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The biophysical model tends to focus on the aspects of patient pathology without taking into account either social factors or doctor-patient negotiations. This generates a variety of effects. In terms of outpatient care and medication, it's found that patients follow the outpatient regimen based not upon perceived medical need as much as they do based upon how much they LIKE their doctor. This is true to the point that patients will actually tend to vary from protocol when it's expressed by a doctor they feel is competant but unlikeable. The biosocial model stupulates that the patient-doctor relationship is one of negotiation and two-way communications. Additionally, the biophysical model doesn't take sociological/societal factors into account. In this sense, biophysical is perhaps less well adapted to epidemiological aspects of disease control. Some feel that the biosocial model is the evolutionary offspring of the older biophysical.

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