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Influence of patient immigrant status on physician trainee diabetes treatment decisions: a virtual patient experimental study.

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Title: Influence of patient immigrant status on physician trainee diabetes treatment decisions: a virtual patient experimental study.
Authors: Hsueh, Loretta, Hirsh, Adam T., Zapolski, Tamika, de Groot, Mary, Mather, Kieren J., Stewart, Jesse C.
Source: Journal of Behavioral Medicine. Oct2021, Vol. 44 Issue 5, p662-672. 11p. 1 Color Photograph, 3 Charts.
Subjects: Treatment of diabetes, Immigrants, Experimental design, Endocrinology, Simulated patients, Attitude (Psychology), Oral drug administration, Medical personnel, Hypoglycemic agents, Internship programs, Treatment effectiveness, Case studies, Descriptive statistics, Decision making in clinical medicine
Abstract: To determine the effect of patient immigrant status on physician trainees' diabetes treatment decisions. Participants were 140 physician trainees ('providers'). Providers viewed videos and vignettes of virtual patients differing in immigrant status (born in Mexico or U.S.; other characteristics held constant). Analyses were completed at the group and individual levels. Providers were less likely to refer foreign-born (vs. U.S.-born) patients to endocrinology. Individual-level results showed an almost even split between treatment ratings for foreign-born vs. U.S.-born patients for three decisions (take no action, add oral hypoglycemic agent, add/switch to insulin), explaining why group-level differences for these ratings did not emerge (i.e., they were cancelled out). Physician trainees are less likely to refer foreign-born patients to endocrinology. Half of individual-level decisions were influenced by patient immigrant status, but group-level analyses mask these differences. Systematic treatment differences based on non-relevant factors could lead to adverse outcomes for immigrants. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: To determine the effect of patient immigrant status on physician trainees' diabetes treatment decisions. Participants were 140 physician trainees ('providers'). Providers viewed videos and vignettes of virtual patients differing in immigrant status (born in Mexico or U.S.; other characteristics held constant). Analyses were completed at the group and individual levels. Providers were less likely to refer foreign-born (vs. U.S.-born) patients to endocrinology. Individual-level results showed an almost even split between treatment ratings for foreign-born vs. U.S.-born patients for three decisions (take no action, add oral hypoglycemic agent, add/switch to insulin), explaining why group-level differences for these ratings did not emerge (i.e., they were cancelled out). Physician trainees are less likely to refer foreign-born patients to endocrinology. Half of individual-level decisions were influenced by patient immigrant status, but group-level analyses mask these differences. Systematic treatment differences based on non-relevant factors could lead to adverse outcomes for immigrants. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10865-021-00224-y
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 662
    Subjects:
      – SubjectFull: Treatment of diabetes
        Type: general
      – SubjectFull: Immigrants
        Type: general
      – SubjectFull: Experimental design
        Type: general
      – SubjectFull: Endocrinology
        Type: general
      – SubjectFull: Simulated patients
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Oral drug administration
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Hypoglycemic agents
        Type: general
      – SubjectFull: Internship programs
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Case studies
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Decision making in clinical medicine
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    Titles:
      – TitleFull: Influence of patient immigrant status on physician trainee diabetes treatment decisions: a virtual patient experimental study.
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            NameFull: Mather, Kieren J.
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            – D: 01
              M: 10
              Text: Oct2021
              Type: published
              Y: 2021
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