TODO: Skip to main content
Top
Gepubliceerd in:

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
Deze inhoud is alleen zichtbaar als je bent ingelogd en de juiste rechten hebt.
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