| General practitioners (GPs) repeatedly remove 'revolving door' patients from their lists. We present the results of our first
mixed methods study of marginalized patients based on an analysis of the qualitative data collected during the study. To
characterize revolving door patients from the perspective of practitioners and general practitioners in Scotland, we
conducted qualitative semi-structured interviews using Charmazian grounded theory. There are three necessary
characteristics of patients who present at the revolving door; unreasonable expectations, inappropriate behavior, and unmet
health needs. There were also reports of boundary violations when NHS staff interacted with 'revolving door' patients. Our
analysis draws on literature about 'good and bad' patients, as well as the notion of dirty work in order to utilize the
'sensitizing concepts' of legitimacy. Health service professionals understand and work with 'revolving door' patients based
on medical and moral schemas, which can be related to the core work of general practiceddd |
