Titre
General practitioners can evaluate the material, social and health dimensions of patient social status
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
PLOS One
Auteur(s)
Chatelard, S.
Co-première auteure/Co-premier auteur
Bodenmann, P.
Auteure/Auteur
Vaucher, P.
Auteure/Auteur
Herzig, L.
Auteure/Auteur
Bischoff, T.
Auteure/Auteur
Burnand, B.
Co-dernière auteure/Co-dernier auteur
Liens vers les personnes
Liens vers les unités
ISSN
8755-8920
Statut éditorial
Publié
Date de publication
2014
Volume
9
Numéro
1
Première page
1
Dernière page/numéro d’article
8
Peer-reviewed
Oui
Langue
anglais
Résumé
OBJECTIVE: To identify which physician and patient characteristics are associated with physicians' estimation of their patient social status.DESIGN: Cross-sectional ulticentric survey. SETTING: Fourty-seven primary care private offices in Western Switzerland. PARTICIPANTS: Random sample of 2030 patients ≥ 16, who encountered a general practitioner (GP) between September 2010 and February 2011. MAIN MEASURES: PRIMARY OUTCOME: patient social status perceived by GPs, using the MacArthur Scale of Subjective Social Status, ranging from the bottom (0) to the top (10) of the social scale.Secondary outcome: Difference between GP's evaluation and patient's own evaluation of their social status. Potential patient correlates: material and social deprivation using the DiPCare-Q, health status using the EQ-5D, sources of income, and level of education. GP characteristics: opinion regarding patients' deprivation and its influence on health and care. RESULTS: To evaluate patient social status, GPs considered the material, social, and health aspects of deprivation, along with education level, and amount and type of income. GPs declaring a frequent reflexive consideration of their own prejudice towards deprived patients, gave a higher estimation of patients' social status (+1.0, p = 0.002). Choosing a less costly treatment for deprived patients was associated with a lower estimation (-0.7, p = 0.002). GP's evaluation of patient social status was 0.5 point higher than the patient's own estimate (p<0.0001). CONCLUSIONS: GPs can perceive the various dimensions of patient social status, although heterogeneously, according partly to their own characteristics. Compared to patients' own evaluation, GPs overestimate patient social status.
PID Serval
serval:BIB_5D78EF2BFF14
PMID
Date de création
2014-04-14T06:21:13.712Z
Date de création dans IRIS
2025-05-20T18:07:54Z
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Nom
BIB_5D78EF2BFF14.P001.pdf
Version du manuscrit
published
Taille
211.11 KB
Format
Adobe PDF
PID Serval
serval:BIB_5D78EF2BFF14.P001
URN
urn:nbn:ch:serval-BIB_5D78EF2BFF141
Somme de contrôle
(MD5):6078190afe34c0922502a2afdb510ba1