Two recent studies suggest that “difficult” patients— those who demand many tests and services, and express negative feelings about thedoctor or process — are more likely to beincorrectly diagnosed.

The studies, led by Dr. Sílvia Mamede of the Institute ofMedical Education Research Rotterdam in the Netherlands, sought tovalidate age-old conventional wisdom about the effect that annoying patients can have onphysicians.

The researchers explained: “Literature suggests that patientswho display disruptive behaviors in the consulting room fuelnegative emotions in doctors. These emotions, in turn, are said tocause diagnostic errors.”

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