TY - JOUR T1 - Burden of difficult encounters in primary care: Data from the minimizing error, maximizing outcomes study AU - An PG, Rabatin JS, Manwell LB, et al Y1 - 2009/02/23 N1 - 10.1001/archinternmed.2008.549 JO - Archives of Internal Medicine SP - 410 EP - 414 VL - 169 IS - 4 N2 - Nearly 1 of 6 outpatient visits is considered difficult by physicians.1 Difficult encounters are more likely to occur with patients who have a mental disorder, present with more than 5 somatic symptoms, exhibit high use of health services, possess a list of complaints, or have threatening and abrasive personalities.2- 7 Physicians report that they secretly hope that their challenging patients will not return and find that, in general, difficult encounters are time-consuming and personally and professionally unsatisfying.4 SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2008.549 UR - http://dx.doi.org/10.1001/archinternmed.2008.549 ER -