Democratic and Republican physicians provide different care on politicized health issues
| Autor: | Eitan D. Hersh, Matthew N. Goldenberg |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Attitude of Health Personnel media_common.quotation_subject Clinical Decision-Making Social Sciences Poison control Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Physicians Surveys and Questionnaires Health care 050602 political science & public administration medicine Humans 030212 general & internal medicine Disease management (health) media_common Multidisciplinary Primary Health Care business.industry Politics 05 social sciences Disease Management medicine.disease United States 0506 political science Voter registration Vignette Family medicine Perception Medical emergency business Delivery of Health Care Seriousness |
| Zdroj: | Proceedings of the National Academy of Sciences. 113:11811-11816 |
| ISSN: | 1091-6490 0027-8424 |
| Popis: | Physicians frequently interact with patients about politically salient health issues, such as drug use, firearm safety, and sexual behavior. We investigate whether physicians' own political views affect their treatment decisions on these issues. We linked the records of over 20,000 primary care physicians in 29 US states to a voter registration database, obtaining the physicians' political party affiliations. We then surveyed a sample of Democratic and Republican primary care physicians. Respondents evaluated nine patient vignettes, three of which addressed especially politicized health issues (marijuana, abortion, and firearm storage). Physicians rated the seriousness of the issue presented in each vignette and their likelihood of engaging in specific management options. On the politicized health issues-and only on such issues-Democratic and Republican physicians differed substantially in their expressed concern and their recommended treatment plan. We control for physician demographics (like age, gender, and religiosity), patient population, and geography. Physician partisan bias can lead to unwarranted variation in patient care. Awareness of how a physician's political attitudes might affect patient care is important to physicians and patients alike. |
| Databáze: | OpenAIRE |
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