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The influence of patients’ immigration background and residence permit status on treatment decisions in health care. Results of a factorial survey among general practitioners in Switzerland


Drewniak, Daniel; Krones, Tanja; Sauer, Carsten; Wild, Verina (2016). The influence of patients’ immigration background and residence permit status on treatment decisions in health care. Results of a factorial survey among general practitioners in Switzerland. Social Science & Medicine, 161:64-73.

Abstract

This study examines the influence of patients’ immigration background and residence permit status on physicians’ willingness to treat patients in due time. A factorial survey was conducted among 352 general practitioners with a background in internal medicine in a German-speaking region in Switzerland. Participants expressed their self-rating (SR) as well as the expected colleague-rating (CR) to provide immediate treatment to 12 fictive vignette patients. The effects of the vignette variables were analysed using random-effects models. The results show that SR as well as CR was not only influenced by the medical condition or the physicians’ time pressure, but also by social factors such as the ethnicity and migration history, the residence permit status, and the economic condition of the patients. Our findings can be useful for the development of adequate, practically relevant teaching and training materials with the ultimate aim to reduce unjustified discrimination or social rationing in health care.

Abstract

This study examines the influence of patients’ immigration background and residence permit status on physicians’ willingness to treat patients in due time. A factorial survey was conducted among 352 general practitioners with a background in internal medicine in a German-speaking region in Switzerland. Participants expressed their self-rating (SR) as well as the expected colleague-rating (CR) to provide immediate treatment to 12 fictive vignette patients. The effects of the vignette variables were analysed using random-effects models. The results show that SR as well as CR was not only influenced by the medical condition or the physicians’ time pressure, but also by social factors such as the ethnicity and migration history, the residence permit status, and the economic condition of the patients. Our findings can be useful for the development of adequate, practically relevant teaching and training materials with the ultimate aim to reduce unjustified discrimination or social rationing in health care.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Biomedical Ethics and History of Medicine
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Social Sciences & Humanities > Health (social science)
Social Sciences & Humanities > History and Philosophy of Science
Uncontrolled Keywords:History and Philosophy of Science, Health(social science)
Language:English
Date:1 July 2016
Deposited On:21 Feb 2020 09:17
Last Modified:31 Jul 2020 02:55
Publisher:Elsevier
ISSN:0277-9536
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.socscimed.2016.05.039
PubMed ID:27258017

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