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Culture and clinical care. Folk illness beliefs and behaviors and their implications for health care delivery
Abstract
This article presents an approach to the evaluation of patient-held beliefs and behaviors that may not be concordant with those of biomedicine. Physicians and patients often hold discrepant models of health and illness that may affect the effectiveness of communication during the clinical visit. An extreme example of such a discrepancy exists when the patient feels that he or she has an illness that is not defined within the biomedical paradigm. These are commonly referred to as folk illnesses. An example of such an illness is provided in order to discuss the effects of folk beliefs on patient-held perceptions of health and sickness, treatment-seeking behavior, clinical care, and physician-patient communication. Guidelines for addressing clinical issues surrounding folk beliefs and behaviors in a culturally sensitive way are discussed.
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Citations
Cited by
Can Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model
Brach, C., & Fraserirector, I. (2000) · Medical Care Research and Review · doi:10.1177/1077558700057001s09 · Cited by 1,160
Lannin, D. R. (1998) · JAMA · doi:10.1001/jama.279.22.1801 · Cited by 666
Information Seeking and Avoiding in Health Contexts
Brashers, D. E. (2002) · Human Communication Research · doi:10.1093/hcr/28.2.258 · Cited by 641
The Inescapable Relevance of Bioethics for the Practicing Clinician
Carrese, J. A., & Sugarman, J. (2006) · Chest · doi:10.1378/chest.130.6.1864 · Cited by 59
Metadata
- Authors
- Pachter, L. M.
- Venue
- JAMA
- Publisher
- American Medical Association
- Published
- 1994-03-02
- Volume
- 271
- Issue
- 9
- Pages
- 690-694
- ISSN
- 0002-9955 (ISSN-L)
- OpenAlex
- W2026109299
- Cited by
- 275
- References
- 0
- FWCI
- 31.39
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Culture and clinical care. Folk illness beliefs and behaviors and their implications for health care delivery. https://app.cochat.ai/papers/10.1001/jama.271.9.690
- The paper
- Pachter, L. M. (1994). Culture and clinical care. Folk illness beliefs and behaviors and their implications for health care delivery. JAMA. https://doi.org/10.1001/jama.271.9.690
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
