الفهرس 
acknowledgmentOnly 14 pages are availabe for public view
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Abstract
The realization that one needs medical care is a grad ual process.
Tt is extremely difficult for people to seek out and submit to medical evalation.
By the time the patient reaches that doctor’s office clinicor hospital he may have experienced a great deal of anxieety about his conition where weeks months and even years may pass between the beginning of an illness and the time when some patients finally came for an evaluation of their ailments as pointed out by luckmann sorenses 1973.