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- W2324832014 abstract "According to Sir William Osler, the Canadian physician and writer: “It is more important to know what sort of patient has a disease, than what sort of disease a patient has.”1 Health care professionals care for people from all walks of life, with all manner of experience and backgrounds. Patients bring alterations in health, and clinicians must listen with both their minds and hearts, attuned to the many differences in patients’ belief systems. Physician assistants (PAs) are trained in the medical model, which holds that illness is (1) deviation from normal, (2) specific and universal, (3) caused by unique biological forces, (4) analogous to the breakdown of a machine, and (5) defined and treated medically through a neutral, scientific process.2 Yet many of our patients do not see their alterations in health through the lens of the medical model. Failure to understand a patient’s perspective may result in misunderstanding, misdiagnosis, or nonadherence on the part of the patient, and can even lead to tragic consequences. The medical model teaches clinicians to listen to the voice of the medical world, while patients speak the language of their life world.3 Kleinman formulated the “explanatory model,” patient’s attributions of cause, pathophysiology, and course of an illness.4 The explanatory model includes not only causal attributions, but also the patient’s understanding of the pathophysiology and course of the illness. As the founder of the PA profession, Dr. Eugene Stead, says: “A doctor makes a mistake if he thinks he knows more about a patient than the patient does himself.”5 To illustrate this conundrum, I consider the explanatory models applied to clinical problems in several cultures." @default.
- W2324832014 created "2016-06-24" @default.
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- W2324832014 date "2002-01-01" @default.
- W2324832014 modified "2023-09-25" @default.
- W2324832014 title "Health Belief Models" @default.
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- W2324832014 doi "https://doi.org/10.1097/01367895-200213010-00009" @default.
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