 Other studies show that physicians exhibited substantially less rapport building and empathetic behavior with Hispanic patients than Caucasians, despite the absence of language barriers.A dilemma may arise in situations where determining the most efficient treatment, or encountering avoidance of treatment, creates a disagreement between the physician and the patient, for any number of reasons.In such cases, the physician needs strategies for presenting unfavorable treatment options or unwelcome information in a way that minimizes strain on the doctor–patient relationship while benefiting the patient's overall physical health and best interests.