Abstract
Imagine a typical chronically ill patient who sees his doctor half an hour every three months. These four encounters each year— the physician’s opportunity to counsel, diagnose, and treat—constitute only 0.02% of this patient’s life. For all the rest—the 99.98% of the time that the patient is elsewhere, making decisions about his health in the context of his culture, family, and community—the doctor’s impact on the patient’s choices is minimal.
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