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To best address this, the physician should explore the patient's goals for the visit by asking, "Help me to understand what you are hoping I can do for you today." When a patient repeatedly seeks medical care but declines recommended treatments, physicians must avoid expressing frustration and instead focus on understanding the patient's underlying motivations
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Smith HS, Zoli W, Volpi A, Hiller A, Lippman M, Swain S, Mayall B, Dollbaum C, Hackett AJ, Amadori D