Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Journal of Behavioral Medicine 5/2021

16-04-2021

Influence of patient immigrant status on physician trainee diabetes treatment decisions: a virtual patient experimental study

Auteurs: Loretta Hsueh, Adam T. Hirsh, Tamika Zapolski, Mary de Groot, Kieren J. Mather, Jesse C. Stewart

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2021

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

To determine the effect of patient immigrant status on physician trainees’ diabetes treatment decisions. Participants were 140 physician trainees (‘providers’). Providers viewed videos and vignettes of virtual patients differing in immigrant status (born in Mexico or U.S.; other characteristics held constant). Analyses were completed at the group and individual levels. Providers were less likely to refer foreign-born (vs. U.S.-born) patients to endocrinology. Individual-level results showed an almost even split between treatment ratings for foreign-born vs. U.S.-born patients for three decisions (take no action, add oral hypoglycemic agent, add/switch to insulin), explaining why group-level differences for these ratings did not emerge (i.e., they were cancelled out). Physician trainees are less likely to refer foreign-born patients to endocrinology. Half of individual-level decisions were influenced by patient immigrant status, but group-level analyses mask these differences. Systematic treatment differences based on non-relevant factors could lead to adverse outcomes for immigrants.
Literatuur
go back to reference Almeida et al. (2016). The association between anti-immigrant policies and perceived discrimination among Latinos in the US: A multilevel analysis. SSM-population health, 2, 897–903 CrossRef Almeida et al. (2016). The association between anti-immigrant policies and perceived discrimination among Latinos in the US: A multilevel analysis. SSM-population health, 2, 897–903 CrossRef
go back to reference American Diabetes Association (2020). 9. Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetes—2020. Diabetes Care, 43(Supplement 1), S98-S110. American Diabetes Association (2020). 9. Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetes—2020. Diabetes Care, 43(Supplement 1), S98-S110.
go back to reference Association of American Medical Colleges (2016). Table B-1.2: Total enrollment by US medical school and sex, 2012–2013 through 2016–2017. Association of American Medical Colleges (2016). Table B-1.2: Total enrollment by US medical school and sex, 2012–2013 through 2016–2017.
go back to reference Balsa, A. I., & McGuire, T. G. (2003). Prejudice, clinical uncertainty and stereotyping as sources of health disparities. Journal of health economics, 22, 89–116 CrossRef Balsa, A. I., & McGuire, T. G. (2003). Prejudice, clinical uncertainty and stereotyping as sources of health disparities. Journal of health economics, 22, 89–116 CrossRef
go back to reference Betancourt, J. R. (2006). Eliminating racial and ethnic disparities in health care: What is the role of academic medicine? Academic Medicine, 81, 788–792 CrossRef Betancourt, J. R. (2006). Eliminating racial and ethnic disparities in health care: What is the role of academic medicine? Academic Medicine, 81, 788–792 CrossRef
go back to reference Boyd et al. (2018). Medical expenditures on and by immigrant populations in the United States: A systematic review [research-article]. 10.1177_0020731418791963 Boyd et al. (2018). Medical expenditures on and by immigrant populations in the United States: A systematic review [research-article]. 10.1177_0020731418791963
go back to reference Brunton, S. A. (2020). Erratum. Therapeutic inertia is a problem for all of us. Clinical Diabetes 2019; 37: 105–106. Clinical Diabetes: A Publication of the American Diabetes Association, 38(2), 210. Brunton, S. A. (2020). Erratum. Therapeutic inertia is a problem for all of us. Clinical Diabetes 2019; 37: 105–106. Clinical Diabetes: A Publication of the American Diabetes Association, 38(2), 210.
go back to reference Brush, J. E., Jr., Sherbino, J., & Norman, G. R. (2017). How expert clinicians intuitively recognize a medical diagnosis. The American Journal of Medicine, 130, 629–634 CrossRef Brush, J. E., Jr., Sherbino, J., & Norman, G. R. (2017). How expert clinicians intuitively recognize a medical diagnosis. The American Journal of Medicine, 130, 629–634 CrossRef
go back to reference Carls et al. (2017). Achievement of glycated hemoglobin goals in the US remains unchanged through 2014. Diabetes Therapy, 8, 863–873 CrossRef Carls et al. (2017). Achievement of glycated hemoglobin goals in the US remains unchanged through 2014. Diabetes Therapy, 8, 863–873 CrossRef
go back to reference Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Routledge. Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Routledge.
go back to reference Cooksey, R. W. (1996). Judgment analysis: Theory, methods, and applications. Academic press. Cooksey, R. W. (1996). Judgment analysis: Theory, methods, and applications. Academic press.
go back to reference Dovidio, J. F., & Gaertner, S. L. (1998). On the nature of contemporary prejudice: The causes, consequences, and challenges of aversive racism. Dovidio, J. F., & Gaertner, S. L. (1998). On the nature of contemporary prejudice: The causes, consequences, and challenges of aversive racism.
