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Patients lying to their doctors



I just stumbled onto the following:

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Why do patients often lie to their doctors?

Lauren Vogel


Many patients lie or withhold medically important information from their doctors, studies show. But their reasons for doing so suggest that doctors could do more to earn their confidence.


In two recent national surveys of 4510 Americans, 60%–80% admitted they had not been forthcoming with doctors about information that could be relevant to their health. The online surveys captured responses (from 2011 people with an average age of 36 and 2499 people with an average age of 61, respectively) about seven scenarios in which patients tend to avoid telling the truth.


More than a third of respondents said they concealed that they disagreed with a doctor’s advice. Almost as many kept quiet when they didn’t understand treatment instructions. More than one in five didn’t disclose their unhealthy diets or lack of exercise.


Asked why they didn’t tell the truth, most said they didn’t want the doctor to judge or lecture them. More than half said they felt embarrassed. Respondents also said they didn’t want to be “difficult” or to waste the doctor’s time. In both survey groups, women, younger people and those in worse health were more likely to report withholding information.


“Most people want their doctor to think highly of them,” according to senior author Angela Fagerlin, chair of population health sciences at University of Utah Health. “They’re worried about being pigeonholed as someone who doesn’t make good decisions.”


Other studies have reported similar findings. In the early 1990s, one study reported that 85% of patients admitted to concealing or fudging the truth, and roughly a third lied to their doctors. A recent survey of Americans insured under Medicare Advantage plans found that 47% lied to their doctors, mostly about their diets, exercise habits, sex lives or adherence to treatments. Patients lied mainly out of embarrassment and were more likely to lie to younger, male doctors.


Source: CMAJ (Canadian Medical Association Journal)

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I can’t think of any behavior more foolish than lying to your doctor. I find human nature quite interesting. People go to their doctors for help and then lie to them.


People know what they should be doing for good health but most are overweight and gaining. They don’t have the willpower to do what they know they should do so they lie to their doctor.


It does seem like much of mankind just can’t be helped.



8 Sept 2023



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