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General Practitioners Can Evaluate the Material, Social and Health Dimensions of Patient Social Status

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  • Sophia Chatelard
  • Patrick Bodenmann
  • Paul Vaucher
  • Lilli Herzig
  • Thomas Bischoff
  • Bernard Burnand

Abstract

Objective: To identify which physician and patient characteristics are associated with physicians' estimation of their patient social status. Design: Cross-sectional multicentric 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

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  • Sophia Chatelard & Patrick Bodenmann & Paul Vaucher & Lilli Herzig & Thomas Bischoff & Bernard Burnand, 2014. "General Practitioners Can Evaluate the Material, Social and Health Dimensions of Patient Social Status," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-8, January.
    • Handle: RePEc:plo:pone00:0084828
    DOI: 10.1371/journal.pone.0084828
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    References listed on IDEAS

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    1. Singh-Manoux, Archana & Adler, Nancy E. & Marmot, Michael G., 2003. "Subjective social status: its determinants and its association with measures of ill-health in the Whitehall II study," Social Science & Medicine, Elsevier, vol. 56(6), pages 1321-1333, March.
    2. van Ryn, Michelle & Burke, Jane, 2000. "The effect of patient race and socio-economic status on physicians' perceptions of patients," Social Science & Medicine, Elsevier, vol. 50(6), pages 813-828, March.
    3. repec:dau:papers:123456789/10510 is not listed on IDEAS
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    Cited by:

    1. Esther Van Poel & Claire Collins & Peter Groenewegen & Peter Spreeuwenberg & Gazmend Bojaj & Jonila Gabrani & Christian Mallen & Liubove Murauskiene & Milena Šantrić Milićević & Emmily Schaubroeck & S, 2023. "The Organization of Outreach Work for Vulnerable Patients in General Practice during COVID-19: Results from the Cross-Sectional PRICOV-19 Study in 38 Countries," IJERPH, MDPI, vol. 20(4), pages 1-16, February.
    2. Silja Leiser & Anouk Déruaz-Luyet & A Alexandra N’Goran & Jérôme Pasquier & Sven Streit & Stefan Neuner-Jehle & Andreas Zeller & Dagmar M Haller & Lilli Herzig & Patrick Bodenmann, 2017. "Determinants associated with deprivation in multimorbid patients in primary care—A cross-sectional study in Switzerland," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-12, July.

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