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

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.

vorige artikel Forgoing antiretroviral therapy to evade stigma among people living with HIV, Cape Town, South Africa

volgende artikel Gender differences in the relationship between social support and strain and mortality among a national sample of adults

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, 897–903CrossRef

American Diabetes Association (2020). 9. Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetes—2020. Diabetes Care, 43(Supplement 1), S98-S110.

Association of American Medical Colleges (2016). Table B-1.2: Total enrollment by US medical school and sex, 2012–2013 through 2016–2017.

Balsa, A. I., & McGuire, T. G. (2003). Prejudice, clinical uncertainty and stereotyping as sources of health disparities. Journal of health economics, 22, 89–116CrossRef

Betancourt, J. R. (2006). Eliminating racial and ethnic disparities in health care: What is the role of academic medicine? Academic Medicine, 81, 788–792CrossRef

Boyd et al. (2018). Medical expenditures on and by immigrant populations in the United States: A systematic review [research-article]. 10.1177_0020731418791963

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.

Brush, J. E., Jr., Sherbino, J., & Norman, G. R. (2017). How expert clinicians intuitively recognize a medical diagnosis. The American Journal of Medicine, 130, 629–634CrossRef

Carls et al. (2017). Achievement of glycated hemoglobin goals in the US remains unchanged through 2014. Diabetes Therapy, 8, 863–873CrossRef

Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Routledge.

Cooksey, R. W. (1996). Judgment analysis: Theory, methods, and applications. Academic press.

Davidson, J. A. (2010). The increasing role of primary care physicians in caring for patients with type 2 diabetes mellitus. Mayo Clinic Proceedings, 85, S3-4. https://doi.org/10.4065/mcp.2010.0466CrossRef

Dovidio, J. F., & Fiske, S. T. (2012). Under the radar: How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities. American Journal of Public Health, 102, 945–952. https://doi.org/10.2105/Ajph.2011.300601CrossRefPubMedPubMedCentral

Dovidio, J. F., & Gaertner, S. L. (1998). On the nature of contemporary prejudice: The causes, consequences, and challenges of aversive racism.

Dovidio et al. (2010). Understanding bias toward Latinos: Discrimination, dimensions of difference, and experience of exclusion. Journal of Social Issues, 66, 59–78CrossRef

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, 1–11CrossRef

Hammond, K. R. (1955). Probabilistic functioning and the clinical method. Psychological Review, 62, 255CrossRef

Hirsh, A. T., Callander, S. B., & Robinson, M. E. (2011). Patient demographic characteristics and facial expressions influence nurses’ assessment of mood in the context of pain: A Virtual Human and lens model investigation. International Journal of Nursing Studies, 48, 1330–1338. https://doi.org/10.1016/j.ijnurstu.2011.05.002CrossRefPubMedPubMedCentral

Hirsh, A. T., George, S. Z., & Robinson, M. E. (2009). Pain assessment and treatment disparities: A virtual human technology investigation. Pain, 143, 106–113. https://doi.org/10.1016/j.pain.2009.02.005CrossRefPubMedPubMedCentral

Hirsh et al. (2015). The interaction of patient race, provider bias, and clinical ambiguity on pain management decisions. Journal of Pain, 16, 558–568. https://doi.org/10.1016/j.jpain.2015.03.003CrossRef

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, 2229–2240CrossRef

Hosoda, M., Nguyen, L. T., & Stone-Romero, E. F. (2012). The effect of Hispanic accents on employment decisions. Journal of Managerial Psychology, 27, 347–364. https://doi.org/10.1108/02683941211220162CrossRef

Hsueh et al. (2018). Associations between immigrant status and pharmacological treatments for diabetes in US adults. Health Psychology, 37, 61–69. https://doi.org/10.1037/hea0000552CrossRefPubMed

Hua et al. (2016). Expenditures and prices of antihyperglycemic medications in the United States: 2002–2013. JAMA, 315, 1400–1402CrossRef

Kamath et al. (2003). Provider satisfaction in clinical encounters with ethnic immigrant patients. Mayo Clinic Proceedings, 78, 1353–1360CrossRef

Karliner et al. (2012). Language barriers and understanding of hospital discharge instructions. Medical Care, 50, 283–289. https://doi.org/10.1097/MLR.0b013e318249c949CrossRefPubMedPubMedCentral

Ledford et al. (2015). How we teach US medical students to negotiate uncertainty in clinical care. Family Medicine, 47, 31–36PubMed

Lee, T. L., & Fiske, S. T. (2006). Not an outgroup, not yet an ingroup: Immigrants in the stereotype content model. International Journal of Intercultural Relations, 30, 751–768. https://doi.org/10.1016/j.ijintrel.2006.06.005CrossRef

Lopez, G., & Radford, J. (2017). Statistical Portrait of the Foreign-Born Population in the United States. Retrieved May 10, 2017 from http://www.pewhispanic.org/2017/05/03/statistical-portrait-of-the-foreign-born-population-in-the-united-states-2015/#

Morales et al. (1999). Are Latinos less satisfied with communication by health care providers? Journal of General Internal Medicine, 14, 409–417CrossRef

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, 1050–1070CrossRef

Oza-Frank et al. (2013). Incidence of Type 2 diabetes by place of birth in the multi-ethnic study of atherosclerosis (MESA). Journal of Immigrant and Minority Health, 15, 918–924. https://doi.org/10.1007/s10903-012-9683-6CrossRefPubMedPubMedCentral

Rodondi et al. (2006). Therapy modifications in response to poorly controlled hypertension, dyslipidemia, and diabetes mellitus. Annals of Internal Medicine, 144, 475–484CrossRef

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, 517CrossRef

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, 158–176CrossRef

Stutts et al. (2010). Investigating patient characteristics on pain assessment using virtual human technology. European Journal of Pain, 14(10), 1040–1045. https://doi.org/10.1016/j.ejpain.2010.04.003CrossRefPubMed

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, 351–357CrossRef

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, 1748–1756CrossRef

Wilson et al. (2005). Effects of limited english proficiency and physician language on health care comprehension. Journal of General Internal Medicine, 20, 800–806. https://doi.org/10.1111/j.1525-1497.2005.0174.xCrossRefPubMedPubMedCentral

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

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 5/2021

Web-based cognitive behavior therapy for chronic pain patients with aberrant drug-related behavior: How did it work and for whom?

Adaptive, behavioral intervention impact on weight gain, physical activity, energy intake, and motivational determinants: results of a feasibility trial in pregnant women with overweight/obesity

Gender differences in the relationship between social support and strain and mortality among a national sample of adults

Charity-based incentives motivate young adult cancer survivors to increase physical activity: a pilot randomized clinical trial

Profiles of partner health linked to a partner-focused intervention following patient initial implantable cardioverter defibrillator (ICD)

Past-year discrimination and cigarette smoking among sexual minority women: investigating racial/ethnic and sexual identity differences