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Is therapeutic judgement influenced by the patient's socio-economic status? A factorial vignette survey
Metropolitan University College, Denmark.ORCID iD: 0000-0003-1338-9644
2016 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 4, p. 245-52Article in journal (Refereed) Published
Abstract [en]

Background

In Denmark patients are entitled to rehabilitation regardless of socio-economic status (SES). During this process therapists have to balance cost effectiveness with providing equal treatment. Aim To investigate whether occupational therapists and physiotherapists were influenced by the patient's SES.

Material and method

An experimental factorial vignette survey was used. Four different vignettes describing fictitious patient cases with different SES variables were randomly allocated to therapists working in somatic hospitals. Thereafter, the therapists judged specific clinical situations and general attitudes in relation to the patient's SES. Chi-square was used to test the statistical association between the variables.

Results

No statistically significant associations were found between the specific clinical situations and the patient's SES. A statistical significant association was found between general attitudes and the patient's SES. Subgroup analysis revealed a statistically significant association between the therapist's gender, age, and the therapeutic judgement in relation to SES.

Conclusion

In the specific clinical situations, Danish therapists seem to maintain their professional ethical principles, although they might face ethical dilemmas during their clinical decision-making. In order to prevent and resolve these dilemmas, they have to be made explicit. However, further research on how SES influences the health care professional's judgement is warranted.

Place, publisher, year, edition, pages
2016. Vol. 23, no 4, p. 245-52
Keywords [en]
Clinical decision-making, ethical behaviour, health care system, prioritization, unequal treatment
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:hj:diva-36842DOI: 10.3109/11038128.2016.1154106ISI: 000379496600001PubMedID: 26982521OAI: oai:DiVA.org:hj-36842DiVA, id: diva2:1131423
Available from: 2017-08-14 Created: 2017-08-14 Last updated: 2018-04-11Bibliographically approved

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf