Table 1.

Hassles that interfered with quality of care or the doctor-patient relationship
A hassle was defined as interfering with quality of care if:
A needed service was not available (eg, a specific drug was not on a health maintenance organization's formulary), or The effort required arranging the service reduced time the physician spent with the patient
A hassle was defined as interfering with the doctor-patient relationship if:
The physician's inability to provide a needed service had an adverse effect on the doctor-patient relationship, or The time and efforts required to arrange for the service had an adverse effect on the doctor-patient relationship