title: Responding effectively to patient anger directed at the physician.
abstract: OBJECTIVE
  Patient anger because of a long wait is a common occurrence, but few studies have looked at how the anger should be addressed. This study determined patient levels of satisfaction, rating of importance, and preference for a variety of approaches for addressing anger being directed toward a physician.
  
  
  METHODS
  A video trigger tape of an angry patient and 12 physician responses to the angry patient were shown to 130 participants who then rated the physician responses based on four approaches, alone or in combination (apology, explanation, self disclosure, and acknowledgment) for satisfaction and importance of the response. Participants also evaluated four physician follow-up questions.
  
  
  RESULTS
  An apology combined with an explanation was rated highest in satisfaction and importance and individually ranked as the best approaches for physicians to use. "I apologize for your long wait" was rated significantly higher than "I am sorry you have been kept waiting." Although gender and prior high anger with clinicians affected the ratings of some responses, participants consistently preferred an apology and/or an apology combined with explanation as the best response. Participants also preferred physician follow-up questions that facilitated segue to the medical interview rather than questions that explored patient feelings.
  
  
  CONCLUSIONS
  Participants clearly indicated that they would like a physician to apologize, explain the reason for the delay, and then quickly move along with the interview.
authors.affiliation: Department of Family Medicine, East Tennessee State University, Johnson City 37614-0621, USA.
authors.forename: Ronald S
authors.initials: RS
authors.lastname: McCord
authors.forename: Michael R
authors.initials: MR
authors.lastname: Floyd
authors.forename: Forrest
authors.initials: F
authors.lastname: Lang
authors.forename: Victoria K
authors.initials: VK
authors.lastname: Young
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000786:Anger; D001071:Appointments and Schedules; D003142:Communication; D006801:Humans; D008875:Middle Aged; D010817:Physician-Patient Relations; D011216:Practice Management, Medical / Q000458:organization & administration; D017748:Time Management; D014743:Videotape Recording