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Related Concept Videos

The Placebo Effect01:54

The Placebo Effect

The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
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Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Purpose of Health Records II01:19

Purpose of Health Records II

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Ethical Standards II01:23

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Related Experiment Video

Updated: Jul 11, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

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Published on: September 20, 2018

Hidden reasons some patients visit doctors

A J Barsky

    Annals of Internal Medicine
    |April 1, 1981
    PubMed
    Summary

    Physicians should recognize that patients seek medical visits for non-biomedical reasons like stress or isolation. Identifying these underlying issues improves patient care and understanding.

    Area of Science:

    • Medical Sociology
    • Psychosomatic Medicine
    • Patient-Physician Communication

    Background:

    • Patients frequently seek medical consultations for reasons beyond biomedical diagnosis and treatment.
    • Factors such as emotional distress, social isolation, psychiatric conditions, and health information seeking influence patient visits.

    Observation:

    • Physicians should be attuned to four clinical situations suggesting non-biomedical motivations for patient visits.
    • These situations include patients excessively troubled by symptoms, perceived unimportance of diagnosis, dissatisfaction with care, and visits without clinical status changes.

    Findings:

    • Inquiring about patients' perceived causes of illness can clarify visits.
    • Understanding patient expectations of physician help is crucial when diagnosis seems secondary.

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  • Addressing patient dissatisfaction may reveal unaddressed underlying motivations.
  • Exploring current life stressors is important for patients initiating visits without new symptoms.

    • Implications:

    • Recognizing non-biomedical patient motivations enhances diagnostic accuracy and treatment effectiveness.
    • Improved communication regarding psychosocial factors can lead to more patient-centered care.
    • This approach supports a holistic understanding of patient health needs beyond purely physical ailments.