I don't think patient should only be played if someone is extremely desperate or extremely sure to win! It's also good for close games, if the opponent has like 2-4 star players and the rest is crap, but you need offensive flow to bring the ball to the right players.
To your game (http://www.buzzerbeater.com/match/38851590/boxscore.aspx). Your PF had the best match-up and the ball went to him for 18 shots (50% of the shots went in), thats not enough. Your offensive flow was way to low compared to his outside defense rating to bring the ball to your PF more often to take a good shot. Your PG is actually a SG and has probably not very much passing compared to your opponents outside defense. So when he got the ball he wasnt able to find the PF and took the shot himself. His shooting and driving skills were to low to harm the opponents defense by taking the shot himself. Compared to real life your PG got trapped and couldnt escape the trap by passing nor by driving. The only opporunity was to take a horrible shot.
I think, the game would have been much closer if you played with a real PG with high passing.
Best regards,
sgt