Social factors as part of a medical diagnosis

This story from the Chicago Tribune tells of Dr. Saul Weiner who has been studying the effect of social circumstances, such as socioeconomic concerns, on medical diagnoses. After one of his own cases, Weiner decided to study the issue further:

Weiner arranged to send actors playing patients into physicians’ offices and discovered that errors occurred in 78 percent of cases when socioeconomic concerns were a significant factor, according to a paper published Monday in the Annals of Internal Medicine.

Weiner recommends adding a “contextual history” to the physical history that physicians usually document with first-time patients.

Treating the whole person seems like it would produce better results for the patient.