The care you get from your doctor may depend on [its] political views [on guns]. LAT

mardi 4 octobre 2016

A new study from researchers at Yale University details significant differences in the way primary care physicians from across the political spectrum approach medical issues that touch on hot-button topics, such as abortion and gun control.

For instance, doctors were more likely to say that they would counsel a patient seeking an abortion to consider the mental health consequences of going through with the procedure if they were registered to vote as Republicans than as Democrats. Likewise, doctors registered as Democrats were more likely to urge patients who owned guns to keep them out of their homes, while doctors registered as Republicans were more likely to ask if the guns were stored safely.

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Democratic and Republican physicians provide different care on politicized health issues. Abstract
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.


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The care you get from your doctor may depend on [its] political views [on guns]. LAT

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