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. 2017 Jun;13(2):129–135. doi: 10.1183/20734735.006616

Table 2.

Potential implications of a challenging interaction

Patient

  •  Anxiety

  •  Concern

  •  Frustration

  •  Dissatisfaction

  •  Vulnerability

  •  Loss of trust in the doctor–patient relationship

Doctor

  •  Stress, anxiety and anger

  •  Helplessness

  •  Dislike of the patient

  •  Use of avoidance strategies (e.g. discharge)

System

  •  Misuse of more resources

  •  Appointment with another doctor for a second opinion

  •  Increased attendance at the emergency department