clinical outcomes. Ultimately, the principal objective of the physician-patient rapport is to improve patient health outcomes. Stronger physician-patient relationships are correlated with improved patient outcomes. As the relationship between physicians and patients becomes more important, it is essential to understand the factors that influence this relationship.


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Diamond-Brown L. The doctor-patient relationship as a toolkit for uncertain clinical decisions. Soc Sci Med. 2016;159:108-15. Available from: doi: 10.1016/j.socscimed.2016.05.002. Epub 2016 May 3.

Kamran M, Arif S, Ejaz S. Professional secrecy and privileged communication in medical practice. Pak J Surg Med. 2020;1(1):72-74. Available from: doi :

Liang CY, Wang KY, Hwang SJ, Lin KC, Pan HH. Factors affecting the physician-patient relationship of older veterans with inadequate health literacy: an observational study. Br J Gen Pract. 2013;63(610):e354-60. Available from: doi: 10.3399/bjgp13X667222.

Kallergis G. [The contribution of the relationship between therapist-patient and the context of the professional relationship]. Psychiatriki. 2019;30(2):165-174. Greek, Modern. Available from: doi: 10.22365/jpsych.2019.302.165.

Chipidza FE, Wallwork RS, Stern TA. Impact of the Doctor-Patient Relationship. Prim Care Companion CNS Disord. 2015;17(5):10.4088/PCC.15f01840. Available from: doi: 10.4088/PCC.15f01840.

Mechanic D, Schlesinger M. The impact of managed care on patients' trust in medical care and their physicians. JAMA. 1996;275(21):1693-7.

Emanuel EJ, Dubler NN. Preserving the physician-patient relationship in the era of managed care. JAMA. 1995;273(4):323-9.

Anderson LA, Dedrick RF. Development of the Trust in Physician scale: a measure to assess interpersonal trust in patient-physician relationships. Psychol Rep. 1990;67(3 Pt 2):1091-100. Available from: doi: 10.2466/pr0.1990.67.3f.1091.

Mechanic D. The functions and limitations of trust in the provision of medical care. J Health Polit Policy Law. 1998;23(4):661-86. Available from: doi: 10.1215/03616878-23-4-661.

Hardavella G, Aamli-Gaagnat A, Frille A, Saad N, Niculescu A, Powell P. Top tips to deal with challenging situations: doctor-patient interactions. Breathe (Sheff). 2017;13(2):129-135. Available from: doi: 10.1183/20734735.006616.

Ong LM, de Haes JC, Hoos AM, Lammes FB. Doctor-patient communication: a review of the literature. Soc Sci Med. 1995 Apr;40(7):903-18.Available from: doi: 10.1016/0277-9536(94)00155-m.

Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, Peters D, Hodkinson A, Riley R, Esmail A. Association between physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Intern Med. 2018;178(10):1317-1330. Available from: doi: 10.1001/jamainternmed.2018.3713. Erratum in: JAMA Intern Med. 2019 Apr 1;179(4):596.

Boissy A, Windover AK, Bokar D, Karafa M, Neuendorf K, Frankel RM, Merlino J, Rothberg MB. Communication skills training for physicians improves patient satisfaction. J Gen Intern Med. 2016;31(7):755-61. Available from: doi: 10.1007/s11606-016-3597-2. Epub 2016 Feb 26.

Philip J, Kissane DW. Responding to difficult emotions. In: Kissane DW, Bultz B, Butow P, et al. Handbook of Communication in Oncology an Palliative Care. New York, Oxford University Press, 2010; pp. 135–146.

Epstein RM. Mindful practice. JAMA. 1999;282(9):833-9. Available from: doi: 10.1001/jama.282.9.833.

Jackson JL, Kroenke K. Difficult patient encounters in the ambulatory clinic: clinical predictors and outcomes. Arch Intern Med. 1999;159(10):1069-75. Available from: doi: 10.1001/archinte.159.10.1069.

Lee SJ, Back AL, Block SD, Stewart SK. Enhancing physician-patient communication. Hematology Am Soc Hematol Educ Program. 2002:464-83. Available from: doi: 10.1182/asheducation-2002.1.464.

Mechanic D, Schlesinger M. The impact of managed care on patients' trust in medical care and their physicians. JAMA. 1996;275(21):1693-7.

Kreger J. When your patients are in mourning. Fam Pract Manag. 2003;10(10):49.

Ha, J. F., & Longnecker, N. (2010). Doctor-patient communication: a review. The Ochsner journal, 10(1), 38-43.


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How to Cite

Fatima, F., & Kadori, W. I. (2021). Challenging incidents in health centers and how to deal with it: Physician–Patient bad interactions. Pakistan Journal of Surgery and Medicine, 1(4), e284.