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Do Physicians Have an Ethical Duty to Repair Relationships with So-Called “Difficult” Patients?

Overview of attention for article published in The AMA Journal of Ethic, April 2017
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (90th percentile)
  • Average Attention Score compared to outputs of the same age and source

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34 X users

Citations

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11 Mendeley
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Title
Do Physicians Have an Ethical Duty to Repair Relationships with So-Called “Difficult” Patients?
Published in
The AMA Journal of Ethic, April 2017
DOI 10.1001/journalofethics.2017.19.4.ecas1-1704
Pubmed ID
Authors

Micah Johnson

Abstract

This essay argues that physicians hold primary ethical responsibility for repairing damaged patient-physician relationships. The first section establishes that the patient-physician relationship has an important influence on patient health and argues that physicians' duty to treat should be understood as including a responsibility to repair broken relationships, regardless of which party was "responsible" for the initial tension. The second section argues that the person with more power to repair the relationship also has more responsibility to do so and considers the moral psychology of pain as foundational to conceiving the patient in this case as especially vulnerable and disempowered. The essay concludes with suggestions for clinicians to act on the idea that a healthy patient-physician relationship ought to lie at the center of medicine's moral mission.

X Demographics

X Demographics

The data shown below were collected from the profiles of 34 X users who shared this research output. Click here to find out more about how the information was compiled.
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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 11 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 11 100%

Demographic breakdown

Readers by professional status Count As %
Other 2 18%
Student > Doctoral Student 2 18%
Student > Bachelor 2 18%
Lecturer 1 9%
Professor 1 9%
Other 2 18%
Unknown 1 9%
Readers by discipline Count As %
Medicine and Dentistry 5 45%
Biochemistry, Genetics and Molecular Biology 3 27%
Psychology 2 18%
Unknown 1 9%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 22. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 March 2019.
All research outputs
#1,773,799
of 26,240,084 outputs
Outputs from The AMA Journal of Ethic
#537
of 2,800 outputs
Outputs of similar age
#32,684
of 327,597 outputs
Outputs of similar age from The AMA Journal of Ethic
#22
of 42 outputs
Altmetric has tracked 26,240,084 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,800 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 21.9. This one has done well, scoring higher than 80% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 327,597 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 90% of its contemporaries.
We're also able to compare this research output to 42 others from the same source and published within six weeks on either side of this one. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.