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Physicians' Perceptions of Patients in a County Sponsored Health Plan

机译:医师对县资助的健康计划中患者的看法

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摘要

In this country, those who have low-incomes and are without health insurance may feel discriminated against and stigmatized by healthcare providers. In our evaluation of a health plan for uninsured residents of a county in a Midwestern state, we found a relationship between negative stereotypes among some physicians (voiced by physicians themselves and observed by the evaluators and program administrative staff) and clients' perception of discrimination by physicians because of these negative stereotypes. This perceived stigma may negatively impact on patient care. The clinicians' negative view of these patients can also be transmitted to physicians' office staff that then, overtly or covertly, encourage different treatment of patients. We hope to increase provider awareness of the impact of their attitudes on patients and subsequently improve patient outcomes.
机译:在这个国家,收入低,没有医疗保险的人可能会受到医疗保健提供者的歧视和污名化。在对中西部某州未保险居民的健康计划进行评估时,我们发现一些医师之间的负面刻板印象(由医师自己发声,并由评估人员和项目管理人员观察到)与客户对歧视的看法之间存在关联医生因为这些负面定型观念。这种可耻的污名可能会对患者的护理产生负面影响。临床医生对这些患者的负面看法也可以传达给医师办公室的工作人员,然后他们公开或秘密地鼓励对患者进行不同的治疗。我们希望提高提供者对他们的态度对患者的影响的认识,从而改善患者的治疗效果。

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