In the clinical setting, effective communication is maximized when the patient and the health care provider share beliefs about the sickness. Asking questions of the patient about their beliefs and views of the illness may prove to be valuable information. Improved health care outcomes have a higher likelihood of being realized when the health care provider and the patient acknowledge and respect each other's beliefs about illnesses, even though these beliefs may not be wholly concordant (Pachter, 690). The health care providers need to learn when it is acceptable to disagree with the patient about the proposed treatment plan and when the provider needs to take a firm stand toward a plan that is in the best interest of the patient. The provider needs to keep in mind that at times, in order to best care for the patient, the family and potentially other community members may need to be part of the discussion of the treatment plan. Some cultures need to involve leaders of the community or family to assist in the decision making process. As long as health care providers are able to accomplish incorporating others into the treatment discussion, the patient will comply better with the treatment plan than when the provider takes a very narrow view of the problem and solution.