go back to reference Dovidio et al. (2010). Understanding bias toward Latinos: Discrimination, dimensions of difference, and experience of exclusion. Journal of Social Issues, 66, 59–78 CrossRef Dovidio et al. (2010). Understanding bias toward Latinos: Discrimination, dimensions of difference, and experience of exclusion. Journal of Social Issues, 66, 59–78 CrossRef
go back to reference Grabovschi, C., Loignon, C., & Fortin, M. (2013). Mapping the concept of vulnerability related to health care disparities: A scoping review. BMC Health Services Research, 13, 1–11 CrossRef Grabovschi, C., Loignon, C., & Fortin, M. (2013). Mapping the concept of vulnerability related to health care disparities: A scoping review. BMC Health Services Research, 13, 1–11 CrossRef
go back to reference Hammond, K. R. (1955). Probabilistic functioning and the clinical method. Psychological Review, 62, 255 CrossRef Hammond, K. R. (1955). Probabilistic functioning and the clinical method. Psychological Review, 62, 255 CrossRef
go back to reference Hirsh et al. (2019). A randomized controlled trial testing a virtual perspective-taking intervention to reduce race and socioeconomic status disparities in pain care. Pain, 160, 2229–2240 CrossRef Hirsh et al. (2019). A randomized controlled trial testing a virtual perspective-taking intervention to reduce race and socioeconomic status disparities in pain care. Pain, 160, 2229–2240 CrossRef
go back to reference Hua et al. (2016). Expenditures and prices of antihyperglycemic medications in the United States: 2002–2013. JAMA, 315, 1400–1402 CrossRef Hua et al. (2016). Expenditures and prices of antihyperglycemic medications in the United States: 2002–2013. JAMA, 315, 1400–1402 CrossRef
go back to reference Kamath et al. (2003). Provider satisfaction in clinical encounters with ethnic immigrant patients. Mayo Clinic Proceedings, 78, 1353–1360 CrossRef Kamath et al. (2003). Provider satisfaction in clinical encounters with ethnic immigrant patients. Mayo Clinic Proceedings, 78, 1353–1360 CrossRef
go back to reference Ledford et al. (2015). How we teach US medical students to negotiate uncertainty in clinical care. Family Medicine, 47, 31–36 PubMed Ledford et al. (2015). How we teach US medical students to negotiate uncertainty in clinical care. Family Medicine, 47, 31–36 PubMed
go back to reference Morales et al. (1999). Are Latinos less satisfied with communication by health care providers? Journal of General Internal Medicine, 14, 409–417 CrossRef Morales et al. (1999). Are Latinos less satisfied with communication by health care providers? Journal of General Internal Medicine, 14, 409–417 CrossRef
go back to reference Ng, C et al. (2015). Barriers and facilitators to starting insulin in patients with type 2 diabetes: A systematic review. International Journal of Clinical Practice, 69, 1050–1070 CrossRef Ng, C et al. (2015). Barriers and facilitators to starting insulin in patients with type 2 diabetes: A systematic review. International Journal of Clinical Practice, 69, 1050–1070 CrossRef
go back to reference Rodondi et al. (2006). Therapy modifications in response to poorly controlled hypertension, dyslipidemia, and diabetes mellitus. Annals of Internal Medicine, 144, 475–484 CrossRef Rodondi et al. (2006). Therapy modifications in response to poorly controlled hypertension, dyslipidemia, and diabetes mellitus. Annals of Internal Medicine, 144, 475–484 CrossRef
go back to reference Selvin et al. (2014). Trends in prevalence and control of diabetes in the United States, 1988–1994 and 1999–2010. Annals of Internal Medicine, 160, 517 CrossRef Selvin et al. (2014). Trends in prevalence and control of diabetes in the United States, 1988–1994 and 1999–2010. Annals of Internal Medicine, 160, 517 CrossRef
go back to reference Silber Mohamed, H., & Farris, E. M. (2020). ‘Bad hombres’? An examination of identities in US media coverage of immigration. Journal of Ethnic and Migration Studies, 46, 158–176 CrossRef Silber Mohamed, H., & Farris, E. M. (2020). ‘Bad hombres’? An examination of identities in US media coverage of immigration. Journal of Ethnic and Migration Studies, 46, 158–176 CrossRef
go back to reference Van Ryn et al. (2006). Physicians’ perceptions of patients’ social and behavioral characteristics and race disparities in treatment recommendations for men with coronary artery disease. American Journal of Public Health, 96, 351–357 CrossRef Van Ryn et al. (2006). Physicians’ perceptions of patients’ social and behavioral characteristics and race disparities in treatment recommendations for men with coronary artery disease. American Journal of Public Health, 96, 351–357 CrossRef
go back to reference Van Ryn et al. (2015). Medical school experiences associated with change in implicit racial bias among 3547 students: A medical student CHANGES study report. Journal of General Internal Medicine, 30, 1748–1756 CrossRef Van Ryn et al. (2015). Medical school experiences associated with change in implicit racial bias among 3547 students: A medical student CHANGES study report. Journal of General Internal Medicine, 30, 1748–1756 CrossRef
Metagegevens
Titel
Influence of patient immigrant status on physician trainee diabetes treatment decisions: a virtual patient experimental study
Auteurs
Loretta Hsueh
Adam T. Hirsh
Tamika Zapolski
Mary de Groot
Kieren J. Mather
Jesse C. Stewart
Publicatiedatum
16-04-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-021-00224-y