• Shlomo Hareli, Orit Karnieli-Miller, Doron Hermoni, and Shmuel Eidelman.
• Center of Excellence for Patient-Professional Relationships in Health Care Professions, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel. shareli@gsb.haifa.ac.il
• Patient Educ Couns. 2007 Jul 1; 67 (1-2): 169-75.

ObjectiveThe present study explores the emotional effect of the injury experienced by physician's, as a consequence of a patient's termination of their relationship.MethodsA vignette study using different scenarios describing a patient who switched to another doctor was distributed to 119 family physicians. A three-way ANCOVA analysis was employed. Additionally, physicians' answered an open question asking of situations that elicited negative emotions.ResultsThe quantitative results indicated that termination of the relationship by a "high status" patient and/or after a long duration is more emotionally hurtful than termination by a "lower status" patient after a brief relationship. The results of the open question provided an additional insight into the emotional impact of the doctor's hurt feelings on the doctor-patient relationship.ConclusionsThe severity and consequences of the emotional injury experienced by physicians when patients decide to transfer to another physician are influenced by factors related to the patient, physician and the relationship between them.Practice ImplicationsWe discuss the implications of our results on the understanding of the emotional injury and consequent impaired function and possible "burn-out" in physicians and explore the possibility of educating doctors to heightened awareness and consequently enhanced ability to cope with such situations.

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