If the chosen path of action reduces anxiety, the individual is thus rewarded, and the coping mechanism will be repeated. And, if the chosen coping mechanism is felt to be successful, this behavior will be repeated. There are many possible sources to reduce this anxiety level, all involving trust in the response of another to the individual's expression of anxiety. This is the crux of the physician-patient relationship. For those in a patient role, it may include written resources, friends, family or a healthcare worker.
Modern life intrudes here.
The loss of the extended family decreases exposure to the traditional sources of information on minor illnesses. Once discovered to be an adequate way of coping with the anxiety inherent in questions about health needs, the behavior is bound to be repeated. Thus each ER visit, whether truly an emergency or not, engenders more visits. Patients voted with their feet many years ago in favor of ER visits over calling their GPs, especially after business hours. Interpretation of symptoms by this trusted source would lead to decreased anxiety.