Reddit reviews The Patient Paradox: Why Sexed-Up Medicine Is Bad For Your Health
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> They really do rely on you pushing for your own treatment.
Margaret McCartney - GP, often on Radio 4, covered this in part of her excellent-but-depressing book The Patient Paradox.
After an earlier comment I made about mental health service management, it occured to me that it is quite helpful for those who want to buff the apparent quality of the service that they run to discourage the more difficult patients. Easier to get good results with the less unwell. Got a difficult patient? Well, provide them with inadequate or inappropriate support until they stop engaging, and you can exclude them from your quality figures because it is 'their fault' for not completing treatment.
Cynical? Me? Yes, but I like to call it Evidence Based Cynicism (and I got that one from a refreshingly honest service manager.)